CAJ | 학술논문

目的：医护人员在进行健康教育时必须进行轻重缓急的安排，使患者在院期间的健康教育取得良好效果，文中探讨健康教育路径的流程管理在类风湿关节炎（ rheumatoid arthritis ， RA）患者中的应用效果。方法将70例RA患者随机分为观察组和对照组，每组各35例。对照组实施常规的健康教育流程管理，观察组除常规外增加实施系统的健康教育流程管理。观察患者住院满意度、用药依从性、健康教育知识掌握情况。结果观察组住院满意度、用药依从性均优于对照组（分别为77．1％vs 42．9％，P＜0．05；80．0％vs 57．1％，P＜0．05），健康教育知识掌握中饮食禁忌、功能锻炼方法、复诊条件优于对照组（分别为71．4％vs 40．0％；37．1％vs 14．3％；45．7％vs 17．1％），差异有统计学意义（P＜0．05）；而药物知识掌握情况差异无统计学意义（P＞0．05）。2组患者用药后不良反应差异无统计学意义（P﹥0．05）。结论与传统的健康教育相比， RA健康教育路径流程管理可使患者能更好地掌握健康教育知识，提高用药依从性，起到辅助治疗的效果。
목적：의호인원재진행건강교육시필수진행경중완급적안배，사환자재원기간적건강교육취득량호효과，문중탐토건강교육로경적류정관리재류풍습관절염（ rheumatoid arthritis ， RA）환자중적응용효과。방법장70례RA환자수궤분위관찰조화대조조，매조각35례。대조조실시상규적건강교육류정관리，관찰조제상규외증가실시계통적건강교육류정관리。관찰환자주원만의도、용약의종성、건강교육지식장악정황。결과관찰조주원만의도、용약의종성균우우대조조（분별위77．1％vs 42．9％，P＜0．05；80．0％vs 57．1％，P＜0．05），건강교육지식장악중음식금기、공능단련방법、복진조건우우대조조（분별위71．4％vs 40．0％；37．1％vs 14．3％；45．7％vs 17．1％），차이유통계학의의（P＜0．05）；이약물지식장악정황차이무통계학의의（P＞0．05）。2조환자용약후불량반응차이무통계학의의（P﹥0．05）。결론여전통적건강교육상비， RA건강교육로경류정관리가사환자능경호지장악건강교육지식，제고용약의종성，기도보조치료적효과。
Objective It is necessary for nursing staff members to assign priorities in health education to hospitalized patients to ensure curative effect .The purose of the study was to explore the effect of process management application in health education path -way to patients with rheumatoid arthritis ( RA) . Methods A total of 70 patients with rheumatoid arthritis were randomly divided into observation group and control group , 35 patients in each group .Traditional health education was done in control group , while health education pathway was performed in observation in observation group according to process management .A study of patients′satisfaction with hospitalization , compliance of medication and knowledge of health education was undertaken . Results Observation group had priority to control group in satisfaction with hospitalization and medication compliance (77.1% vs 42.9%,P <0.05; 80.0% vs 57.1%,P<0.05).As to knowledge of health education , observation group was prior to control group in dietary restrictions , functional training methods and return visit conditions (71.4% vs 40.0%;37.1% vs 14.3%;45.7% vs 17.1%).Howerver, no significant difference was found in congintion of drugs among the two groups (P>0.05). Conclusion Compared with traditional health educa-tion, the process management application of RA health education pathway helps to improve patients ′health konwledge and medical compliance , which is an effective adjuvant treatment .