CAJ | 학술논문

目的探讨有家属参与的多阶段健康教育在玻璃体视网膜显微手术患者中的应用.方法将46例玻璃体视网膜显微手术患者随机分为干预组与对照组各23例,对照组给予常规护理,干预组则接受家属共同参与的多阶段健康教育干预方案,记录术后第1天患者一次体位持续时间、不适症状、住院天数及随访资料等,综合以上资料进行评价.结果干预组在掌握疾病相关知识和技能、对健康教育满意度方面明显优于对照组(P=0.0093,0.0155,0.0019);干预组一次体位维持时间为(170.3±25.5) min,对照组为(91.5±24.9) min,干预组住院天数为(8.3±1.6)d,对照组为(10.2±2.2)d;同时发现干预组与对照组相比,患者不适症状如颈肩不适、胸部不适、下肢麻木明显减少(P=0.0000,0.0011,0.0001).结论对玻璃体视网膜显微手术患者实施由家属共同参与的多阶段健康教育,可显著提高患者对疾病相关知识的掌握,提高遵医行为,提高医疗护理质量.
목적 탐토유가속삼여적다계단건강교육재파리체시망막현미수술환자중적응용.방법 장46례파리체시망막현미수술환자수궤분위간예조여대조조각23례,대조조급여상규호리,간예조칙접수가속공동삼여적다계단건강교육간예방안,기록술후제1천환자일차체위지속시간、불괄증상、주원천수급수방자료등,종합이상자료진행평개.결과 간예조재장악질병상관지식화기능、대건강교육만의도방면명현우우대조조(P=0.0093,0.0155,0.0019);간예조일차체위유지시간위(170.3±25.5) min,대조조위(91.5±24.9) min,간예조주원천수위(8.3±1.6)d,대조조위(10.2±2.2)d;동시발현간예조여대조조상비,환자불괄증상여경견불괄、흉부불괄、하지마목명현감소(P=0.0000,0.0011,0.0001).결론 대파리체시망막현미수술환자실시유가속공동삼여적다계단건강교육,가현저제고환자대질병상관지식적장악,제고준의행위,제고의료호리질량.
Objective To explore the influence and application value of multi-stage health education with family members participating in patients undergoing vitreoretinal microsurgery.Methods 46 patients undergoing vitreoretinal microsurgery were randomly divided into treatment group and control group,23 cases in each group.The control group was given conventional nursing,While the treatment group was given the multi-stage health education with family members participating.By recording the information of lasting time of first body position,symptoms,hospital stays,and follow-up,the research was applied.Results The treatment group was superior to the control group in understanding the related knowledge (P=0.0093) and skills (P=0.0155) of the diseases,shortening hospital stays (P=0.0013),alleviating symptoms and keep the better body position of post operation (P=0.0000).Conclusion Family members participating in multi-stage health education in patients undergoing vitreoretinal microsurgery can improve patients' understanding of disease related knowledge,compliance behavior,and the quality of medical care.