术前系统性健康教育对降低子宫输卵管造影检查中假阳性发生率的影响研究  

Effect of Preoperative Systemic Health Education to Reduce the Incidence of False Positives in Hysterosalpingography

作　　者：刘利兰[1] 罗华坚[2] 蓝怡[1] 高天俊[1] 张宏光[1] 陈娟慧[3] 周秀红[3] 

机构地区：[1]深圳市龙岗中心医院介入科,广东深圳518116 [2]深圳市龙岗中心医院妇产科,广东深圳518116 [3]深圳市龙岗中心医院护理部,广东深圳518116

出　　处：《赣南医学院学报》2017年第4期586-589,共4页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：深圳市龙岗区经济与科技发展专项资助项目(编号:20160606175612680);深圳市科技研发资金资助项目(编号:0150323231536888)

摘　　要：目的:探讨术前系统性健康教育对降低子宫输卵管造影检查中假阳性发生率的影响。方法:200例患者随机分为两组,对照组按照常规的护理方法,观察组在传统的常规护理方法基础上,由专人评估患者心理、生理、社会状况,患者对子宫输卵管造影检查了解程度,担心紧张焦虑的原因,并针对性给予系统性健康教育,从而减轻患者焦虑情绪,使其能在术中紧密配合,顺利完成手术。结果:所有患者均成功进行输卵管造影,对照组有86例,共153条输卵管阻塞,其中近端阻塞92条,对近端阻塞患者进行输卵管再通术,术中发现与第一次造影一致(阻塞)的有58条,不一致(通畅)的有34条;观察组有71例,共121条输卵管阻塞,其中近端阻塞78条,对近端阻塞患者进行输卵管再通术,术中发现与第一次造影一致(阻塞)的有63条,不一致(通畅)的有15条,两组差异有统计学意义(χ~2=6.465,P<0.05)。结论:对子宫输卵管造影患者进行术前系统性健康教育,可以提高患者对手术的认识,减轻患者紧张焦虑情绪,减少输卵管痉挛的发生及假阳性的出现,降低结果的假阳性率,提高满意度。Objective: To investigate the effect of preoperative systemic health education to reduce the incidence of false positives in hysterosalpingography. Methods: Two hundred patients were randomly divided into two groups. Patients in the controlled group were treated with the conventional methods of care,and the observation group patients,with routine nursing methods,were given a systematic health education based on the assessment of their psychological,physical,social status,the cognitive level about HSG,and the causes of anxiety to reduce their anxiety and enable the surgery successful. Results: HSG for all patients were successfully performed. Eighty-six patients in the control group with 153 tubal occlusion,and 92 of which diagnosed the proximal occlusion were carried on fallopian tube recanalization. Fifty-eight in 92 were conformed and the other 34 tubal occlusion were proved false positives. In the observation group,a total of 78 proximal tubal occlusion who were carried on fallopian tube recanalization in 121 tubal occlusion in 71 cases were found that 15 tubal occlusion were false positives. The difference was statistically significant( P < 0. 05,χ~2= 6. 465). Conclusion: Preoperative systemic health education on patients with HSG can improve patient awareness of surgery,ease their tension,reduce the rate of false positive results and improve patients' satisfaction.

关 键 词：子宫输卵管造影术 假阳性 评估 系统性健康教育 

分 类 号：R473.71[医药卫生—护理学]