系统化健康教育对腹部手术患者术后康复效果的影响

发布时间：2018-01-09 00:13

本文关键词：系统化健康教育对腹部手术患者术后康复效果的影响　出处：《中国健康教育》2016年07期 　论文类型：期刊论文

【摘要】：目的探讨系统化健康教育对腹部手术患者术后康复的影响。方法将2015年3—9月在荆州市第一人民医院择期行腹部手术治疗的100例患者采用随机数字表法分为对照组与实验组,每组50例,对照组实施常规教育,实验组实施系统化健康教育,采用自行设计的《腹部手术术后康复知识—行为调查问卷》调查并比较2组健康教育前后的健康知识知晓情况、健康行为执行情况,同时记录并比较2组术后康复情况。结果健康教育后,实验组对禁食时间及要求(82.00%vs 44.00%、58.00%)、膳食知识(86.00%vs 48.00%、64.00%)、术后特殊卧床方法 (74.00%vs 34.00%、54.00%)、早期活动方法 (82.00%vs 34.00%、60.00%)、术后功能锻炼方法 (84.00%vs 30.00%、58.00%)、切口自我检测方法 (80.00%vs 52.00%、60.00%)等知识知晓率均高于自身教育前及教育后对照组(P0.05);实验组切口自我检测(72.00%vs 50.00%)、早期活动(66.00%vs 40.00%)、合理膳食(70.00%vs 48.00%)、参加功能锻炼(66.00%vs 40.00%)的执行积极率高于对照组(P0.05);实验组开始下床活动时间(12.79±2.95 vs 14.38±4.05)、肛门恢复排气时间(30.03±10.26 vs34.58±9.37)、住院时间(5.52±1.04 vs 6.38±1.23)均短于对照组(P0.05),腹胀发生率(10.00%vs24.00%)低于对照组(P0.05)。结论对腹部手术患者实施系统化健康教育,有助于提高患者的健康知识掌握率及健康行为执行率,进而缩短术后康复时间,改善患者预后。
[Abstract]:Objective to explore the effect of systematic health education on postoperative rehabilitation of patients undergoing abdominal surgery. Methods 100 patients undergoing elective abdominal surgery in Jingzhou first people's Hospital from 2015 to September were treated with random numbers. The method was divided into control group and experimental group. 50 cases in each group were given routine education in the control group and systematic health education in the experimental group. A self-designed questionnaire on rehabilitation knowledge and behavior after abdominal surgery was used to investigate and compare the health knowledge and health behavior of the two groups before and after health education. Results after health education, the time and requirement of fasting in the experimental group were 82.00 vs 44.00 and 58.00). The diet knowledge was 86.00 vs 48.00 and 64.00. The special bed-rest method after operation was 74.00 vs 34.00 and 54.00). The early exercise method was 82.00 vs 34.00 and the function exercise method after operation was 84.00 vs 30.0058.00). The knowledge awareness rate of incision self-test method (80.00vs 52.00) was higher than that of the control group before and after education (P 0.05). In the experimental group, the incision self-test was 72.00 vs 50.000, and the early activity was 66.00 vs 40.00. The positive rate of taking part in functional exercise (66.00 vs 40.00) was higher than that of control group (P 0.05). The time of getting out of bed in the experimental group was 12.79 卤2.95 vs 14.38 卤4.05). Anus recovery time was 30.03 卤10.26 vs34.58 卤9.37). The hospitalization time was 5.52 卤1.04 vs 6.38 卤1.23), which was significantly shorter than that in the control group (P 0.05). The incidence of abdominal distention (10.00 vs 24.00) was lower than that of the control group (P 0.05). Conclusion systematic health education is carried out for patients undergoing abdominal surgery. It is helpful to improve the health knowledge mastery rate and health behavior execution rate of patients, and then shorten the time of postoperative rehabilitation and improve the prognosis of patients.
【作者单位】：湖北省荆州职业技术学院医药学院;荆州市第一人民医院;
【分类号】：R473.6
【正文快照】： 术后早期是腹部手术患者身体及心理调适的关键时期,患者对健康知识的认知及行为对术后康复有着直接影响作用[1]。当前住院腹部手术患者的健康教育工作仍以分发健康宣传手册、口头宣教等简单形式的常规教育为主,缺乏规范性、系统性及有效性,难以引起患者重视,无法对患者的术后

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