聂臣聪  李常容

[摘要] 目的 探讨多元化健康教育在对胸外科围手术期患者的应用，寻求一种具有针对性、有效的健康教育方法。 方法 将374患者随机分为观察组187例，采用我可制定的多元化健康宣教；对照组187例，采用常规健康教育。分别对健康教育的配合程度、掌握程度、患者满意度、胸闭式引流管带管时间、肺部并发症、手术后镇痛次数、住院天数进行比较。 结果 观察组健康教育配合程度及掌握程度明显优于对照组，患者满意度比对照组高，患者安置胸管的时间比对照组短，手术镇痛次数、肺部并发症发生例数、住院天数均小于比对照组（P＜0.05）。 结论 应用多元化的健康教育方法能够让患者更好的配合和掌握，提高患者对护士的满意度，尽早拔出胸管，减少了患者的疼痛和肺部并发症的发生，缩短了住院时间，提高健康教育质量。

[关键词] 健康教育；多元化；围手术期；护理

[中图分类号] R473.6   [文献标识码] B   [文章编号] 2095-0616（2014）08-100-03

Application of diversified health education in perioperative of patients at thoracic surgery

NIE Chencong  LI Changrong

Department of Cardiothoracic Surgery, the Fourth People's Hospital of Zigong City in Sichuan Province, Zigong 643000,China

[Abstract] Objective To investigate the effect of diversity health education in perioperative of patients at thoracic surgery. Methods A total of 374 patients were randomly divided into two groups with 187 cases in each,187 cases in the observation group, the use of a wide range of health education can be developed; 187 cases in the control group,the use of conventional health education.The degree of health education, master degree of patient satisfaction,closed chest tube drainage tube with time,pulmonary complications, the number of post-operative pain,length of hospital stay were compared respectively. Results The health education degree and master degree were significantly better in observation group than in the control group, patient satisfaction was higher than in the control group,the patients chest tube placement was shorter than the control group,the number of surgical analgesia,the number of cases of pulmonary complications, length of hospital stay were lower than the control group (P＜0.05). Conclusion Diversified health education can make patients better with treatment and improve patient satisfaction for nurses,reducing the occurrence of the patient's pain and pulmonary complications,shorter hospital stay and improve quality of health education.

[Key words] Health education; Diversification; Perioperative; Care

胸部手术创伤大，手术范围广，胸部内有肺及心脏重要两大器官，尤其是开胸术后肺部并发症是引起术后死亡的主要原因[1]。2010年全国卫生系统已启动创建“优质护理服务规范工程”活动[2]。患者住院不同时间，对护理需求不同[3]。我科于2011年成为优质护理示范病房，为更好地落实优质护理，丰富优质护理服务内涵，在新的医学模式下，围手术期护理越来越受到关注，根据胸外科围手术期的特点，我科制定了围手术期多元化的健康宣教，并采用随机分组的方法进行比较，探讨一种有效的健康教育方法，推进健康教育效果，对患者康复起到积极作用，现报道如下。……