基于云平台的健康教育路径管理模式在心房颤动患者围手术期中的应用  

Application of health education path management model based on cloud platform in the perioperative period of patients with atrial fibrillation

作　　者：陈思萍 金爽 林冰心 林靖怡 李丹[1] Chen Siping;Jin Shuang;Lin Bingxin;Lin Jingyi;Li Dan(Department of the Second Cardiovascular Medicine,Fuzhou University Affiliated Provincial Hospital,Fuzhou 350001,China;Department of Nursing,Fuzhou University Afiliated Provincial Hospital,Fuzhou 350001,China)

机构地区：[1]福州大学附属省立医院心血管内二科,福州350001 [2]福州大学附属省立医院护理部,福州350001

出　　处：《中国实用护理杂志》2025年第9期664-672,共9页Chinese Journal of Practical Nursing

基　　金：福建医科大学启航基金(2019QH1170)。

摘　　要：目的探讨基于云平台的健康教育路径管理模式在心房颤动(以下简称房颤)患者围手术期中的应用效果,分析创新教育形式的可行性。方法采用非同期历史对照研究设计,便利抽样法选取2023年1—6月在福州大学附属省立医院行经导管射频消融术的291例房颤患者作为研究对象。为避免研究对象沾染按照入院时间进行分组,2023年1一3月入院的144例患者作为对照组,2023年4一6月入院的147例患者作为干预组。对照组采用传统健康教育方法,干预组采用基于云平台的健康教育路径管理模式。比较2组患者的术后康复情况(住院时间、下床时间、手术并发症)、术后首次卧床排尿情况、房颤相关健康知识知晓程度、患者满意度。结果对照组男101例,女43例,年龄(61.74±10.63)岁;干预组男103例,女44例,年龄(62.93±8.79)岁。干预后,干预组住院时间(4.25±1.00)d,短于对照组的(6.23±1.16)d,差异有统计学意义(t=5.92,P<0.05);干预组术后下床时间(6.69±0.84)h,早于对照组的(12.69±1.51)h,差异有统计学意义(t=25.68,P<0.05);干预组术后无并发症发生134例,皮下血肿9例,医用黏胶相关性皮肤损伤2例,气胸/血胸1例,急性脑血管事件1例,对照组术后无并发症发生113例,皮下血肿16例,医用黏胶相关性皮肤损伤2例,气胸/血胸11例,急性脑血管事件2例,2组比较差异有统计学意义(X=12.38,P<0.05);干预组术后自行排尿119例,排尿困难17例,尿潴留11例,对照组自行排尿100例,排尿困难13例,尿潴留31例,2组比较差异有统计学意义(X^(2)=11.68,P<0.05);干预组房颤相关健康知识知晓程度总分(21.49±0.16)分,高于对照组的(18.30±0.20)分,差异有统计学意义(t=12.50,P<0.05);干预组患者满意度总分(20.12±1.93)分,高于对照组的(15.10±3.13)分,差异有统计学意义(t=16.51,P<0.05)。结论基于云平台的健康教育路径管理模式应用于房颤患者围手术期中,有利于促进患者术后�Objective To explore the application effect of health education path management model based on cloud platform in the perioperative period of patients with atrial fibrllation(AF),and analyze the feasibility of innovative education forms.Methodss Adopting a non synchronous historical control study design.A total of 291 patients who underwent transcatheter radiofrequency ablation in Fuzhou University Affiliated Provincial Hospital from January to June 2023 were selected by convenience sampling.To avoid contamination of research subjects by grouping them according to admission time,144 patients admitted from January to March 2023 were used as the control group,and 147 patients admited from April to June 2023 were used as the intervention group.The control group adopted the traditional health education method,and the intervention group adopted the health education path management mode based on the cloud platform.The postoperative recovery(length of hospital stay,time out of bed,surgical complications),the first postoperative bed urination,the degree of health knowledge related to atrial fibrillation,and the patient satisfaction were compared between the two groups.Results There were 101 males and 43 females in the control group,was(61.74±10.63)years old,and 103 males and 44 females in the intervention group,was(62.93±8.79)years old.After the intervention,the hospitalization time of the intervention group was(4.25±1.00)days,which was shorter than that of the control group(6.23±1.16)days,and the difference was statistically significant(t-5.92,P<0.05).The time of getting out of bed after operation in the intervention group was(6.69±0.84)hours,which was earlier than that in the control group(12.69±1.51)hours,and the difference was statistically significant(t=25.68,P<0.05).There were 134 cases of no complications in the intervention group and 9 cases of subcutaneous hematoma,2 cases of medical viscose-related skin injury,1 case of pneumothorax/hemothorax,and 1 case of acute cerebrovascular event occurred,there were 1

关 键 词：心房颤动 健康教育 临床护理路径 云平台 

分 类 号：R47[医药卫生—护理学]