摘要
目的评价体验式健康教育对胰十二指肠切除术后带管出院患者的应用效果。方法采用便利抽样方法选取2020年9月至2021年8月入住北京大学第三医院普外科行胰十二指肠切除术的65例患者作为研究对象,将2020年9月至2021年2月采用引流管常规健康教育的31例患者作为对照组,2021年3—8月采用引流管体验式健康教育的34例患者作为研究组。观察2组患者引流管自我护理能力、引流管自我管理情况。结果研究组患者引流管自我护理能力总分、引流袋固定得分、引流袋更换得分、引流液倾倒得分、防引流管牵拉得分、挤压引流管方法得分分别为10.00(10.00,10.00)、2.00(2.00,2.00)、2.00(2.00,2.00)、2.00(2.00,2.00)、2.00(2.00,2.00)、2.00(2.00,2.00)分,高于对照组的5.00(4.00,5.00)、1.00(1.00,1.00)、1.00(0.00,1.00)、1.00(1.00,1.00)、1.00(1.00,2.00)、1.00(1.00,1.00)分,差异有统计学意义(Z值为-7.31~-5.78,均P<0.05)。研究组引流管自我管理情况中引流管牵拉率、引流口周围渗出发生率、引流液漏登记率分别为8.82%(3/34)、14.71%(5/34)和5.88%(2/34),低于对照组的61.29%(19/31)、41.94%(13/31)和87.10%(27/31),差异有统计学意义(χ^(2)=19.94、6.00、43.28,均P<0.05)。结论体验式健康教育能够有效改善胰十二指肠切除术后患者的引流管自我护理能力,促进患者术后康复。
Objective To evaluate the effect of experiential health education on patients discharged from hospital with the tube after pancreaticoduodenectomy.Methods A total of 65 patients admitted to the General Surgery Department of Peking University Third Hospital for pancreaticoduodenectomy from September 2020 to August 2021 were selected as the study objects by convenience sampling method.The 31 patients with pancreaticoduodenectomy who received routine education about drainage tube from September 2020 to February 2021 were selected as the control group,and 34 patients with pancreaticoduodenectomy who received experiential health education about drainage tube from March 2021 to August 2021 were selected as the study group.The self-nursing ability and self-management of drainage tube of the patients in both groups were observed.Results The total score of drainage tube self-care ability,drainage bag fixation score,drainage bag replacement score,drainage fluid dumping score,anti-drainage tube pull score,drainage tube extrusion method score were 10.00(10.00,10.00),2.00(2.00,2.00),2.00(2.00,2.00),2.00(2.00,2.00),2.00(2.00,2.00),2.00(2.00,2.00)points,Higher than the control group 5.00(4.00,5.00),1.00(1.00,1.00)and 1.00(0.00,1.00),1.00(1.00,1.00)and 1.00(1.00,2.00),1.00(1.00,1.00)points,the differences were statistically significant(Z values were-7.31--5.78,all P<0.05).In the self-management of drainage tubes in the study group,the drainage tube pulling rate,the incidence of exudation around drainage tubes,and the rate of leakage of drainage fluid registration were 8.82%(3/34),14.7%(5/34),and 5.88%(2/34),respectively,lower than 61.29%(19/31),41.94%(13/31),and 87.10%(27/31)in the control group,with statistically significant differences(χ^(2)=19.94,6.00,43.28,all P<0.05).Conclusions Experiential health education can effectively improve drainage tube self-care ability of patients after pancreaticoduodenectomy,promoting postoperative rehabilitation of patients.
作者
裴琛
周玉洁
张晓婷
李蕙杰
Pei Chen;Zhou Yujie;Zhang Xiaoting;Li Huijie(Department of General Surgery,Peking University Third Hospital,Beijing 100191,China)
出处
《中国实用护理杂志》
2022年第34期2654-2659,共6页
Chinese Journal of Practical Nursing
关键词
胰十二指肠切除术
出院患者
引流管
体验式健康教育
Pancreaticoduodenectomy
Patient discharge
Drainage tube
Experiential health education
作者简介
通信作者:周玉洁,Email:yujie218@sina.com。
