情景式健康教育在永久性起搏器植入术后早期功能锻炼中的应用

Application of Situational Health Education in Early Functional Exercise After Permanent Cardiac Pacemaker Implantation

目的探讨情景式健康教育在永久性起搏器植入术后患者功能锻炼中的应用效果。方法选择我院2013年1月—2015年12月期间在我院行永久性起搏器植入术后行早期功能锻炼符合纳入标准的患者120例,按照随机数字分组方法分为对照组60例,观察组60例,对照组采用常规教育方法;观察组在对照组基础上予以情景式健康教育方法加随访干预,分析比较两组患者术后不适症状发生及对永久性起搏器术后功能锻炼健康教育知识掌握程度及自我护理能力情况。结果两组患者干预后心脏功能均有改善,但观察组患者术后不适症状术侧肩部疼痛、术侧肩关节活动受限发生率低于对照组,差异有统计学意义(P<0.05);观察组患者对永久性起搏器术后功能锻炼健康教育知识掌握程度及自我护理能力高于对照组,差异有统计学意义(P<0.05)。结论情景式健康教育能有效降低患者术后不适症状,使患者有效掌握术后功能锻炼健康教育知识,提高患者自我护理能力,对患者术后康复有积极影响,能有效改善患者生活质量。

Objective To explore the effect of situational health education in early functional exercise after permanent pacemaker implantation. Methods 120 samples from January, 2013 to December, 2015 in our hospital who met the inclusion criteria in early functional exercise after permanent pacemaker implantation, and randomly divided into control and observation group according to the random number table method, each of which included 200 patients. The control group received the conventional education method, but the observation group received situational health education methods and follow - up intervention on the basis of the conventional education method. To compare the two groups of patients with postoperative symptoms, the degree of health education knowledge after permanent cardiac pacemaker implantation and self - care ability. Results Two groups of patients with cardiac function were improved after intervention. The observation group patients with postoperative discomfort symptoms of shoulder pain, side shoulder mobility rate were lower than the control group, and the difference was statistically significant （ P 〈 0.05 ）. The observation group of patients with functional exercise of permanent pacemaker postoperative health education knowledge and self nursing the ability were better than the control group, and the difference was statistically significant （P 〈 0. 05 ）. Conclusion Situational health education can effectively reduce postoperative discomfort, grasp the postoperative functional exercise of health education knowledge, and improve their self - care ability. It has a positive impact on the rehabilitation of patients after surgery, and can effectively improve the patient＇s quality of life.