广州医科大学学报
廣州醫科大學學報
엄주의과대학학보
Academic Journal of Guangzhou Medical College
2014年
5期
98-101
,共4页
膀胱癌Bricker术后患者%健康信念模式%健康教育%远期生活质量
膀胱癌Bricker術後患者%健康信唸模式%健康教育%遠期生活質量
방광암Bricker술후환자%건강신념모식%건강교육%원기생활질량
bladder cancer Bricker postoperative patient%health belief model%health education%long-term quality of life
目的：：采用健康信念模式开展健康教育对膀胱癌Bricker术后患者开展健康教育对远期生活质量的影响作用。方法：2011年1月~2012年6月本院膀胱癌行Bricker手术治疗的患者58例,术后回房麻醉清醒后采用“健康信念模式”开展健康教育。远期生活质量采用KPS他评量表测评。将患者的功能状态分成11个等级。测评的时间分别为：首次测评的安排在患者术后回房麻醉清醒后,病情稳定愿意配合的情况下进行。第二次测评为患者术后1个月,第三次测评为患者术后3个月,第四次测评为患者术后6个月,第五次测评为患者术后1年。将前后5次的测评结果采用统计学中的百分率分析资料。结果：患者术后3个月,65.51％的患者生活自理,17.24％的患者生活基本自理,另有17.24％的患者生活不能自理；术后6个月,100％的患者均生活自理；术后1年,仍然有93.10％的患者保持了良好的功能状态。结论：膀胱癌行膀胱全切加Bricke手术患者术后采用“健康信念模式”进行健康教育,可有效提高患者术后远期的生活质量。
目的：：採用健康信唸模式開展健康教育對膀胱癌Bricker術後患者開展健康教育對遠期生活質量的影響作用。方法：2011年1月~2012年6月本院膀胱癌行Bricker手術治療的患者58例,術後迴房痳醉清醒後採用“健康信唸模式”開展健康教育。遠期生活質量採用KPS他評量錶測評。將患者的功能狀態分成11箇等級。測評的時間分彆為：首次測評的安排在患者術後迴房痳醉清醒後,病情穩定願意配閤的情況下進行。第二次測評為患者術後1箇月,第三次測評為患者術後3箇月,第四次測評為患者術後6箇月,第五次測評為患者術後1年。將前後5次的測評結果採用統計學中的百分率分析資料。結果：患者術後3箇月,65.51％的患者生活自理,17.24％的患者生活基本自理,另有17.24％的患者生活不能自理；術後6箇月,100％的患者均生活自理；術後1年,仍然有93.10％的患者保持瞭良好的功能狀態。結論：膀胱癌行膀胱全切加Bricke手術患者術後採用“健康信唸模式”進行健康教育,可有效提高患者術後遠期的生活質量。
목적：：채용건강신념모식개전건강교육대방광암Bricker술후환자개전건강교육대원기생활질량적영향작용。방법：2011년1월~2012년6월본원방광암행Bricker수술치료적환자58례,술후회방마취청성후채용“건강신념모식”개전건강교육。원기생활질량채용KPS타평량표측평。장환자적공능상태분성11개등급。측평적시간분별위：수차측평적안배재환자술후회방마취청성후,병정은정원의배합적정황하진행。제이차측평위환자술후1개월,제삼차측평위환자술후3개월,제사차측평위환자술후6개월,제오차측평위환자술후1년。장전후5차적측평결과채용통계학중적백분솔분석자료。결과：환자술후3개월,65.51％적환자생활자리,17.24％적환자생활기본자리,령유17.24％적환자생활불능자리；술후6개월,100％적환자균생활자리；술후1년,잉연유93.10％적환자보지료량호적공능상태。결론：방광암행방광전절가Bricke수술환자술후채용“건강신념모식”진행건강교육,가유효제고환자술후원기적생활질량。
Objective:The health belief model health education health education on the far postoperative patients with bladder cancer Bricker Period of the effect of the quality of life.Method:Bladder cancer underwent the Bricker surgical treatment of 58 patients with postoperative back room anesthesia sober after using the health belief model health education, divided into five steps: patients perceived susceptibility, patients perceived seriousness , so that patients perceived benefits and enhance the patient's self-efficacy, further correction factors. The long-term quality of life using the evaluation at KPS his rating scale. Divided into 11 levels of the patient's functional status, disease-free status from 100 points to 0 points of death, the higher the score, the better the functional status. 80 points or more non-dependent level, that is, self-care level;60 to 80 are divided into semi-dependent level, that their basic self-care level;60 points or less dependent level, that life can not take care of themselves need someone else to help level. The evaluation of the time were: first evaluation arrangements the patients back room anesthesia sober, stable condition willing with the case. The second evaluation of patients 1 month after the third evaluation for patients after 3 months, the fourth evaluation of patients after 6 months, the fifth evaluation of patients after 1 year. 5 times before and after the survey results were statistically hundred Fraction analysis data.Results:The patients 3 months after surgery, 65.51% of patients with life to take care of themselves, 17.24% of the patients with their basic self-care, while 17.24% of the patients life can not take care of themselves;after 6 months, 100% of patients with daily living;postoperative 1 year, 93.10% of the patients still maintained a good functional status. Conclusion: bladder cancer bladder Shaver Bricke surgical patients using the health belief model health education, which can effectively improve the quality of life of patients with long-term postoperative.
