“一对一”健康教育模式在急诊科的应用

Application of one-on-one health education mode in emergency

目的探讨采用不同健康教育方法对急诊科患者进行健康教育的效果。方法将2009年9月至2010年9月急诊科住院168例患者按照随机数字表法将患者随机分为观察组和对照组，各84例。对照组采用常规健康教育模式进行健康教育。观察组采用“一对一”健康教育模式对患者进行健康教育，患者出院后随访1年时间。比较两组患者健康教育效果。结果观察组患者住院期间及出院后治疗依从性均高于对照组，组间比较差异具有统计学意义（x2值分别为4．960，8．542；P〈0．05）。观察组患者知晓率评分为（90．50±7．68）分，生活质量评分（82．54±7．20）分，患者满意度评分为（97．69±4．85）分，明显高于对照组，组间比较差异具有统计学意义（t值分别为16．674，7．207，8．291；P〈0．01）。结论采用“一对一”健康教育模式对急诊科患者进行有效健康教育，可有效提高患者疾病知识知晓率、改善患者预后，值得临床借鉴。

Objective To study different health education method for the emergency patients. Methods 168 patients in our hospital selected from September 2009 to September 2010 were divided into observation group and control group, according with the random number table method. Control group was used by routine health education model for health education. The observation group health education used one-to-one model to patients with health education, patients were followed up for one year .after discharge time. Compare two sets of patients＇ health education effect. Results Treatment and discharge compliance in the observation group were higher than those in the control group, and the differences are statistically significant （X2 = 4. 960, 8. 542, respectively;P 〈 0.05 ）. The observation group knew the score for patients with （90.50 ± 7.68 ） points, the quality of life score （ 82.54 ± 7.20） points, patient satisfaction score of （97.69 ± 4.85 ） points, much higher than those in the control group, and the differences are statistically significant （t = 16. 674,7. 207, 8. 291, respectively ;P 〈 0.01 ）. Condusions The one to one health education model for the emergency patients for effective health education, can improve patient disease awareness, and the prognosis of patients and was worthy of application in clinical.