| 陈晏,何雪梅.围手术期临床护理路径在颈椎前路手术病人健康教育中的应用分析.骨科,2018,9(6): 488-492. |
| 围手术期临床护理路径在颈椎前路手术病人健康教育中的应用分析 |
| Applied analysis of perioperative clinical nursing pathways in health education for the patients undergoing anterior cervical spine surgery |
| 投稿时间：2017-12-19 |
| DOI：DOI：10.3969/j.issn.1674-8573.2018.06.014 |
| 中文关键词: 临床护理路径 颈椎前路手术 围手术期 健康教育 |
| 英文关键词: Clinical nursing pathway Anterior cervical spine surgery Perioperation Health education |
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| 中文摘要: |
| 目的 探讨围手术期临床护理路径在颈椎前路手术病人健康教育中的应用效果。方法 将2016年8月至2017年8月南方医科大学第三附属医院收治的行颈椎前路手术的120例病人纳入研究，其中男67例，女53例，年龄为（53.98±21.15）岁（32~75岁），病程为0~3年；采用随机单盲对照法分为观察组和对照组，每组60例。观察组采用围手术期临床护理路径式健康教育，对照组采用常规的护理健康教育。比较两组病人的健康教育知识知晓和技巧（功能锻炼和颈托佩戴技巧）掌握情况、并发症情况、住院时间和住院满意度。结果 干预前，两组病人的健康教育知识知晓率和技巧掌握率差异均无统计学意义（P均＞0.05）；干预后，观察组的健康教育知识知晓率（93.3%）及对功能锻炼和颈托佩戴的技巧掌握率（95.0%、98.3%）均显著高于对照组，差异均具有统计学意义（P=0.036、0.027、0.038）。观察组和对照组的住院时间分别为（9.03±1.93） d、（10.41±3.49） d，住院满意度分别为80.0%、63.3%，观察组均显著优于对照组，差异均具有统计学意义（P均＜0.05）。结论 颈椎前路手术病人应用围手术期临床护理路径式健康教育后，在健康教育知识知晓和技能掌握、住院满意度等方面均优于传统的健康教育模式。 |
| 英文摘要: |
| Objective To explore the application effect of perioperative clinical nursing pathways in health education for patients undergoing anterior cervical spine surgery. Methods From August 2016 to August 2017, 120 patients underwent anterior cervical surgery in our hospital, including 67 males and 53 females, aged (53.98±21.15) years (32-75 years), with a disease course of 0-3 years. The patients were divided into two groups according to randomized single-blind control method, 60 cases in each group. The observation group was given perioperative health education by clinical nursing pathway, and the control group was given routine health education. The health education knowledge awareness and skills mastery (including functional exercise and neck brace wearing skills), complications, hospitalization time and hospitalization satisfaction were compared between the two groups. Results Before the intervention, there was no significant difference in the rate of health education knowledge awareness and skill mastery between the two groups (P＞0.05). After the intervention, the health education knowledge awareness rate (93.3%), skill mastery rate of functional exercise (95.0%) and neck brace wearing (98.3%) in the observation group were significantly higher than in the control group (P=0.036, 0.027 and 0.038, respectively). The length of hospital stay in observation group and control group was (9.03±1.93) and (10.41±3.49) days respectively, and the hospitalization satisfaction was 80.0% and 63.3% respectively (both P＜0.05). Conclusion After the application of perioperative clinical nursing path health education, the health education knowledge, skill mastery and discharge satisfaction in the patients undergoing anterior cervical spine surgery were superior to those in the patients given the traditional health education model. |
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