健康教育图文册的构建及在食管癌患者术后康复护理的应用  

Construction of health education booklet and its application in postoperative rehabi-litation of esophageal cancer patients

作　　者：吴含 成钰娜 居馨星 郑淇元 王敏荃 刘晓芯[2] Wu Han;Cheng Yuna;Ju Xinxing;Zheng Qiyuan;Wang Minquan;Liu Xiaoxin(School of Nursing,Shanghai Jiao Tong University,Shanghai 200025,China)

机构地区：[1]上海交通大学护理学院,上海200025 [2]上海交通大学医学院附属胸科医院护理部

出　　处：《护理学杂志》2024年第16期12-16,共5页Journal of Nursing Science

基　　金：上海市科技计划项目(21DZ2315400);上海交通大学医学院护理学科建设项目(SJTUHLXK2024)。

摘　　要：目的基于知识可视化构建健康教育图文册,并探讨其用于食管癌患者术后康复护理的效果。方法将116例食管癌手术患者按照入院时间顺序分组,试验组58例,采用由研究团队基于知识可视化构建的健康教育图文册进行术后健康教育;对照组58例,实施常规健康教育。出院时评价两组自我护理能力、恐惧疾病进展、术后康复指标及患者满意度。结果试验组自我护理能力总分显著高于对照组,疾病进展恐惧总分显著低于对照组,术后胸腔引流管留置时间、胃管留置时间显著短于对照组,患者满意度得分显著高于对照组(均P<0.05)。结论将健康教育图文册应用于食管癌术后患者,可提升患者自我护理能力及满意度,改善疾病恐惧水平,促进食管癌术后患者术后康复。Objective To create a health education booklet based on knowledge visualization,and explore the effect of utilizing the booklet in postoperative rehabilitation of esophageal cancer patients.Methods Based on the order of admission,116 patients with esophageal cancer who underwent surgery were divided into two groups.The experimental group(n=58)received post-surgical health education based on the booklet compiled based on knowledge visualization by the research team.The control group(n=58)received routine post-surgical health education.The outcomes which included self-care agency,fear of disease progression,post-surgical recovery,and patient satisfaction were measured in both groups.Results The self-care agency score was significantly higher,fear of disease progression score was significantly lower,and the durations of thoracic drainage tube and gastric tube indwelling after surgery were significantly shorter,in the experimental group,than those in the control group(all P<0.05).Conclusion Application of the health education booklet in esophageal cancer patients can enhance their satisfaction,mitigate fear of disease progression,and promote postoperative recovery.

关 键 词：食管癌 根治手术 健康教育 双重编码理论 格式塔原理 自我护理能力 疾病恐惧 康复护理 

分 类 号：R473.6[医药卫生—护理学]