改良健康教育模式对清醒气管插管患者的效果

Effect of improved health education model on conscious patients with endotracheal intubation

目的探讨改良健康教育模式在清醒气管插管患者中的应用效果。方法选取2013年8月~2014年8月河北省邯郸市中心医院重症医学科收治的86例清醒气管插管患者为研究对象,将其随机分为干预组和对照组,各43例。干预组采用改良健康教育模式,对照组则采用传统健康教育模式,观察两组效果。结果干预组气管插管3 d、拔管后24 h的汉密尔顿焦虑量表评分低于对照组(P<0.05)。干预组配合治疗程度(83.7%)高于对照组(65.1%)(P<0.05)。干预组自行拔管率(2.3%)明显低于对照组(14.0%)(P<0.05)。结论低年资护士是导致气管插管非计划性拔管发生的高危因素,改良健康教育模式可提高低年资护士健康教育水平,减轻患者焦虑情绪,提高配合治疗程度,预防非计划性拔管的发生。

Objective To study application effect of improved health education model on the conscious patients with endotracheal intubation. Methods From August 2013 to August 2014, 86 patients with endotracheal intubation in De- partment of Critical Care Medicine, Handan Central Hospital, Hebei Province were selected as study objects. All pa- tients were randomly divided into intervention group and control group, 43 cases of each group. Improved health edu- cation model was used in intervention group, routine health education model was applied in control group. The effect was compared beween two groups. Results Tracheal intubation for 3 d and after extubation of 24 h, Hamilton anxiety scale score in intervention group was lower than that in control group （P 〈 0.05）. The degree of treatment （83.7%） in in- tervention group was higher than that in control group （65.1%） （P 〈 0.05）. The self-extubation rate （2.3%） in interven- tion group was significantly lower than that in control group （14.0%） （P 〈 0.05）. Conclusion Junior nurses are the high risk factor of unplanned extubation. So the application of improved health education model can improve the level of health education in the junior nurses, relieve anxiety of patients, improve the degree of coordination treatment, and pre- vent the occurrence of unplanned extuhation.