健康教育管理体系在肿瘤专科医院的建立及应用

Establishment and application of health education management system in hospitals specialized in oncology

目的介绍某肿瘤专科医院建立健康教育管理体系的方法和经验，评估其应用效果。方法通过构建院长领导、护理部指导的三级健康教育委员会护理管理体系，建立健全：健康教育检查及考核标准、肿瘤单病种健康教育路径表、患者满意度调查问卷、患者出院后电话随访评价体系；通过实施：护理人员健康教育培训、健康教育路径表、患者和家属健康教育巡回讲座、肿瘤爱心家园等，形成以健康教育管理委员会一病房护士长一科室健康教育组长为核心的“质控下移，全员参与”的管理网络。对健康教育管理体系的实施效果进行评价。结果健全健康教育管理体系前后患者肿瘤相关知识知晓率、满意度、护理骨干健康教育能力及授课能力比较，差异均有统计学意义。结论本健康教育管理体系可保证护理工作高效运转，提高护理人员的健康教育水平，为患者和家属提供一定的健康指导，提高患者满意度。

Objective To introduce the methods and experiences of establishing health education management system in a certain tumor hospital and to evaluate the application effect. Methods By building president led, nursing department guided nursing education committee management system, establishing and enhancing the following aspects：health education inspection and assessment criteria, health education clinical pathway, patient satisfaction questionnaire, evaluation system of telephone follow-up of discharge patients; Implementing the following matters： training for nurses on delivering health education, health education clinical pathway, patient and family health education lecture tour, homes for tumor patients and care givers, etc, forming the management network with the core of health education management committee-head nurse-leader of the ward health education group, which was ＂quality control downward, full participation＂. Results The differences of tumor knowledge awareness, satisfaction of the patient and the ability of delivering health education and giving lecture of the nurses after education were statistically significant compared with those before the education. Conclusions The health education management sys- tem can ensure the efficient operation of the care, improve the level of nursing health education for patients and their families, provide certain health guidance, and improve patient satisfaction degree.