艾宾浩斯记忆论及以问题为导向的教学方法在肿瘤化疗病人健康教育模式中的应用  

Study on hospitalized chemotherapy health education model of tumor patients

作　　者：黄爱梅[1] 陆海燕[1] 何永明[1] HUANG Aimei;LU Haiyan;HE Yongming(Department of Oncology,Jiangsu Cancer Hospital,Nanjing,Jiangsu 210009,China)

机构地区：[1]江苏省肿瘤医院肿瘤内科

出　　处：《安徽医药》2019年第11期2233-2236,共4页Anhui Medical and Pharmaceutical Journal

基　　金：江苏省卫生计生委科研项目（BJ15028）;江苏省肿瘤医院院级科研项目（ZH201308）

摘　　要：目的结合临床实际探讨肿瘤病人住院化疗健康教育的最佳模式。方法选取2016年10月至2017年10月江苏省肿瘤医院收治的肿瘤病人86例,按随机数字表法分为对照组和观察组,各43例。对照组采用常规健康教育路径模式,观察组在此基础上引入艾宾浩斯记忆论及以问题为导向的教学方法(PBL)教育模式。对比两组知识掌握程度、自我管理能力及护理满意度。结果观察组护理6个周期后知识掌握程度(93.02%)高于对照组(60.47%),差异有统计学意义(P<0.05);观察组护理6个周期后自护能力(31.53±5.48)分、自护责任感(20.52±2.28)分、自我概念(25.58±2.42)分、知识水平评分(51.36±6.42)分均高于对照组(20.47±5.52)、(12.27±2.35)、(15.42±3.53)、(40.45±6.46)分,差异有统计学意义(P<0.05);观察组护理满意度(100.00%)高于对照组(90.69%),差异有统计学意义(P<0.05)。结论艾宾浩斯记忆论及PBL教育模式可有效改善肿瘤病人知识掌握程度,提高其自我管理能力及护理满意度,值得临床推广。Objective To explore the best mode of hospitalized chemotherapy for cancer patients combined with clinical practice. Methods 86 cancer patients admitted to Jiangsu Cancer Hospital from October 2016 to October 2017 were randomly divided into 2 groups according to the random number table method,with 43 cases in each group.The control group were treated with the routine path of health education.The observation group introduced Ebahnhaus memory theory and PBL education model additionally. The knowledge mastery,self-management skills and nursing satisfaction of the two groups were compared.Results The knowledge level of the observation group was higher than that of the control group after 6 cycles of nursing(60.47% vs. 93.02%)(P<0.05). The self-care ability[(31.53±5.48)vs.(20.47±5.52)],self-care responsibility[(20.52±2.28)vs.(12.27±2.35)],self-concept [(25.58 ± 2.42)vs.(15.42 ± 3.53)]and knowledge level scores[(51.36 ± 6.42)vs.(40.45 ± 6.46)]of the observation group were high after 6 cycles of nursing in the observation group.In the control group,the difference was statistically significant(P<0.05.The satisfaction rate of the observation group was higher than that of the control group,and the difference was statistically significant (100.00% vs. 90.69%)(P<0.05). Conclusion Ebbinghaus memory theory and PBL education model can effectively improve the knowledge of tumor patients and self-management ability and nursing satisfaction,which are worthy of clinical promotion.

关 键 词：病人教育(主题)/方法 肿瘤 抗肿瘤联合化疗方案 基于问题的学习 健康教育模式 知识掌握度 自我管理能力 护理满意度 

分 类 号：R473.73[医药卫生—护理学]