胡艳兴 郑美华 夏娜 欧敏仪 张瑞燕

【摘要】 目的：探討智能化精准健康教育模式在乳腺癌围手术期患者中的应用效果。方法：选取2018年6月-2019年12月于本院就诊的98例乳腺癌手术患者，按照随机数字表法分为对照组和观察组，各49例。对照组采用传统的责任护士纸质和口头健康宣教模式;观察组在对照组的基础上以纸质小册子、平板电脑、智能电视、微信公众号智能健康宣教平台等多元化的健康教育方式，实施智能化精准的健康教育。比较两组的住院满意度、健康教育掌握率和心理焦虑、抑郁程度。结果：观察组的总满意率为95.9%，高于对照组的79.6%，差异有统计学意义（P<0.05）。观察组的掌握率为95.9%，高于对照组的67.3%，差异有统计学意义（P<0.05）。观察组SAS、SDS评分均低于对照组，差异均有统计学意义（P<0.05）。结论：智能化精准健康教育模式应用于乳腺癌围手术期患者，显著提高了患者的住院满意度、健康教育掌握度，同时减轻患者的心理焦虑、抑郁程度，应用效果良好，值得临床应用与推广。

【关键词】 精准护理 乳腺癌 健康教育

Application of Intelligent and Precise Health Education Model in Patients with Breast Cancer during Perioperative Period/HU Yanxing， ZHENG Meihua， XIA Na， OU Minyi， ZHANG Ruiyan. //Medical Innovation of China， 2021， 18（05）： 0-088

[Abstract] Objective： To explore the application effect of intelligent and precise health education model in patients with breast cancer during perioperative period. Method： A total of 98 breast cancer patients undergoing surgery in our hospital from June 2018 to December 2019 were selected， they were divided into control group and observation group according to random number table method， 49 cases in each group. The control group adopted the traditional paper and oral health education from responsible nurses. Based on the control group， the observation group received health education from the precision health education group who uses paper booklets， tablet computers， smart TV， WeChat public account intelligent health education platform and other diversified health education methods. Compared the hospitalization satisfaction， master degree ofhealth education， psychological anxiety and depression of the two groups of patients. Result： The total satisfaction rate in the observation group was 95.9%， higher than 79.6% of the control group， the difference was statistically significant （P<0.05）. The mastery rate of the observation group was 95.9%， higher than 67.3% of the control group， the difference was statistically significant （P<0.05）. SAS and SDS scores in the observation group were lower than those in the control group， the differences were statistically significant （P<0.05）. Conclusion： The application of intelligent and precise health education model to perioperative patients with breast cancer has significantly improved the patients hospitalization satisfaction and master degree of health education， while reducing the patients psychological anxiety and depression， so that it is worthy of clinical application and promotion.

[Key words] Precision care Breast cancer Health education

First-authors address： Xiaolan Peoples Hospital of Zhongshan， Zhongshan 528415， China

doi：10.3969/j.issn.1674-4985.2021.05.022

目前乳腺癌已是威胁女性健康的首位癌症。随着医疗技术的进步与发展，该病治疗有效率逐年升高，也一定程度上减少疾病对患者身心健康的影响，但因癌症本身和治疗副作用的存在，仍对患者造成了一定的负担[1]。手术治疗对患者身体功能以及心理焦虑、抑郁程度产生影响，从而影响了患者的生活质量[2]。健康教育是临床护患沟通的重要环节。围手术期健康教育对减轻围手术期焦虑抑郁心理，提高患者依从性，促进术后康复，提高生活质量等具有非常重要的意义[2-3]。在精准医学背景下，精准护理理念逐渐得到实施与应用，为患者提供了精确、准时、个性化、有预见性的护理干预[4]。本研究将智能化精准健康教育模式应用于乳腺癌围手术期患者，对其健康教育满意度和心理焦虑抑郁程度均产生了显著的积极影响，现报道如下。……