设立专职健康教育护士在风湿性心脏病患者康复护理中的效果评价

Effects of employing full-time health education nurses in rehabilitation nursing for patients with rheumatic heart disease

目的探讨专职护士行健康教育对风湿性心脏病患者康复护理的影响。方法将66例风湿性心脏病患者随机分为干预组和对照组各33例,干预组由专职健康教育护士进行健康教育,对照组采用常规健康教育,比较两组遵医行为、呼吸道并发症发生率、术后首次下床活动时间和住院天数。结果干预组在遵医行为、住院天数及术后首次下床活动时间方面优于对照组,两组比较差异均有统计学意义（P〈0.05）;干预组呼吸道并发症发生率为3.0%（1/33）,对照组呼吸道并发症发生率为15.2%（5/33）,两组比较差异无统计学意义（P〉0.05）。结论设立专职健康教育护士能提高风湿性心脏病患者依从性,缩短住院天数,在一定程度上减轻患者的经济负担。

Objective To explore the effects of employing full-time health education nurses in rehabilitation nursing for patients with rheumatic heart disease. Methods Totally 66 patients with rheumatic heart disease were randomly divided into interventional group（n=33） and a control group（n=33）. The interventional group received health education implemented by full-time nurses,while the control group received routine health education. The treatment compliance,occurrence of respiratory complication,off-bed activity for the first time and hospital duration were compared between the two groups. Results There were significant differences in the treatment compliance,hospital duration and off-bed activity for the first time between the two groups（P0.05）. The occurrence of respiratory complication was 3.0 percent（1/33） in the interventional group,while 15.2 percent（5/33） in the control group,there was no significant difference between the two groups（P0.05）. Conclusion Employing full-time health education nurses can improve the patients＇ treatment compliance,shorten their hospital duration,and relieve their economic burden to some extent.