床边个体化健康教育宣教单在脊柱手术患者中的应用效果  

Application effect of bedside individualized health education instruction sheet in patients undergoing spinal surgery

作　　者：陈瑜[1] 何美英 龙丽华[1] 黄娅琴 包拥政[2] 朱文刚[1] 黄旭平 CHEN Yu;HE Mei-ying;LONG Li-hua;HUANG Ya-qin;BAO Yong-zheng;ZHU Wen-gang;HUANG Xu-ping(Department of Joint Orthopaedics,Shaoguan North Guangdong People′s Hospital,Guangdong Province,Shaoguan 512026,China;Department of Spinal Surgery,Shaoguan North Guangdong People′s Hospital,Guangdong Province,Shaoguan 512026,China)

机构地区：[1]广东省韶关市粤北人民医院关节骨病科,广东韶关512026 [2]广东省韶关市粤北人民医院脊柱外科,广东韶关512026

出　　处：《中国当代医药》2019年第32期217-219,共3页China Modern Medicine

基　　金：广东省韶关市卫生计生科研项目(Y17004)

摘　　要：目的探讨床边个体化健康教育宣教单在脊柱手术患者康复效果的影响。方法选取2017年1月~2018年3月我院收治的脊柱手术患者120例,随机分为观察组和对照组,每组各60例。对照组实施常规健康教育,观察组实施个体化健康教育方案。比较两组术后首次下床活动时间、术后早期并发症发生情况等康复效果指标。结果观察组术后首次下床时间及住院时间显著短于对照组(P<0.05);观察组并发症总发生率13.3%,低于对照组的33.4%(P<0.05);观察组护理总满意度为96.7%,高于对照组的85.0%(P<0.05)。观察组术前指导、术后指导、术后用药指导知晓率显著高于对照组,差异有统计学意义(P<0.05)。结论使用床边个体化健康教育宣教单对脊柱手术患者进行宣教可缩短患者术后下地时间及住院时间,减少术后并发症,有利于提升患者满意度,对促进患者早期康复有重要意义,值得临床推广应用。Objective To explore the effect of bedside individualized health education instruction sheet on the rehabilitation effect of patients undergoing spinal surgery.Methods A total of 120 patients with spinal surgery admitted to our hospital from January 2017 to March 2018 were selected and randomly divided into observation group and control group,60 cases in each group.The control group was given routine health education,and the observation group was given individualized health education program.The first time out of bed activity time and early complications were compared between the two groups.Results The first time out of bed and hospitalization time of patients in the observation group were significantly shorter than those in the control group(P<0.05).The total incidence of complications in the observation group was 13.3%,lower than 33.4%in the control group(P<0.05).The nursing satisfaction in the observation group was 96.7%,higher than that in the control group(85.0%)(P<0.05).The awareness rate of preoperative guidance,post-operative guidance and post-operative medication guidance in the observation group were significantly higher than those in the control group(P<0.05).Conclusion The bedside individualized health education instruction sheet can shorten the time of operation and hospitalization,reduce the complications,improve the satisfaction of patients,promote the early rehabilitation of patients,and is worthy of clinical application.

关 键 词：个体化 健康教育 宣教单 脊柱手术 康复 

分 类 号：R473.6[医药卫生—护理学]