无缝隙管理模式在耳鼻喉科手术患者健康教育中的应用效果

发布时间：2018-03-25 03:19

本文选题：无缝隙管理模式　切入点：耳鼻喉科　出处：《中国健康教育》2017年05期

【摘要】：目的探讨无缝隙管理模式在耳鼻喉科手术患者健康教育中的应用。方法按照入院时间,将274例耳鼻喉科手术患者分为对照组和观察组,每组137例患者。对照组采用常规健康教育,观察组实施无缝隙管理模式的健康教育,比较2组患者的健康教育效果。结果实施无缝隙管理模式后,观察组患者并发症(70.1%)、药物治疗(71.5%)、手术治疗的重要性(78.1%)、术前检查(76.6%)、个人卫生准备(79.6%)、心理因素的重要性(70.1%)、术后康复(73.7%)、术后饮食(73.7%)、定期复检的重要性(83.9%)等知识知晓率均高于对照组(P0.01);观察组患者能够表达自我感受(92.0%)、对医护人员医嘱依从的意愿(97.1%)、寻求术后康复信息的意愿(97.8%)、接受术后康复锻炼的意愿(94.9%)等正向态度持有率均高于对照组(P0.05);观察组患者手术创口自我护理(85.4%)、寻求术后活动方式(83.9%)、按照医嘱定时服药(89.8%)、选择合适的营养品摄入(86.9%)、康复与功能锻炼(83.9%)、定期复检(86.9%)等健康行为均高于对照组(P0.05);观察组患者无焦虑(29.9%)、轻度焦虑(43.8%)均高于对照组(P0.05)。结论无缝隙管理模式的健康教育可以提高耳鼻喉科手术患者的疾病相关知识水平、正向态度和健康行为,降低患者的焦虑状态。
[Abstract]:Objective to explore the application of seamless management model in health education of patients undergoing otolaryngology operation. Methods 274 patients undergoing otolaryngology surgery were divided into control group and observation group according to the time of admission. There were 137 patients in each group. Routine health education was used in the control group, and the health education in the observation group was carried out in the seamless management mode, and the effect of health education in the two groups was compared. Results after the implementation of the seamless management model, In the observation group, 70.1% of the patients had complications, 71.5% of the drug treatment, 78.1% of the surgical treatment, 76.66% of the preoperative examination, 79.6% of the personal hygiene preparation, 70.1% of the psychological factors, 73.7% of the postoperative rehabilitation, 73.7% of the postoperative diet, 83.9% of the importance of regular reexamination). The positive attitude holding rate in the observation group was higher than that in the control group, such as 92.0% self-feeling, 97.1% willingness to follow the doctor's advice, 97.8% willingness to seek postoperative rehabilitation information, and 94.9% willingness to accept postoperative rehabilitation exercise.) the positive attitude holding rate in the observation group was higher than that in the control group. The healthy behaviors of the observation group were higher than that of the control group (P 0.05). The patients in the observation group received 85.4% of self-nursing care after operation, and 83.9% of the patients in the observation group took medicine as prescribed by the doctor, and 86.9% of the patients received 86.9% of the appropriate nutrition, 83.9% of the rehabilitation and functional exercise, and 86.9% of the control group (P 0.05), and the other health behaviors were significantly higher than those of the control group (P 0.05). The health behaviors of the observation group were higher than those of the control group (P 0.05). The observation group was higher than the control group (P 0.05). Conclusion the health education of seamless management mode can improve the knowledge level of diseases in patients undergoing otolaryngology surgery. Positive attitude and healthy behavior reduce anxiety state of patients.
【作者单位】：南京医科大学护理学院;江阴市人民医院耳鼻咽喉科;
【基金】：南京医科大学健康促进护理协同创新中心建设项目(JX21831803/004)
【分类号】：R473.76

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