CAJ | 학술논문

目的比较由老年患者主导的提问式健康教育模式和传统的健康教育,对老年患者全麻手术围手术期焦虑及术后疼痛的影响.方法 630例非恶性肿瘤需要全麻手术的老年患者,按住院顺序随机分成研究组315例和对照组315例.研究组采用研究小组设计的由老年患者主导提问、干预人员解答的术前综合健康教育；对照组采用传统的术前健康教育.测量两组老年患者的干预前后的焦虑,入手术室时的恐惧、血压及心率、术后疼痛、术后镇痛药的使用次数,以及两组患者对术前健康教育的满意程度,并进行统计学分析.结果健康教育后研究组患者为焦虑评分为(41.12±3.16)分,对照组为(56.43±4.26)分,组间比较差异具有统计学意义(=4.65,P＜0.01).研究组患者术后疼痛评分为(6.12±1.35)分,对照组组为(9.76±1.57)分,组间比较差异具有统计学意义(t=6.35,P＜0.05).观察组患者对健康教育满意度评价为( 12.53±1.09)分,对照组为(7.24±1.12)分,组间比较差异具有统计学意义(t=4.78,P＜0.05).结论由患者主导的提问式健康教育模式有助于缓解全麻患者的术前焦虑和术后疼痛,值得临床研究推广.
목적 비교유노년환자주도적제문식건강교육모식화전통적건강교육,대노년환자전마수술위수술기초필급술후동통적영향.방법 630례비악성종류수요전마수술적노년환자,안주원순서수궤분성연구조315례화대조조315례.연구조채용연구소조설계적유노년환자주도제문、간예인원해답적술전종합건강교육；대조조채용전통적술전건강교육.측량량조노년환자적간예전후적초필,입수술실시적공구、혈압급심솔、술후동통、술후진통약적사용차수,이급량조환자대술전건강교육적만의정도,병진행통계학분석.결과 건강교육후연구조환자위초필평분위(41.12±3.16)분,대조조위(56.43±4.26)분,조간비교차이구유통계학의의(=4.65,P＜0.01).연구조환자술후동통평분위(6.12±1.35)분,대조조조위(9.76±1.57)분,조간비교차이구유통계학의의(t=6.35,P＜0.05).관찰조환자대건강교육만의도평개위( 12.53±1.09)분,대조조위(7.24±1.12)분,조간비교차이구유통계학의의(t=4.78,P＜0.05).결론 유환자주도적제문식건강교육모식유조우완해전마환자적술전초필화술후동통,치득림상연구추엄.
Objective To compare the impact on the general anesthesia in patients with surgery preoperative anxiety and postoperative pain between preoperative patient-led integrated health education model and the traditional preoperative health education.Methods 630 cases of abdominal non-cancer patients undergoing general anesthesia,were randomly divided into study group (315 cases) and control group (315 cases).The study Group with research team led by the patient questions designed to interfere with personnel to answer a comprehensive health education in preoperative,the control group using traditional preoperative health education.Measurement in patients with anxiety,the fear of into the operating room,blood pressure,heart rate,pain,the use of the number of postoperative analgesics were compared and analyzed in the two groups before and after intervention.Results Anxiety score in study group was (41.12 ±3.16) and (56.43 ±4.26) in control group after the intervention,and the difference was significant ( t =4.65,P ＜ 0.01 ).Pain score after operation was (6.12 ± 1.35) and (9.76 ± 1.57 ) in control group,and the difference was also statistically significant (t =6.35,P ＜0.05 ).Satisfaction of health education score was (12.53 ± 1.09) in study group and (7.24 ± 1.12 ) in control group and the t value was 4.78,and P value was less than 0.05.Conclusions Comprehensive health education model led by the patient of preoperative was more targeted,could alleviate preoperative anxiety and postoperative pain,and has good effect in traditional preoperative health education.