CAJ | 학술논문

目的：探讨情景式健康教育模式在预防妇科肿瘤术后下肢深静脉血栓中的应用效果。方法选取372例妇科腹腔镜手术患者，按照住院号单双分为观察组192例、对照组180例。对照组按常规方法指导患者进行功能锻炼；而观察组术前对患者实施情景式健康教育模式，使患者能够自觉、主动地实施术后康复措施，并对结果进行分析。结果观察组和对照组患者深静脉血栓发生率分别为3．12％（6例）和12．22％（22例），两组比较有显著性差异（χ2＝11．02，P＜0．05）。结论应用情景式健康教育模式，使患者能够自觉采纳和实施有利于健康的行为方式，可有效预防盆腔术后下肢深静脉血栓的发生。
목적：탐토정경식건강교육모식재예방부과종류술후하지심정맥혈전중적응용효과。방법선취372례부과복강경수술환자，안조주원호단쌍분위관찰조192례、대조조180례。대조조안상규방법지도환자진행공능단련；이관찰조술전대환자실시정경식건강교육모식，사환자능구자각、주동지실시술후강복조시，병대결과진행분석。결과관찰조화대조조환자심정맥혈전발생솔분별위3．12％（6례）화12．22％（22례），량조비교유현저성차이（χ2＝11．02，P＜0．05）。결론응용정경식건강교육모식，사환자능구자각채납화실시유리우건강적행위방식，가유효예방분강술후하지심정맥혈전적발생。
Objective To explore the application effect of situational health education mode on prevention of lower extremity deep venousthrombosis (DVT) after gynecological tumor surgery.Methods Totally 372 cases with gynecological laparoscopic surgery were recruited, and they were divided into observation group (n =192) and control group (n =180) according to odd and even hospitalized number.Thecontrol group was guided to do functional exercise with conventional method.The observation group was provided with situational healtheducation mode before surgery, so that they implemented postoperative rehabilitation measures actively and consciously after surgery. Results The incidence of DVT was 3.12% (6) and 12.22% (22) in the observation group and the control group, respectively, and therewas significant difference between two groups (χ2 =11.02,P <0.05).Conclusion The application of situational health education modemakes patients accept and implement healthy behavior consciously, which can effectively prevent the occurrence of lower extremity DVTafter pelvic surgery.