健康教育路径表在肿瘤化疗患者中的应用及效果

Application and effect of health education path table in cancer chemotherapy patients

目的:探讨健康教育路径表在肿瘤化疗患者中的应用及效果。方法:将86例在我院首次住院准备化疗的肿瘤患者随机分为实验组和对照组,每组各43例。对照组接受常规健康指导,实验组应用健康教育路径表进行健康指导。比较两组患者的化疗后焦虑、抑郁、血管静脉炎发生率及满意度。结果:应用健康教育临床路径表管理,对照组患者的焦虑、抑郁评分分别为(46.41±7.44)、(44.46±10.45)分,实验组分别为(36.45±9.23)、(41.14±10.02)分,两组比较差异有统计学意义(P<0.01,P<0.05);对照组静脉炎发生率为51.2%,实验组静脉炎发生率为11.6%,对照组明显高于对照组(χ2=16.13,P<0.01);对照组患者及其家属对护理工作的满意度入院和出院时分别为69.77%和76.74%,实验组满意度入院和出院时分别为67.44%和95.35%,两组出院时满意度比较,差异有统计学意义(P<0.05)。结论:运用健康教育路径表进行健康指导,可改善肿瘤患者的焦虑、抑郁状态,减少静脉炎的发生率,提高患者及其家属的满意度,更利于系统性、规范化地进行健康教育。

Objective： To explore the application and effect of health education path table in cancer chemotherapy patients. Methods： 86 cancer patients hospitalized for the first time to prepare chemotherapy were randomly divided into experiment group and control group, each group had 43 cases. The control group received routine health guidance and the experiment group received health education path table for health guidance. The occurrence rate of the patients anxiety, depression and phlebitis and their satisfaction were compared between two groups. Results： After clinical application of health education management table, the scores of the patients with anxiety and depression in the control group were （46.41±7.44）, （44.46±10.45） scores; the scores of the patients with anxiety and depression in the experiment group were （36.45±9.23）, （41.14±10.02） scores. There were significant difference between two groups （P〈0.01, P〈0.05）. The occurrence rate of phlebitis in control group was 51.2% while it was 11.6% in the experiment group （X2=16.13, P〈0.01）;The rate of satisfaction of nursing from the pa- tients and their families admission and discharge in control group were 69.77% and 76.44%; the rate of the satisfaction of nursing in experiment group admission and discharge were 67.44% and 95.35% （P〈0.01）. Conclusion： Using of health ed- ucation path table for health guidance can improve cancer patients anxiety, reduce the occurrence rate of phlebitis, in- crease satisfaction of the patients and their families, but also conductive to the health education system standardization.