康复训练健康教育路径在漏斗胸患儿围术期中的应用效果

Application Effects of Rehabilitation Health Education Pathway on Perioperative Children with Pectus Excavatum

目的探讨应用健康教育路径对漏斗胸手术患儿实施康复训练的效果。方法将60例漏斗胸患儿按入院单双号分为实验组及对照组,每组30例。对照组由责任进行常规疾病知识、术前和术后的健康教育指导;实验组由康复训练健康教育路经小组成员严格按漏斗胸康复训练健康教育路经图表安排,对漏斗胸患儿从入院到出院实施有计划、有系统、分阶段、连续规范的康复训练健康教育指导。比较两组患儿术后并发症、胸腔引流管拔管时间、住院天数、家长对漏斗胸知识的知晓率及对护理服务的满意度。结果两组患儿住院天数、胸腔引流管拔管时间比较,差异均有统计学意义(P<0.01);术后并发症比较差异有统计学意义(P<0.05);实验组患儿家长对康复训练目的和方法、术后体位和意义及出院后注意事项等五方面知识知晓率高于对照组,差异有统计学意义(P<0.05);实验组护理服务满意度明显高于对照组(P<0.05)。结论应用健康教育路径对漏斗胸患儿实施康复训练,能缩短患儿的住院时间,减轻患方经济负担,改善肺功能,减少术后并发症的发生,提高患儿及家长漏斗胸知识的知晓率及护理服务满意度。

Objective To explore the effect of rehabilitation health education pathway on perioperative children with pectus excavatum.Methods Sixty children with pectus excavatum admitted to the hospital were randomly divided into two groups by odd and even numbers：control group（n=30）and test group（n=30）.The charge nurses performed the instruction for the control group of the appropriate knowledge of disease and pre- post-operative health education based on their clinical experience,mastery of knowledge and progress of treatment.The team of rehabilitation health education pathway group performed a planned,systematic,staged,continued and normative instruction of rehabilitation health education for children with pectus excavatum from their admission to discharge of the hospital.The postoperative complications,extubation time of chest tube,hospital days,parents＇ knowlage of the pectus excavatum and the satisfaction rate of the patients were compared between the two groups.Results There were significant differences in the extubation time of chest tube,hospital days（P0.01）and postoperative complications（P0.05）.The parents＇ awareness rates of five aspects of the purpose,methods,postoperative position,significance of rehabilitation training and precautions after discharge from hospital were significantly higher in the test group than in the control group（P0.05）.The satisfaction rate of nursing quality was higher in the test group than in the control group（P0.05）.Conclusion Application of health education pathway on children with pectus excavatum perioperative can shorten hospital days,reduce the economic burden of patients,improve lung function and reduce postoperative complications,promote a better command of health knowledge in the perioperative period patients,and raise the satisfaction rate of nursing.