分阶段健康教育模式在肛瘘手术患者中的应用效果及对其自我护理能力的影响  

Application effect of staged health education model in patients with anal fistula surgery and its influence on their self-care ability

作　　者：邵君 王鑫 庞小东[3] SHAO Jun;WANG Xin;PANG Xiaodong(People's Hospital of Tongchuan,Tongchuan 727000;Zhen'an County Hospital,Shangluo 711500;Traditional Chinese Medicine Hospital of Baoji,Baoji 721000,China)

机构地区：[1]铜川市人民医院,陕西铜川727000 [2]商洛市镇安县医院,陕西商洛711500 [3]宝鸡市中医医院,陕西宝鸡721000

出　　处：《临床医学研究与实践》2024年第20期124-127,共4页Clinical Research and Practice

基　　金：宝鸡市卫生健康委员会科研课题(No.2020-021)。

摘　　要：目的探讨分阶段健康教育模式在肛瘘手术患者中的应用效果及对其自我护理能力的影响。方法选取2021年9月至2022年9月50例行手术治疗的肛瘘患者作为研究对象,以随机数字表法将其分为对照组和观察组,各25例。对照组给予常规护理,观察组在常规护理基础上行分阶段健康教育模式护理。比较两组的护理效果。结果观察组的术后下床活动时间、首次排尿时间、创面愈合时间及住院时间短于对照组,疾病知识知晓率及护理总依从率高于对照组(P<0.05)。护理后,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,自我护理能力测定量表(ESCA)各维度评分高于对照组(P<0.05)。结论分阶段健康教育模式在肛瘘手术患者中的应用效果较好。Objective To explore the application effect of staged health education model in patients with anal fistula surgery and its influence on their self-care ability.Methods A total of 50 patients with anal fistula who underwent surgery treatment from September 2021 to September 2022 were selected as the study subjects.The patients were divided into control group and observation group by random number table method,with 25 cases in each group.The control group was given routine nursing,and the observation group was given staged health education model nursing on the basis of routine nursing.The nursing effects of the two groups were compared.Results The postoperative ambulation time,first urination time,wound healing time and hospitalization time of the observation group were shorter than those of the control group,the awareness rate of disease knowledge and total compliance rate of nursing were higher than those of the control group(P<0.05).After nursing,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the observation group were lower than those in the control group,the scores of each dimension of Exercise of Self-Care Agency Scale(ESCA)were higher than those in the control group(P<0.05).Conclusion The staged health education model applied in patients with anal fistula surgery has good effect.

关 键 词：分阶段健康教育模式 肛瘘手术 自我护理能力 负性情绪 

分 类 号：R473.6[医药卫生—护理学]