多元化健康教育在胸腔镜下肺癌根治术患者中的应用价值  

The application value of diversified health education undergoing thoracoscopic radical mastectomy in the patients with lungs cancer

作　　者：林红兰 惠欣欣 贺书 杨文超[1] 成晓丽 陶彦伊 赵寒 Lin Honglan;Hui Xinxin;He Shu(Thoracic Surgery,the Third Clinical Centre,Chinese PLA General Hospital,Beijing 100039,China)

机构地区：[1]解放军总医院第三医学中心胸外科,北京100039

出　　处：《中华保健医学杂志》2022年第4期284-286,共3页Chinese Journal of Health Care and Medicine

摘　　要：目的探讨多元化健康教育对胸腔镜下肺癌根治术患者围手术期的应用价值。方法选取解放军总医院第三医学中心2018年1月~2022年2月收治的118例行胸腔镜下肺癌根治术的患者作为研究对象,随机数表法将患者分为对照组和观察组,每组59例。对照组患者给予常规健康教育,观察组患者给予多元化健康教育,观察分析两组患者的疾病认知能力、心理状况、自护能力与信心、健康知识评分、术后并发症发生率和患者的满意度等。结果观察组的焦虑症状、积极配合、信念指数、健康知识、自护责任感、自护技能得分分别为(42.63±5.02)、(43.01±4.29)、(46.73±4.52)、(30.01±4.87)、(32.01±5.87)、(36.98±5.01),其数据均优于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为8.47%,与对照组对比,差异有统计学意义(χ^(2)=5.067,P=0.028)。观察组患者的满意度为95%,对照组为76%,差异有统计学意义(P<0.05)。结论多元化健康教育有助于提高胸腔镜下肺癌根治术患者自我保护能力和满意度,降低手术后并发症发生率,改善术后康复情况。Objective To expiore the value of diversified health education in the perioperative period of undergoing thoracoscopic radical mastectomy.Methods A total of 118 cases with thoracoscopic radical resection of lung cancer from January2018 to February 2022 were used as research objects.The patients were divided into the control group and study group according to random method,with 59 cases in each group.Patients in the control group received regular health education,and patients in the study group received diversified health education.disease cogmitive ability,the self-care ability,and confidence,quality of the psychological status score,health literacy score,complication rate,and patients satisfaction after surgery of the two groups were observed and analyzed.Results The anxiety score,active coping,hope index,health education on the knowledge,Personal nursing responsibility,self care nursing technical ability were(42.63±5.02),(43.01±4.29),(46.73±4.52),(30.01±4.87),(32.01±5.87),(36.98±5.01)points.The data was better than the control group(P<0.05).The complication rate of the study group was 8.47%,which was significantly different from the data of the control group(χ^(2)=5.067,P=0.028).The patients satisfaction rate of the study group was95%,It was different from the 76%of the control group(χ^(2)=9.636,P=0.002).Conclusion The diversified health education for patients undergoing thoracoscopic radical resection of lung cancer can reduce the incidence of postoperation complication,enhance patient self-protection ability and the patient satisfaction,improve postoperation rehabilitation.

关 键 词：胸腔镜 肺癌 多元化健康教育 应用价值 

分 类 号：R749.3[医药卫生—神经病学与精神病学]