关键词式健康教育在慢性鼻窦炎行鼻内窥镜手术患者中的应用

Application of health education of keywords in the chronic sinusitis patients with functional endoscopic sinus surgery

目的：探讨关键词式健康教育在慢性鼻窦炎行鼻内窥镜手术患者中的应用效果。方法选取2012年2-5月慢性鼻窦炎行鼻内窥镜手术的患者108例，随机分为对照组56例和观察组52例。对照组采用传统的手术健康教育方式，观察组在对照组的基础上采用关键词式健康教育，比较两组患者的健康教育知识知晓状况和患者对健康教育的护理满意度。结果观察组患者术前1d健康教育知识的知晓得分为（17．67±1．29）分，手术当日为（14．94±1．35）分，术后1 d为（18．48±1．45）分，均高于对照组，差异具有统计学意义（ t值分别为8．124，10．741，8．700；P＜0．01）。观察组患者对健康教育的护理满意度得分为（3．40±0．53）分，对照组为（2．86±0．77）分，差异具有统计学意义（t＝4．303，P＜0．01）。结论实施关键词式健康教育能有效提高慢性鼻窦炎行鼻内窥镜手术患者对手术健康教育知识的掌握，使患者对健康教育的满意度增加，提高护理质量。

Objective To explore the application of health education of keywords in the chronic sinusitis patients with functional endoscopic sinus surgery （FESS）.Methods One hundred and eight chronic sinusitis patients with FESS from February 2012 to May 2012 were chosen and divided into the control group （n=56） and the observation group （n=52）.The control group received the traditional health education , and the observation group received the health education of keywords on the basis of the control group .The awareness of health education knowledge and the nursing satisfaction of health education were compared between two groups .Results The scores of the awareness of health education knowledge 1 d before the operation , the day of the operation and 1 d after the operation were respectively （17.67 ±1.29）, （14.94 ±1.35）, （18.48 ±1.45） in the observation group , and were higher than those of the control group , and the differences were statistically significant （t=8.124, 10.741, 8.700, respectively;P〈0.01）.The score of the nursing satisfaction of health education in the patients was （3.40 ±0.53） in the observation group, and was （2.86 ±0.77） in the control group, and the difference was statistically significant （t=4.303, P〈0.01）.Conclusions The implementation of the health education of keywords can effectively improve the mastery of health education knowledge and the nursing satisfaction of health education in the chronic sinusitis patients with FESS , and increase the quality of nursing.