结果为导向的健康教育对腹腔镜胆囊切除术后并发症和生活质量的影响  

The influence of results-oriented health education on complications and quality of life after laparoscopic cholecystectomy

作　　者：杨飞凤 陈鑫 YANG Fei-feng(Kangyi special clinic,Zhongshan People's hospital,Zhongshan,Guangdong,528403,China)

机构地区：[1]中山市人民医院康怡特诊六楼,广东中山528403

出　　处：《齐齐哈尔医学院学报》2020年第16期2095-2097,共3页Journal of Qiqihar Medical University

摘　　要：目的探讨结果为导向的健康教育对腹腔镜胆囊切除术后并发症和生活质量中的影响。方法选择2017年4月—2019年10月在本院接受腹腔镜胆囊切除术治疗的83例患者作为研究对象,采用随机数表法分为观察组(41例)和对照组(42例)两组。对照组实施常规健康教育,观察组则实施结果为导向的健康教育。比较两组术后各项恢复指标,术后并发症发生情况,入院时、出院时的生活质量、自我效能感水平。结果观察组患者术后肛门排气时间、排便时间、下床活动时间以及住院时间均短于对照组,差异有统计学意义(P<0.05);观察组患者术后并发症总发生率低于对照组,差异有统计学意义(P<0.05);观察组患者出院时各项生活质量评分高于对照组,差异有统计学意义(P<0.05);两组患者出院时的自我效能GSES评分均高于入院时,差异有统计学意义(P<0.05);且观察组患者出院时的自我效能GSES评分高于对照组,差异有统计学意义(P<0.05)。结论结果为导向的健康教育可促进腹腔镜胆囊切除术患者术后康复,同时有利于降低术后并发症发生风险,改善患者生活质量与自我效能感。Objective To analyze the influence of results-oriented health education on complications and quality of life after laparoscopic cholecystectomy.Methods Eighty-three patients who received laparoscopic cholecystectomy in our hospital from April 2017 to October 2019 were included in the observation.The patients were divided into observation group(41 cases) and control group(42 cases) according to random number table method.The control group received routine health education,while the observation group received result-oriented health education.Postoperative recovery indicators,postoperative complications,quality of life at admission and discharge,and level of self-efficacy were compared between the two groups.Results The postoperative anal exhaust time,defecation time,out of bed activity time and hospital stay in the observation group were shorter than those in the control group(P<0.05).The total incidence of postoperative complications in the observation groupwas lower than that in the control group(P<0.05).The scores of quality of life in the observation group were higher than those in the control group(P<0.05).GSES scores of observation group and control group at dischargewere higher than that at admission,and these of observation group was higher than the control group(P<0.05).Conclusions Result-oriented health education could promote postoperative rehabilitation of patients received laparoscopic cholecystectomy,reduce the risk of postoperative complications,and improve patients’ quality of life and sense of self-efficacy.

关 键 词：腹腔镜胆囊切除术 并发症 生活质量 结果为导向 健康教育 

分 类 号：R471[医药卫生—护理学]