结核性脓胸患者术后肢体功能锻炼采用多元化健康教育模式的效果分析

Effect of diversified health education model on postoperative limb functional exercise in patients with tuberculous empyema

回顾性分析2016年1月至2017年12月在沈阳市胸科医院胸外一病房接受结核性脓胸胸膜纤维板剥脱手术治疗的175例男性患者的资料。其中，2016年1—12月收治的75例患者术后采用常规健康教育模式，作为实施前组；2017年1—12月收治的i00例患者采用改善后的术后多元化健康教育模式，作为实施后组。实施前组患者功能锻炼依从性为65．3％（49／75），明显低于实施后组的84．0％（84／100），差异有统计学意义（x2=8．19，P=0．004）；实施前组患者对护理工作的满意度为93．3％（70／75），明显低于实施后组对护理工作的满意度（100．0％，100／100），差异有统计学意义（x2=9．29，P=0．010）。对于结核性脓胸术后的患者，实施针对性的多元化健康教育模式，可以大幅提高患者进行术侧肢体功能锻炼的依从性，提高患者对护理工作的满意度。

The clinical data of 175 male patients with tuberculous empyema who underwent pleural fibreboard stripping surgery from January 2016 to December 2017 at the First Department of Thoracic Surgery of Shenyang Chest Hospital was analyzed retrospectively. Seventy-five patients from January to December of 2016 were defined as pre implementation group and applied routine health education model after surgery. One hundred patients from January to December of 2017 were defined as post implementation group and applied diversified health education model after surgery. The patient＇s compliance of functional exercise in the pre implementation group was 65.3% （49/75）, which was lower than that in the post implementation group （84.0% （84/100））, and the difference was statistically significant （X2=8. 19, P= 0. 004）. The satisfactory degrees of patients on the nursing care in the pre implementation group （93.3 % （70/75）） was lower than that in the post implementation group （100. 0% （100/100））, and the difference was statistically significant （x2= 9.29, P= 0. 010）. For patients with tuberculous empyema after operation, the diversified health education significantly improves the patient＇s compliance of postoperative limb functional exercises and increases the satisfactory degrees of patients on the nursing care.