中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
18期
115-117
,共3页
泌尿外科%健康教育%护理干预%康复%影响
泌尿外科%健康教育%護理榦預%康複%影響
비뇨외과%건강교육%호리간예%강복%영향
Urinary department%Health education%Nursing intervention%Rehabilitation%Influence
目的：评价基于健康教育的综合护理干预措施对泌尿外科术后康复的影响。方法选取2012年4月~2013年5月在本院泌尿科择期行外科手术治疗的患者118例，采用随机数字表分为综合干预组(n=59例)和常规组(n=59例)，常规组患者采取泌尿外科常规普通护理方法，综合干预组在常规组基础上采取基于健康教育的综合护理干预，采用视觉模拟评分法对患者术后6、12、24、72 h疼痛情况进行评估，记录两组患者术后住院时间和并发症情况，调查两组患者对护理过程的满意度。结果术后12、24、72 h，综合干预组患者术后疼痛评分均高于常规组，差异均有统计学意义(P<0.05)；综合干预组患者术后住院时间短于常规组(P<0.05)，术后不良反应发生率远低于常规组(P<0.05)；综合干预组患者对护理过程的满意度为96.6%，显著高于对照组的84.7%，差异有统计学意义(P<0.05)。结论基于健康教育的综合护理干预措施可以有效减少患者术后疼痛程度，减少术后不良反应发生率，有效促进患者术后康复，提高患者对护理过程的满意度。
目的：評價基于健康教育的綜閤護理榦預措施對泌尿外科術後康複的影響。方法選取2012年4月~2013年5月在本院泌尿科擇期行外科手術治療的患者118例，採用隨機數字錶分為綜閤榦預組(n=59例)和常規組(n=59例)，常規組患者採取泌尿外科常規普通護理方法，綜閤榦預組在常規組基礎上採取基于健康教育的綜閤護理榦預，採用視覺模擬評分法對患者術後6、12、24、72 h疼痛情況進行評估，記錄兩組患者術後住院時間和併髮癥情況，調查兩組患者對護理過程的滿意度。結果術後12、24、72 h，綜閤榦預組患者術後疼痛評分均高于常規組，差異均有統計學意義(P<0.05)；綜閤榦預組患者術後住院時間短于常規組(P<0.05)，術後不良反應髮生率遠低于常規組(P<0.05)；綜閤榦預組患者對護理過程的滿意度為96.6%，顯著高于對照組的84.7%，差異有統計學意義(P<0.05)。結論基于健康教育的綜閤護理榦預措施可以有效減少患者術後疼痛程度，減少術後不良反應髮生率，有效促進患者術後康複，提高患者對護理過程的滿意度。
목적：평개기우건강교육적종합호리간예조시대비뇨외과술후강복적영향。방법선취2012년4월~2013년5월재본원비뇨과택기행외과수술치료적환자118례，채용수궤수자표분위종합간예조(n=59례)화상규조(n=59례)，상규조환자채취비뇨외과상규보통호리방법，종합간예조재상규조기출상채취기우건강교육적종합호리간예，채용시각모의평분법대환자술후6、12、24、72 h동통정황진행평고，기록량조환자술후주원시간화병발증정황，조사량조환자대호리과정적만의도。결과술후12、24、72 h，종합간예조환자술후동통평분균고우상규조，차이균유통계학의의(P<0.05)；종합간예조환자술후주원시간단우상규조(P<0.05)，술후불량반응발생솔원저우상규조(P<0.05)；종합간예조환자대호리과정적만의도위96.6%，현저고우대조조적84.7%，차이유통계학의의(P<0.05)。결론기우건강교육적종합호리간예조시가이유효감소환자술후동통정도，감소술후불량반응발생솔，유효촉진환자술후강복，제고환자대호리과정적만의도。
Objective To evaluate the influence of comprehensive nursing intervention based on health education on the postoperative rehabilitation in the urinary surgery departments. Methods 118 patients who received selective surgi-cal treatment in the Department of Urinary Surgery of our hospital from April 2012 to May 2013 were selected and di-vided into the comprehensive intervention group (n=59) and the conventional group (n=59) by the random number table. The conventional group used the conventional nursing method of the department of urinary surgery and the comprehen-sive intervention group used the comprehensive nursing intervention based on health education on the basis of the con-ventional group.The visual analog scale method (VAS method) was used to evaluate the patients’postoperative 6,12,24,72 hours pain situation.The postoperative hospitalization time and complications of the two groups were recorded.The pa-tient satisfaction of the two groups was investigated. Results 12 hours,24 hours and 72 hours after the surgery,the com-prehensive intervention group had higher postoperative pain scores than the conventional group,with statistically signifi-cant differences (P<0.05).The comprehensive intervention group had shorter hospitalization time than the conventional group (P<0.05) and far lower incidence of postoperative adverse reactions than the conventional group (P<0.05).The pa-tient satisfaction to nursing of the comprehensive intervention group was 96.6%,which was significantly higher than the 84.7% of the conventional group,with statistically significant difference (P<0.05). Conclusion Comprehensive nursing intervention measures based on health education can effectively reduce the patients’ postoperative pain degree, reduce the occurrence of postoperative adverse reactions,effectively promote the patients’ postoperative rehabilitation and im-prove the patient satisfaction to nursing.
