胸管自护体验式健康教育在肺结节切除术患者中的应用  

Application of experiential health education for chest tube self-care in patients with pulmonary nodule resection

作　　者：张颖 张宇 韦欣琪 ZHANG Ying;ZHANG Yu;WEI Xinqi(Department of Cardiothoracic Surgery,Huai'an First Affiliated Hospital of Nanjing Medical University,Huai'an Jiangsu 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院心胸外科,江苏淮安223300

出　　处：《中国急救复苏与灾害医学杂志》2024年第3期383-386,413,共5页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：江苏省卫生健康委医学科研面上项目(编号:H201991)。

摘　　要：目的分析胸管自护体验式健康教育在肺结节切除术患者中的应用效果。方法研究对象在淮安市第一人民医院心胸外科2020年1月—2021年12月期间收治的肺结节行切除术治疗患者中抽取110例,将2020年1月~2020年12月期间收治的55例患者纳入对照组,将2021年1月—2021年12月前进收治的55例患者纳入观察组。两组患者均在同一名主任级别医师进行肺结节手术切除术治疗,对照组采用常规教育模式,观察组采用胸管自护体验式健康教育模式。对比分析两组患者自我护理、自我效能评分水平以及并发症发生情况。结果自我护理能力评分观察组显著高于对照组,差异存在统计学意义(P<0.05)。护理前,自我效能评分组间比较,差异无统计学意义(P>0.05);护理后,观察组评分显著高于对照组,差异存在统计学意义(P<0.05)。观察组并发症发生率5.45%(3/55),显著低于对照组18.18%(10/55),差异存在统计学意义(P<0.05)。结论在肺结节切除术患者中应用胸管自护体验式健康教育可显著改善患者自我护理能力以及自我效能水平,对于降低并发症发生率同样具有理想效果。Objective To study the application of experiential health education for chest tube self-care in patients with pulmonary nodule resection.Methods A total of 110 patients who underwent pulmonary nodule resection admitted to the Department of Cardiothoracic Surgery of Huai'an First People's Hospital from January 2020 to December 2021 were selected for this study.All patients were divided into two groups.55 patients who admitted in 2020 were in the control group.Another 55 patients who admitted in 2021 were in the observation group.All patients underwent pulmonary nodules resection by one chief surgeon.Patients of the control group received conventional education,and the patients of the observation group received experiential health education of chest tube self-care.The levels of self care,self-efficacy scores and complications of the two groups were compared and analyzed.Results The self-care score of observation group was significantly higher than that of control group,and the difference was statistically significant(P<0.05).There was no statistical significance in self-efficacy score between two groups in the beginning(P>0.05).After experiential health education the score of observation group was significantly higher than that of control group,the difference was statistically significant(P<0.05).The complication rate was 5.45%(3/55)in the observation group,which was significantly lower than that of the control group[18.18%(10/55)],and the difference was statistically significant(P<0.05).Conclusion The application of chest tube self-care experiential health education in patients with pulmonary nodule resection can significantly improve patients'self-care ability and self-efficacy level,and reduce the incidence of complications in our study.

关 键 词：自护体验式健康教育 肺结节切除术 胸管 

分 类 号：R473.5[医药卫生—护理学]