庄 茗，杨爱玲，陈 莺，郑 静，陆春花

(宁波市第二医院，浙江 宁波 315010)

·临床护理与管理·

肱骨外科颈骨折患者自主性健康教育的应用效果

庄 茗，杨爱玲@，陈 莺，郑 静，陆春花

(宁波市第二医院，浙江 宁波 315010)

目的：探讨肱骨外科颈骨折患者自主性健康教育的应用效果。方法按病区区间将肱骨外科颈骨折患者分成2组，对照组采用阶段性健康教育，观察组在此基础上结合自主性健康教育。结果观察组对疾病相关知识知晓率(96.59%)好于对照组(75.00%)，健康教育质量满意度(95.45%)高于对照组(76.32%),差异具有统计学意义(P<0.05)。结论自主性健康教育能够有效补充阶段性健康教育的不足，提高肱骨外科颈骨折患者对疾病知识知晓率及健康教育质量的满意度，促进患者康复。

肱骨外科颈骨折；自主性；健康教育

Abstract: [Objective]This study is to explore the effectiveness of active patient involvement in health education, through self-learning from educational posters and similar channels. We focus on patients with fracture of surgical neck of humerus. [Method]The random assignment of patients with surgical neck of humerus is based on the location of hospital beds. Patients in the control group are enrolled in a standard staged health education program; while patients in the observation group, in addition, are exposed to active involvement program, such as educational posters. [Result]First, on awareness of disease related knowledge, the observation group outperforms the control group significantly (96.59% vs. 75.00%). Second, the satisfaction rate for health education programs is much higher for observation group comparing with control group (95.45% vs. 76.32%).[Conclusion]Active patient involvement can effectively supplement the more standard staged health education program. It improves the patients’ disease specific knowledge and their satisfaction of health education programs, thus help to promote the patients’ healing process.

Keywordsactive patient involvement, health education, surgical neck of humerus

骨科患者的特殊性决定了其健康教育的特殊性[1]，骨折患者入院、围术期、出院及居家等各个阶段都要进行关节、肌肉锻炼，防止关节僵硬及肌肉萎缩。肱骨外科颈骨折靠近肩关节，关节功能直接影响到患者的生活质量。我科于2013年6月至2014年3月搜索大量文献，寻找循证依据，参照孟宪珍等[2]、谢艳红[3]等研究，对肱骨外科颈骨折住院患者在上述各阶段性健康教育的基础上进行自主性健康教育，并在病区的部分病床边悬挂自行设计的健康教育手册，取得较好的效果，现报告如下。

1 资料与方法

1.1 临床资料

创伤骨科床位48张。2013年6月至2014年3月，入住1-24床肱骨外科颈骨折患者为对照组，入住25-48床的同类患者为观察组。排除肩关节置换、伴随其它疾病、儿童、转科、自动要求出院的患者后均列入研究对象。2组性别、年龄、文化程度、骨折分型等资料比较差异无统计学意义(P>0.05)，具有可比性，具体详见表1。