系统性健康教育在成人心血管围手术期护理中的应用

Application of systematic health education in perioperative nursing care for adult cardiovascular surgery

目的通过系统性健康教育,促进成人心脏病患者术后康复,减少并发症发生。方法将2007年1月—2010年1月共239例成人心血管病手术患者,随机分成2组,用不同教育方法分别进行健康教育,比较2组患者泌尿系感染人数,二次插管人数,拔除心包、纵隔引流管天数,外科心脏护理单元(SCCU)滞留时间。结果与对照组相比,试验组患者泌尿系感染人数差异无统计学意义(P>0.05),二次插管人数减少(P<0.05),拔除心包、纵隔引流管天数减少(P<0.01),SCCU滞留时间缩短(P<0.01)。结论系统性健康教育降低了心血管手术围手术期并发症的发生。

[Objective]By carrying out the systematic health education,to improve the postoperative rehabilitation of adult patients with heart diseases,and reduce the complications.[Methods]239 patients undergoing the cardiovascular surgery from January 2007 to January 2010 were randomly divided into two groups,and were respectively given health education by different methods.The case number of urinary system infection,case number of reintubation,days of taking off pericardium and mediastinum drainage tube and residence time in SCCU of two groups were compared.[Results]There was no significant difference in case number of urinary system infection between the experimental group and the control group（P0.05）.Compared with the control group,the case number of reintubation of the experimental decreased（P0.05）,days of taking off pericardium and mediastinum drainage tube of the experimental group reduced（P0.01）,and the residence time in SCCU shortened（P0.01）.[Conclusion]The systematic health education can reduce the incidence of perioperative complications in adult patients undergoing the cardiovascular surgery.