CAJ | 학술논문

目的：探讨实施健康教育路径对临终患者家属生活质量的影响。方法选取2O11年1月-2O12年7月在中国医科大学附属盛京医院宁养病房住院的临终患者家属6O例。采用一般情况调查表及生活质量健康调查量表（ SF-36量表）对临终患者家属进行调查。记录临终患者家属一般资料（包括性别、年龄、婚姻情况、文化程度、职业、月均收入、与患者关系），临终患者入院当日及健康教育路径实施2周后家属SF-36量表评分。结果临终患者家属年龄45~64岁者居多（占58.3%），多为职员（占58.3%），月均经济收入多为1 OOO ~3 OOO 元（占6O. O%），与患者多为子女关系（占5O. O%）。入院当日临终患者家属SF-36量表评分低于健康教育路径实施2周后（t=8.434， P<O. OO1）。入院当日临终患者家属SF-36总评分及不同年龄段和不同分化程度SF-36评分比较，差异均有统计学意义（P<O. O5）。健康教育路径实施2周后临终患者家属SF-36总评分及不同年龄段和不同分化程度SF-36评分比较，差异均有统计学意义（P<O. O5）。结论健康教育路径实施2周后临终患者家属生活质量较入院当日提高，且文化水平越高，生活质量越高，故健康教育路径的实施可提高临终患者家属生活质量，值得临床参考应用。
목적：탐토실시건강교육로경대림종환자가속생활질량적영향。방법선취2O11년1월-2O12년7월재중국의과대학부속성경의원저양병방주원적림종환자가속6O례。채용일반정황조사표급생활질량건강조사량표（ SF-36량표）대림종환자가속진행조사。기록림종환자가속일반자료（포괄성별、년령、혼인정황、문화정도、직업、월균수입、여환자관계），림종환자입원당일급건강교육로경실시2주후가속SF-36량표평분。결과림종환자가속년령45~64세자거다（점58.3%），다위직원（점58.3%），월균경제수입다위1 OOO ~3 OOO 원（점6O. O%），여환자다위자녀관계（점5O. O%）。입원당일림종환자가속SF-36량표평분저우건강교육로경실시2주후（t=8.434， P<O. OO1）。입원당일림종환자가속SF-36총평분급불동년령단화불동분화정도SF-36평분비교，차이균유통계학의의（P<O. O5）。건강교육로경실시2주후림종환자가속SF-36총평분급불동년령단화불동분화정도SF-36평분비교，차이균유통계학의의（P<O. O5）。결론건강교육로경실시2주후림종환자가속생활질량교입원당일제고，차문화수평월고，생활질량월고，고건강교육로경적실시가제고림종환자가속생활질량，치득림상삼고응용。
Objective Toexploretheinfluenceofimplementationofhealtheducationpathonthequalityoflifeofthe mortalpatients'relatives.Methods 6OsubjectswhowerethefamilymembersofmortalpatientshospitalizedinAffiliated Shengjing Hospital of China Medical University from January 2O11 to July 2O12 were selected and investigated by general informa-tion questionnaire and SF-36 scales. Record the relatives' general information( gender,age,marital condition,educational background,career,monthly income,relationship with the patients)and SF-36 scale scores on the admission day and two weeksafterhealtheducationpath.Results Amongthe6Omortalpatients'relatives,58.3%wereaged45-64,58.3%were clerks,monthly income of 6O. O% was 1 OOO -3 OOO,5O. O% were parent -children relationship. The score of the SF -36 scales 2 weeks after the health path was significantly higher than that on the admission day(t=8. 434,P<O. OO1). The scores of SF-36 scales on the admission day and 2 weeks after the health path were both significantly different from the scores of SF-36 scaleofrelativeswithdifferentagesanddifferentdegree(P<O.O5).Conclusion Thelifequalityofmortalpatients'relatives is greatly improved after 2 weeks of health education than that on admission day,and the higher the education background is,the higher the life quality is. In a word,the implementation of health education path can significantly improve the quality of life of mortal patients' relatives and is valuable to be used in clinic.