临床健康教育路径对肝硬化腹水患者自护能力及疾病知识掌握程度的影响  

Effects of clinical health education pathway in promoting the self-care ability and disease knowledge of patients with cirrhosis and ascites

作　　者：赵冬梅[1] 沈萃[1] 蔡文娟 宋卫芹[1] 

机构地区：[1]蚌埠医学院第一附属医院感染科,安徽蚌埠233004

出　　处：《中西医结合护理（中英文）》2017年第12期55-57,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨临床健康教育路径对肝硬化腹水患者自护能力及疾病知识掌握程度的影响。方法选取2012年5月—2017年5月收治的肝硬化腹水患者100例,分为观察组和对照组,各50例。对照组采用常规护理和健康教育,观察组采用临床健康教育路径护理。比较护理干预前后2组患者自我护理能力实施量表(ESCA)评分。评估患者健康知识掌握程度情况。结果干预前,2组患者ESCA各维度分值及总分差异均无统计学意义(P>0.05)。干预后,观察组ESCA各维度分值及总分差异均高于对照组(P<0.05)。观察组患者健康教育知识达标率为94.0%(47/50),高于对照组的62.0%(31/50),差异有统计学意义(P<0.05)。结论临床健康教育路径有利于提高肝硬化腹水患者自护能力和对疾病知识的掌握程度。Objective To analyze the effect of clinical health education pathway in promotingthe self-care ability and disease knowledge of patients with cirrhosis and ascites. Methods tally 100 patients with cirrhosis and ascites were assigned to the observation group and the cogroup,with 50 cases in each group. In addition to initial therapy and routine care,the controlgroup was given conventional health education,and the observation group received clinical health education pathway. The self-care ability of patients was evaluated by exercise of self-care agency（ESCA）,and the knowledge level of patients was investigated by questionnaires. Results Twas no significant difference in ESCA score between two groups before treatment（P 〉0. 05）. TESCA score was increased in both two groups after intervention,and was more significant inserration group than that of controls （P 〈0.05）. Patients in the observation group achieved higher qualified rate of knowledge control compared witti that of controls （94.0% vs. 62.0%,P 〈0.05）. Conclusion The clinical health education pathway is beneficial to the improvement of self-careability and knowledge of disease in patients with cirrhosis and ascites.

关 键 词：临床护理路径 健康教育 肝硬化 腹水 自护能力 疾病知识 

分 类 号：R473.5[医药卫生—护理学]