心脏机械瓣膜置换围手术期患者应用健康教育路径图表的效果观察
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摘要
目的观察接受心脏机械瓣膜置换患者在围手术期应用健康教育路径图表的临床效果。方法随机抽样法选择2016年1月～2017年1月在我科接受心脏机械瓣膜置换的30例患者作为对照组,按照常规执行健康教育。随机抽样法选择2017年2月～2018年3月,在我科接受心脏机械瓣膜置换的30例患者作为观察组,按照健康教育路径图表进行健康教育。比较两组患者的平均住院天数,平均住院费用,疾病知识知晓分数及患者满意度分数。结果观察组疾病知识理想值达标率为93.33%,高于对照组的70.00%,差异有统计学意义(P<0.05);观察组出院满意度达标率为96.67%,高于对照组的73.33%,差异有统计学意义(P<0.05);观察组平均住院天数(19.37±1.67)d,平均住院费用(55656.71±4405.48)元,均低于对照组的平均住院天数(22.5±3.95)d,平均住院费用(65788.83±3515.10)元,统计学意义显著(P<0.01);观察组患者疾病知识知晓分数(8.33±1.27)分,出院患者满意度分数(98.60±2.40)分,均高于对照组的疾病知识知晓分数(6.80±1.89)分,出院患者满意度分数(95.10±4.358)分,统计学意义显著(P<0.01)。结论健康教育路径图表的应用有助于缩短疾病恢复进程,节省住院费用,减轻患者压力,提高了出院患者满意度达标率,相关知识掌握程度的提高,对疾病远期恢复有正面影响。
Objective To observe the clinical effect of perioperative health education pathways in patients undergoing cardiac mechanical valve replacement. Methods A random sampling method was used to select 30 patients who underwent cardiac mechanical valve replacement in our department from January 2016 to January 2017 as a control group. Random sampling method was selected from February 2017 to March 2018,30 patients who underwent cardiac mechanical valve replacement in our department were used as observation groups, and health education was carried out according to the health education path chart. The average hospital stay, average hospitalization cost, disease knowledge awareness score, and patient satisfaction score were compared between the two groups. Results The ideal rate of disease knowledge in the observation group was 93.33%,which was higher than 70.00% in the control group,the difference was statistically significant( P<0.05). The compliance rate of the observation group was 96.67%, which was higher than that of the control group 73.33%,the difference was statistically significant( P<0.05); the average hospital stay in the observation group(19.37 ±1.67) d, the average hospitalization cost(55656.71 ±4405.48) yuan, were lower than the average hospital stay in the control group(22.5 ±3.95)d,the average hospitalization cost(65788.83 ±3515.10) yuan, the difference was statistically significant(P <0.01); the observation group patients with disease knowledge know score(8.33 ±1.27) points, discharged patients satisfaction score(98.60 ±2.40) points, the disease knowledge knowledge scores were higher than the control group(6.80 ±1.89), and the discharge patients' satisfaction scores(95.10 ±4.358),the difference was statistically significant(P <0.01). Conclusion The application of the health education pathway chart shortens the disease recovery process, saves hospitalization costs, reduces patient pressure, improves the satisfaction rate of discharged patients, and improves the relevant knowledge, which has a positive impact on the long-term recovery of the disease.
Objective To observe the clinical effect of perioperative health education pathways in patients undergoing cardiac mechanical valve replacement. Methods A random sampling method was used to select 30 patients who underwent cardiac mechanical valve replacement in our department from January 2016 to January 2017 as a control group. Random sampling method was selected from February 2017 to March 2018,30 patients who underwent cardiac mechanical valve replacement in our department were used as observation groups, and health education was carried out according to the health education path chart. The average hospital stay, average hospitalization cost, disease knowledge awareness score, and patient satisfaction score were compared between the two groups. Results The ideal rate of disease knowledge in the observation group was 93.33%,which was higher than 70.00% in the control group,the difference was statistically significant( P<0.05). The compliance rate of the observation group was 96.67%, which was higher than that of the control group 73.33%,the difference was statistically significant( P<0.05); the average hospital stay in the observation group(19.37 ±1.67) d, the average hospitalization cost(55656.71 ±4405.48) yuan, were lower than the average hospital stay in the control group(22.5 ±3.95)d,the average hospitalization cost(65788.83 ±3515.10) yuan, the difference was statistically significant(P <0.01); the observation group patients with disease knowledge know score(8.33 ±1.27) points, discharged patients satisfaction score(98.60 ±2.40) points, the disease knowledge knowledge scores were higher than the control group(6.80 ±1.89), and the discharge patients' satisfaction scores(95.10 ±4.358),the difference was statistically significant(P <0.01). Conclusion The application of the health education pathway chart shortens the disease recovery process, saves hospitalization costs, reduces patient pressure, improves the satisfaction rate of discharged patients, and improves the relevant knowledge, which has a positive impact on the long-term recovery of the disease.
引文
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[3]杨莉莉,李荣,刘英,等.临床护理路径在心脏机械瓣膜置换围手术期患者护理中的应用效果[J].解放军杂志,2015,32(14):44-48.
[4]尤敏,吴丽仙,丁巧玲,等.短信健康教育对心脏机械瓣膜置换术后抗凝治疗依从性的影响[J].护士进修杂志,2013,28(1):73-74.
[5]黄红友,郝元涛,赵敏,等.路径化健康教育对机械性心脏机械瓣膜置换术患者自我护理能力的影响[J].全科护理,2016,14(14):1407-1410.
[6]陈文文,党和勤,耿涛,等.非瓣膜性房颤患者华法林用药依从性及其影响因素的调查分析[J].中国药房,2017,28(27):3763-3767.
[7]孙爱平,廖金莲,韦榕飒,等.健康教育路径的应用对鼻咽癌放疗患者出院后自我康复依从性的影响[J].护理研究,2017,31(7):868-870.
[8]付桂芬,韦靖,何静,等.心脏机械瓣膜置换患者健康教育路径的设计与应用效果评价[J].中国临床新医学,2016,9(7):647-650.
[2]陈晓晨,刘长红.延续护理在心脏机械瓣膜置换患者恢复治疗中的应用[J].现代医药卫生,2016,32(9):1406-1408.
[3]杨莉莉,李荣,刘英,等.临床护理路径在心脏机械瓣膜置换围手术期患者护理中的应用效果[J].解放军杂志,2015,32(14):44-48.
[4]尤敏,吴丽仙,丁巧玲,等.短信健康教育对心脏机械瓣膜置换术后抗凝治疗依从性的影响[J].护士进修杂志,2013,28(1):73-74.
[5]黄红友,郝元涛,赵敏,等.路径化健康教育对机械性心脏机械瓣膜置换术患者自我护理能力的影响[J].全科护理,2016,14(14):1407-1410.
[6]陈文文,党和勤,耿涛,等.非瓣膜性房颤患者华法林用药依从性及其影响因素的调查分析[J].中国药房,2017,28(27):3763-3767.
[7]孙爱平,廖金莲,韦榕飒,等.健康教育路径的应用对鼻咽癌放疗患者出院后自我康复依从性的影响[J].护理研究,2017,31(7):868-870.
[8]付桂芬,韦靖,何静,等.心脏机械瓣膜置换患者健康教育路径的设计与应用效果评价[J].中国临床新医学,2016,9(7):647-650.