延续性护理健康宣教对股腘动脉狭窄腔内治疗患者术后自我管理及生活质量的影响

Effects of continuous nursing health education on postoperative self-management and life quality of patients with femoral popliteal artery stenosis after endovascular treatment

目的探讨延续性护理健康宣教对股腘动脉狭窄腔内治疗患者术后自我管理及生活质量的影响。方法选取2012年12月至2017年12月收治的82例股腘动脉腔内治疗术后的患者作为研究对象,随机分为观察组和对照组,每组41例。观察组给予延续性护理健康教育,对照组给予常规护理,评估2组患者护理前后自我管理能力(健康知识、自我护理责任感、自我护理技能、自我概念)、生活质量(食欲、精神状况、睡眠质量、家庭理解与配合、日常生活);比较出院后6个月对护理的满意度。结果护理前2组患者自我管理能力评分及生活质量评分比较,差异无统计学意义(P>0.05);护理后观察组患者健康知识、自我护理责任感、自我护理技能、自我概念评分均高于对照组,差异有统计学意义(P<0.05);护理宣教后观察组患者食欲、精神状况、睡眠质量、家庭理解与配合、日常生活情况等评分均高于对照组,差异有统计学意义(P<0.05);观察组对护理的满意率为95.12%,优于对照组的78.05%,差异有统计学意义(P<0.05)。结论延续性护理健康宣教可明显改善股腘动脉腔内治疗患者术后自我管理状态及生活质量,建议临床广泛推广。

Objective To investigate the effects of continuous nursing health education on postoperative self-management and life quality of patients with femoral popliteal artery stenosis after endovascular treatment. Methods A total of 82 patients with femoral popliteal artery stenosis who were treated by endovascular treatment in our hospital from December 2012 to December 2017 were randomly divided into the control group ( n =41) and observation group ( n =41).The patients in control group were treated by conventional nursing,however,the patients in observation group were treated by continuous nursing health education.The self-management ability (health knowledge,self-care responsibility,self-care skills, self-concept) and life quality (appetite,mental state,sleep quality,family understanding and cooperation,daily life) of the patients before and after nursing intervention were observed and compared between the two groups,moreover, the nursing satisfaction degree at 6 months after discharging fron hospital was observed and compared between the two groups. Results Before nursing intervention there were no significant differences in the scores of self-management ability and life quality between the two groups ( P >0.05).After nursing intervention the scores of health knowledge,self-care responsibility,self-care skills and self-concept of patients in observation group were significantly higher than those in control group ( P <0.05).Moreover the scores of appetite,mental state,sleep quality,family understanding and cooperation, and daily life in observation group were significantly higher than those in control group after the nursing education ( P <0.05).In addition the nursing satisfaction rate in observation group was 95.12%, which was significantly higher than that (78.05%) in control group ( P <0.05). Conclusion The continuous nursing health education can significantly improve the postoperative self-management status and life quality of patients with femoral popliteal artery lumen after endovascular treatment,therefor, which is worth using widely in clinical practice.