创新健康宣教在日间腹腔镜胆囊切除术患者中的应用效果  

Application effects of innovative health education on patients undergoing ambulatory laparoscopic cholecystectomy

作　　者：朱敏[1] 刘芳[1] 李诗涵 戴燕[1] 

机构地区：[1]四川大学华西医院日间服务中心,成都610041

出　　处：《华西医学》2017年第11期1671-1674,共4页West China Medical Journal

基　　金：四川省卫生和计划生育委员会科研课题(16PJ312);四川大学华西医院学科卓越发展1-3-5工程项目(ZY2016204)

摘　　要：目的探讨创新健康宣教在日间腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)患者中的应用效果。方法收集2016年11月—12月139例日间LC患者为对照组,实施传统健康宣教;2017年2月—3月141例LC患者为观察组,实施创新健康宣教。两组患者分别于出院后第1、2、28天进行随访观察,统计两组患者术后疼痛、出血、切口感染等不良反应发生率,评估两组患者疾病知识掌握程度、自我护理技能、服药依从性及对护理和医院的满意度。结果观察组与对照组不良反应总发生率分别为7.8%和25.2%,差异有统计学意义(P<0.001);观察组服药依从性从高、中、低依次为90、46、5例,对照组分别为59、64、16例,两组依从性差异有统计学意义(P<0.001);观察组疾病知识掌握情况、自我护理认知程度评分、护理满意度评分、医院满意度评分分别为(93.4±5.5)、(91.4±4.5)、(96.4±3.7)、(98.1±3.7)分,均高于对照组的(83.8±8.7)、(83.2±9.1)、(91.5±9.2)、(94.8±7.3)分,差异均有统计学意义(P<0.001)。结论创新健康宣教在日间LC中的应用取得了一定效果,显著提高了患者疾病知识掌握情况以及自我护理认知程度,有利于保证患者围手术期医疗质量与安全,提升患者住院满意度。Objective To explore the application effects of innovative health education on patients undergoing ambulatory laparoscopic cholecystectomy（LC）. Methods A total of 139 patients undergoing ambulatory LC from November to December 2016 were selected as the control group, receiving the traditional health education; and other 141 patients undergoing ambulatory LC from February to March 2017 were selected as the observation group, receiving the innovative health education. The two groups were followed up and observed 1 day, 2, and 28 days after the discharge, and the incidence rates of adverse reactions such as postoperative pain, bleeding and incision infection were measured, and the disease knowledge mastery, self-care skills, medication compliance and satisfaction to nursing and hospital were evaluated.Results The total incidence rate of adverse reactions was 7.8% in the observation group and 25.2% in the control group（P〈0.001）. Medication compliance from high to low was 90, 46 and 5 cases in the observation group and 59, 64 and 16 cases in the control group（P〈0.001）. In the observation group, the scores of disease knowledge mastery, self-care cognition, nursing satisfaction and hospital satisfaction were 93.4±5.5, 91.4±4.5, 96.4±3.7 and 98.1±3.7, respectively, which were higher than those in the control group（83.8±8.7, 83.2±9.1, 91.5±9.2 and 94.8±7.3, respectively） with statistical significance（P〈0.001）. Conclusion Innovative health education has certain application effects on ambulatory LC, and it can significantly improve disease knowledge mastery and self-care cognition, and help to ensure the medical quality and safety during perioperative period, and improve the patients＇ satisfaction.

关 键 词：健康宣教 日间手术 腹腔镜胆囊切除术 效果 

分 类 号：R473.6[医药卫生—护理学]