PBL健康教育法在原发性肾癌手术患者中的应用效果

Application of PBL health education in primary renal cell carcinoma surgical patients

目的：探讨基于 PBL 的健康教育法在原发性肾癌手术患者中的应用效果。方法选取2013年7月—2015年1月在郑州大学附属肿瘤医院接受手术治疗的100例肾癌患者为研究对象，按照随机数表分为对照组（50例）和观察组（50例），对照组患者采用常规健康教育方法，观察组患者采用PBL 健康教育方法；观察并比较两组患者在入院时和出院时的心理状况、对于护理的满意度情况以及术后并发症的发生率。结果两组患者入院时的心理状况比较差异无统计学意义（P ＞0．05）；出院时，观察组患者的心理状况优于对照组，观察组患者对护理工作的满意度高于对照组，观察组并发症发生率低于对照组，差异均有统计学意义（P ＜0．05）。结论基于 PBL 的健康教育可以调动患者的主动学习与疾病相关知识的积极性，改善患者的心理状况同时减少术后并发症的发生，且能提高患者满意度。

Objective To investigate the effects of application of problem-based learning （PBL） education in primary renal cell carcinoma surgical patients.Methods A total of 1 00 renal cell carcinoma patients who received surgical treatments from July 201 3 to January 201 5 in Cancer Hospital Affiliated to Zhengzhou University were randomly divided into control group （50 cases）and observation group （50 cases）. The patients in control group received routine health education and the patients in observation group received PBL health education.The psychological status,satisfaction with nursing and occurrence of postoperative complications were compared in two groups when admitted and discharged from hospital.Results The difference of psychological status in two groups was not significant when admitted hospital （P 〉0.05）,while it is better in observation group when discharged from hospital （P 〈0.05）.In addition,the degree of satisfaction was higher in observation group （P 〈0.05）.Furthermore,the occurrence of complications was lower in observation group （P 〈0.05）.Conclusions Health education based on PBL can arouse patients′enthusiasm in actively learning disease-related knowledge, improve their psychological status, decrease the occurrence of postoperative complications and increase patients′satisfaction.