以人为本的解决模式在老年食管癌患者健康教育管理中的应用

People-oriented solving model applying for the patients with esophageal cancer in health education management

目的探讨以人为本的解决模式在老年食管癌患者健康教育管理中的应用方法与效果。方法 120例老年食管癌患者根据随机抽签原则分为治疗组和对照组,每组60例,两组均给予手术治疗。对照组在围手术期给予常规健康教育管理,治疗组给予基于以人为本解决模式的健康教育管理。结果治疗组的术后留置胸腔引流管时间、首次肛门排气时间和术后住院时间明显少于对照组,治疗组术后肺炎与肺不张的发生率明显低于对照组,差异无统计学意义(P<0.05)。治疗组床上活动、深呼吸与下床步行时的疼痛评分明显低于对照组,出院时治疗组的躯体功能、角色功能、情绪功能、认知功能与社会功能评分明显高于对照组,差异有统计学意义(P<0.05)。结论以人为本的解决模式在老年食管癌患者健康教育管理中能有效改善预后,缓解疼痛,降低肺部并发症的发生,从而提高生活质量。

Objective To investigate the people-oriented solving model applying effects for the patients with esophageal cancer in health education management.Methods A total of 120 elderly patients with esophageal cancer were randomly divided into the treatment group and control group,all cases were given radical surgery,the control group were received routine perioperative health education management,and treatment group were added people-oriented solving health education management mode.Results The postoperative indwelling chest tube time,first flatus time and hospital stay of the treatment group were significantly less than the control group,the incidence of postoperative pneumonia and atelectasis of the treatment group were significantly lower than the control group,compared to significant differences（ P〈 0.05）.The pain scores in the times of bed activities,take deep breath and get out bed of the treatment group were significantly lower than the control group,the physical function,role function,emotional function,cognitive function and social function of the treatment group were significantly higher,compared to the difference statistics significance（ P〈 0.05）.Conclusion People-oriented solution mode application in elderly patients with esophageal cancer health education management can effectively improve prognosis,relieve pain,reduce the incidence of pulmonary complications,thereby improve the quality of life.