健康教育在慢性鼻窦炎手术患者护理中的应用效果

发布时间：2019-03-31 00:07

【摘要】：目的评价健康教育在慢性鼻窦炎手术患者护理中的应用效果。方法将130例行功能性鼻内窥镜手术(FESS)治疗的慢性鼻窦炎患者随机分成2组,对照组64人,实验组66人。对照组仅实施常规护理,实验组于此基础上强化健康教育,比较干预前后2组健康知识知晓情况、生活质量、健康行为执行情况及护理满意度。结果干预后,实验组对科室制度(72.73%vs 59.38%、46.97%)、鼻窦炎病因(74.24%vs 39.06%、39.39%)、治疗方法 (71.21%vs 39.06%、27.27%)、早期症状(78.79%vs 62.50%、42.42%)、外出注意事项(71.21%vs 51.56%、34.85%)、术后注意事项(75.76%vs 59.38%、37.88%)、擤鼻方法 (69.70%vs43.75%、32.31%)、饮食禁忌(83.33%vs 65.63%、50.00%)等知识的知晓率均高于对照组以及干预前自身(P0.05)。干预后,实验组生活质量各维度得分均高于对照组(P0.05)。实验组戒烟戒酒(35.42%vs18.37%)、按医嘱用药(45.83%vs 20.41%)、保持鼻腔卫生(27.08%vs 12.24%)、冷水洗鼻(27.08%vs12.24%)、正确擤鼻(31.25%vs 16.33%)、保持室内湿度(39.58%vs 22.45%)、外出戴口罩(41.67%vs24.49%)等行为依从率高于对照组(P0.05)。实验组患者护理满意度为87.88%,观察组为68.75%,差异有统计学意义(P0.05)。结论对慢性鼻窦炎手术患者实施健康教育,可使患者掌握更多的疾病相关知识,促进情绪和行为改善,提高生活质量,提升护理满意度,对促进疾病恢复有重要意义。
[Abstract]:Objective to evaluate the effect of health education in nursing care of patients with chronic sinusitis. Methods A total of 130 patients with chronic sinusitis treated by functional endoscopic sinus surgery (FESS) were randomly divided into two groups: control group (n = 64) and experimental group (n = 66). Only routine nursing was carried out in the control group. On this basis, health education was strengthened in the experimental group. Health knowledge awareness, quality of life, health behavior implementation and nursing satisfaction were compared between the two groups before and after intervention. Results after intervention, the experimental group was treated with department system (72.73%vs 59.38%, 46.97%), sinusitis (74.24%vs 39.06%, 39.39%) and treatment (71.21%vs 39.06%, 27.27%). Early symptoms (78.79%vs 62.50%, 42.42%), outgoing attention (71.21%vs 51.56%, 34.85%) and postoperative attention (75.76%vs 59.38%, 37.88%). The knowledge rate of blowing nose method (69.70% vs 43.75%, 32.31%), dietary taboo (83.33%vs 65.63%, 50.00%) was higher than that of the control group and before intervention (P0.05). After intervention, the scores of each dimension of QOL in the experimental group were higher than those in the control group (P0.05). In the experimental group, smoking and abstinence (35.42% vs 18.37%), medication (45.83%vs 20.41%), nasal hygiene (27.08% vs 12.24%) and cold water washing (27.08% vs 12.24%) were observed. The compliance rate of blowing nose (31.25%vs 16.33%), keeping indoor humidity (39.58%vs 22.45%) and wearing mask (41.67% vs 24.49%) were higher than those of control group (P0.05). The nursing satisfaction was 87.88% in the experimental group and 68.75% in the observation group, the difference was statistically significant (P0.05). Conclusion Health education for patients undergoing chronic sinusitis surgery can help them master more knowledge about diseases, improve mood and behavior, improve quality of life and improve nursing satisfaction, which is of great significance to the recovery of diseases.
【作者单位】：齐齐哈尔医学院附属第一医院;
【分类号】：R473.76

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