路径式健康教育在显微镜下精索静脉曲张结扎术患者围手术期中的应用效果观察
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摘要
目的:观察路径式健康教育在显微镜下精索静脉曲张结扎术患者围手术期中的效果。方法:选取2018年5-12月笔者所在医院收治的精索静脉曲张患者60例,按随机数字表法将其分为干预组、对照组,各30例。干预组和对照组均行显微镜下精索静脉曲张结扎术,对照组给予常规健康教育,干预组给予路径式健康教育。比较两组负性情绪、平均住院时间、平均住院费用、健康知识掌握情况及护理满意度。结果:干预前两组SAS、SDS评分比较,差异无统计学意义(P>0.05);干预后干预组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。干预组平均住院时间、平均住院费用均优于对照组,差异有统计学意义(P<0.05)。治疗后干预组掌握健康知识程度、护理满意度均高于对照组,差异有统计学意义(P<0.05)。结论:路径式健康教育可明显缓解显微镜下精索静脉曲张结扎术患者的焦虑及抑郁等不良情绪,缩短住院时间,减少住院费用,提高患者对健康知识的掌握度,提高患者对护理的满意度,值得在医疗工作中推广使用。
Objective:To observe the effect of path-based health education in the perioperative period of patients undergoing varicocele ligation under microscope.Method:Sixty patients with varicocele admitted in our hospital from May to December 2018 were selected.The patients were divided into intervention group and control group according to the random number table method,with 30 cases in each.The intervention group and the control group underwent microsurgical varicocele ligation.The control group received routine health education,and the intervention group gave path-based health education.Negative emotions,average length of hospital stay,average hospitalization costs,health knowledge and nursing satisfaction were compared between the two groups.Result:There were no significant differences in SAS and SDS scores between the two groups before intervention(P>0.05).The SAS and SDS in the intervention group were lower than those in the control group after treatment,the differences were statistically significant(P<0.05).After intervention,the average hospitalization time and average hospitalization expenses in the intervention group were better than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the intervention group had higher health knowledge level and nursing satisfaction than the control group,and the differences were statistically significant(P<0.05).Conclusion:Path-based health education can significantly alleviate the anxiety and depression of patients with varicocele ligation under microscope,shorten the length of hospital stay,reduce the cost of hospitalization,improve the patient's knowledge of health,and improve the patient's satisfaction with nursing.It is worth promoting in medical work.
Objective:To observe the effect of path-based health education in the perioperative period of patients undergoing varicocele ligation under microscope.Method:Sixty patients with varicocele admitted in our hospital from May to December 2018 were selected.The patients were divided into intervention group and control group according to the random number table method,with 30 cases in each.The intervention group and the control group underwent microsurgical varicocele ligation.The control group received routine health education,and the intervention group gave path-based health education.Negative emotions,average length of hospital stay,average hospitalization costs,health knowledge and nursing satisfaction were compared between the two groups.Result:There were no significant differences in SAS and SDS scores between the two groups before intervention(P>0.05).The SAS and SDS in the intervention group were lower than those in the control group after treatment,the differences were statistically significant(P<0.05).After intervention,the average hospitalization time and average hospitalization expenses in the intervention group were better than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the intervention group had higher health knowledge level and nursing satisfaction than the control group,and the differences were statistically significant(P<0.05).Conclusion:Path-based health education can significantly alleviate the anxiety and depression of patients with varicocele ligation under microscope,shorten the length of hospital stay,reduce the cost of hospitalization,improve the patient's knowledge of health,and improve the patient's satisfaction with nursing.It is worth promoting in medical work.
引文
[1]冯强,邱明星.显微镜下精索静脉结扎术对精索静脉曲张患者的治疗效果[J].中华男科学杂志,2017,23(12):1080-1084.
[2]张恒,吴海啸,徐旻,等.腹腔镜下2种精索内静脉高位结扎术式的临床效果比较[J].中国微创外科杂志,2017,17(6):527-530.
[3]吴磊,阳宁,刘俊,等.腹腔镜与显微镜下精索内静脉高位结扎术治疗精索静脉曲张的比较[J].实用医学杂志,2016,32(5):764-767.
[4]高庆强,徐志鹏,余文,等.经腹膜外途径腹腔镜下治疗双侧精索静脉曲张临床疗效分析[J].中华男科学杂志,2017,23(11):987-990.
[5]张迅,梁季鸿,梁世坤,等.金冷法配合腹腔镜精索内静脉高位结扎术治疗的Ⅱ、Ⅲ度精索静脉曲张患者精液质量观察[J].山东医药,2016,56(23):88-90.
[6]周萍.路径式健康教育在腹腔镜下精索静脉曲张结扎患者围手术期中的应用[J].护理实践与研究,2017,14(3):46-48.
[7]崔雁飞,崔应东,向奎.麒麟丸配合精索静脉曲张低位结扎术治疗精索静脉曲张性不育的临床研究[J].陕西中医,2016,37(5):602-604.
[8]潘宇,梁超,王亮,等.基于电子病历质控的临床路径管理实施效果分析[J].中国医院管理,2016,36(2):48-50.
[9]张敏,赵琨,李雪,等.青岛市某医院临床路径改革对医疗费用影响的ITS分析[J].中国卫生经济,2016,35(2):67-68.
[10]陈永聪,白洁,魏雪峰,等.我国公立医院临床路径实施状况分析[J].中华医院管理杂志,2017,33(1):21-23.
[11]李美娜,王群,黄慧琳,等.三种不同路径显微外科治疗男性不育伴精索静脉曲张的疗效与安全性的Meta分析[J].中国临床研究,2017,30(5):586-591.
[12]李敏奇,白洁,夏景林,等.临床医师临床路径应用和实施效果评价影响因素分析[J].中国医院管理,2017,37(7):8-11.
[13]谭宪华.使用临床路径式教学法对实习医生进行带教的效果分析[J].当代医药论丛,2018,16(11):243-244.
[14]聂明,金朝晖,李静云.临床路径管理在激光治疗下肢静脉曲张患者中的应用效果[J].重庆医学,2017,46(3):413-414.
[15]魏雪峰,陈永聪,白洁,等.我国公立医院临床路径管控状况调查[J].中华医院管理杂志,2017,33(33):26.
[2]张恒,吴海啸,徐旻,等.腹腔镜下2种精索内静脉高位结扎术式的临床效果比较[J].中国微创外科杂志,2017,17(6):527-530.
[3]吴磊,阳宁,刘俊,等.腹腔镜与显微镜下精索内静脉高位结扎术治疗精索静脉曲张的比较[J].实用医学杂志,2016,32(5):764-767.
[4]高庆强,徐志鹏,余文,等.经腹膜外途径腹腔镜下治疗双侧精索静脉曲张临床疗效分析[J].中华男科学杂志,2017,23(11):987-990.
[5]张迅,梁季鸿,梁世坤,等.金冷法配合腹腔镜精索内静脉高位结扎术治疗的Ⅱ、Ⅲ度精索静脉曲张患者精液质量观察[J].山东医药,2016,56(23):88-90.
[6]周萍.路径式健康教育在腹腔镜下精索静脉曲张结扎患者围手术期中的应用[J].护理实践与研究,2017,14(3):46-48.
[7]崔雁飞,崔应东,向奎.麒麟丸配合精索静脉曲张低位结扎术治疗精索静脉曲张性不育的临床研究[J].陕西中医,2016,37(5):602-604.
[8]潘宇,梁超,王亮,等.基于电子病历质控的临床路径管理实施效果分析[J].中国医院管理,2016,36(2):48-50.
[9]张敏,赵琨,李雪,等.青岛市某医院临床路径改革对医疗费用影响的ITS分析[J].中国卫生经济,2016,35(2):67-68.
[10]陈永聪,白洁,魏雪峰,等.我国公立医院临床路径实施状况分析[J].中华医院管理杂志,2017,33(1):21-23.
[11]李美娜,王群,黄慧琳,等.三种不同路径显微外科治疗男性不育伴精索静脉曲张的疗效与安全性的Meta分析[J].中国临床研究,2017,30(5):586-591.
[12]李敏奇,白洁,夏景林,等.临床医师临床路径应用和实施效果评价影响因素分析[J].中国医院管理,2017,37(7):8-11.
[13]谭宪华.使用临床路径式教学法对实习医生进行带教的效果分析[J].当代医药论丛,2018,16(11):243-244.
[14]聂明,金朝晖,李静云.临床路径管理在激光治疗下肢静脉曲张患者中的应用效果[J].重庆医学,2017,46(3):413-414.
[15]魏雪峰,陈永聪,白洁,等.我国公立医院临床路径管控状况调查[J].中华医院管理杂志,2017,33(33):26.