疾病管理师实施健康教育对宫颈癌手术后患者的影响

Effects of health education implemented by disease administrator on operative patients with cervical cancer

目的探讨设立疾病管理师对宫颈癌手术后患者实施健康教育的影响。方法将64例宫颈癌患者，随机将患者分为实验组34例和对照组30例。实验组由疾病管理师制定健康教育计划对患者及家属给予全程个体化健康教育。对照组接受传统的健康教育。结果实验组患者住院天数（13．4±3．2）天，留尿管天数（11．3±3．8）天，对照组患者住院天数（16．1±4．6）天，留置尿管天数（14．7±4．4）天，实验组明显少于对照组，两组比较差异有统计学意义（P〈0．01），而对知识掌握情况、患者满意度也明显优于对照组（P〈0．01）。结论在科室设立疾病管理师对患者实施系统化的健康教育及对患者迫切需要采取的有效的应对方式进行指导，使患者了解不良情绪和行为表现对自身疾病的影响，缓解由此带来的压力。可有效的控制并减少术后并发症的发生，缩短患者住院日，提高患者满意度及生活质量。

Objective To explore the effects of health education implemented by disease administrator on operative patients with cervical cancer. Methods 64 cases of cervical cancer were randomly divided into experimental group （34 cases） and control group （30 cases）. In experimental group, disease administrator established individual health education plan for each patient and his/her family in all course of therapy. In control group, patients received traditional health education. Results The hospital stay time and indwelling catheter time of experimental group were shorter than those of control group [（13.4 ± 3.2） d vs. （16.1 ± 4.6）d, （11.3 ± 3.8）d vs. （14.7 ± 4.4）d, P 〈 0.05]. Mastery of knowledge and patient satisfaction in experimental group were better than those in control group （P 〈 0.01）. Conclusion Individual health education plan established by disease administrator can correctly guide patients and make patients know that bad mood and behavior can influence their disease, thus alleviate the pressure. It can effectively decrease the occurrences of postoperative complications, cut down the hospital stay time and improve patients＇ satisfaction and the quality of life.