加速康复外科理念基础上的多元化健康教育模式用于肝切除围手术期的效果研究  

Study on the Effect of Diversified Health Education Models Based on the Concept of Accelerated Rehabilitation Surgery in the Perioperative Period of Liver Resection

作　　者：邱慧鑫 刘考[1] 李娜[1] 刘燕[1] 王利娴 QIU Huixin;LIU Kao*;LI Na;LIU Yan;WANG Lixian(Department of Organ Transplantation,Qilu Hospital of Shandong University,Jinan 250012,China)

机构地区：[1]山东大学齐鲁医院器官移植科,山东济南250012

出　　处：《中国医药指南》2023年第9期76-78,共3页Guide of China Medicine

摘　　要：目的研究加速康复外科理念基础上的多元化健康教育模式用于肝切除围手术期的效果。方法以2019年3月至2021年1月78例肝切除患者为对象,随机分为两组,两组均在围手术期护理中融入加速康复外科理念,其中常规组39例另外接受传统的书面和口头健康教育,多元组39例另外采取多元化健康教育模式,比较两组康复质量、知识知晓度、满意度。结果多元组术后首次下床活动时间、经口进食时间、排气时间、住院天数均短于常规组,NRS疼痛级别评分低于常规组(P<0.05)。多元组自我管理能力内容知晓率(94.87%)高于常规组(76.92%),多元组患者护理满意度(97.44%)高于常规组(79.49%)(P<0.05)。结论加速康复外科理念基础上的多元化健康教育模式应用于肝切除围手术期可加快并促进患者的术后康复,提升患者对自我管理能力内容的知晓率,缩短住院天数,提升患者满意度。Objective To study the effect of a diversified health education model based on the concept of accelerated rehabilitation surgery in the perioperative period of liver resection.Methods Seventy-eight patients undergoing liver resection from March 2019 to January 2021 were randomly divided into two groups.Both groups were integrated with the concept of accelerated rehabilitation surgery in perioperative care.39 patients in the conventional group received additional traditional writing in addition to oral health education,39 cases in the multivariate group also adopted a multivariate health education model to compare the rehabilitation quality,knowledge awareness,and satisfaction of the two groups.Results The time to get out of bed for the first time after operation,the time of oral feeding,the time of exhaust,and the length of hospital stay in the multivariate group were shorter than those of the conventional group.The NRS pain level score in the multivariate group was lower than that of the conventional group(P<0.05).The awareness rate of self-management ability in the multivariate group was 94.87%,which was higher than 76.92%in the conventional group,and the nursing satisfaction rate of patients in the multivariate group was 97.44%,which was higher than that of the conventional group by 79.49%(P<0.05).Conclusion A diversified health education model based on the concept of accelerated rehabilitation surgery applying to the perioperative period of hepatectomy can speed up and promote the postoperative recovery of patients,increase patients'awareness of the content of self-management capabilities,shorten the length of hospital stay,and increase patient satisfaction degree.

关 键 词：加速康复外科理念 多元化健康教育模式 肝切除 围手术期护理 

分 类 号：R473.6[医药卫生—护理学]