CAJ | 학술논문

目的：探讨“一对一”三步走健康教育方法对降低内镜逆行胰胆管造影术后并发症发生率的作用。方法将160例ERCP手术患者随机分为两组，由医护人员按常规健康教育对照组和进行“一对一”三步走健康教育观察组进行对比，观察新健康教育模式对提高疾病知晓率、ERCP检查知晓率、降低紧张应激心理，增强手术配合意识的效果。结果观察组患者疾病知晓率(93.80%))高于对照组（67.50%），P=0.000，手术并发症观察组（2.6%）明显低于对照组（16.3%），P=0.003，两组有显著差异性（P<0.05）。结论“一对一”三步走健康教育方法能提高患者疾病知晓率，有效减轻患者焦虑心理，降低手术并发症的发生。
목적：탐토“일대일”삼보주건강교육방법대강저내경역행이담관조영술후병발증발생솔적작용。방법장160례ERCP수술환자수궤분위량조，유의호인원안상규건강교육대조조화진행“일대일”삼보주건강교육관찰조진행대비，관찰신건강교육모식대제고질병지효솔、ERCP검사지효솔、강저긴장응격심리，증강수술배합의식적효과。결과관찰조환자질병지효솔(93.80%))고우대조조（67.50%），P=0.000，수술병발증관찰조（2.6%）명현저우대조조（16.3%），P=0.003，량조유현저차이성（P<0.05）。결론“일대일”삼보주건강교육방법능제고환자질병지효솔，유효감경환자초필심리，강저수술병발증적발생。
Objective To explore the effect of "one to one" three-step method of health education on reducing the incidence of complications after endoscopic retrograde cholangiopancreatography (ERCP). Methods 160 cases of patients underwent ERCP surgery from October, 2012 to October, 2013 were randomly divided into two groups, the conventional health education group and the"one to one"three-step of health education group, and were compared by the medical personnel. The effect of the new mode of health education on improving the awareness of the disease, ERCP examination awareness, reducing psychological tension stress and enhancing surgery cooperation consciousness was compared. Results The observation group's awareness of the disease (93.80%) was higher than that (67.50%) of the control group, P=0.000, surgical complications (2.6%) of the observation group was obviously lower than the control group's 16.3%, P=0.003, the differences between two groups were statistically significant ( P<0.05). Conclusion The"one to one" three-step of health education can improve the awareness of the disease, alleviate the psychological anxiety of the patients effectively, and reduce the incidence of operative complications.