以护理流程管理为指导的健康教育在支气管镜检查中的应用研究

Application study on health education guided by nursing process management in bronchoscopy

目的探讨和分析以护理流程管理为指导的健康教育在支气管镜检查中的临床应用价值。方法选择2017年1月至2018年12月期间在本院行支气管镜检查的98例患者作为临床研究对象,采用随机数字表法随机分为观察组50例和对照组48例,对照组患者给予一般常规健康教育,观察组患者则在对照组的基础之上加用以护理流程管理为指导的健康教育方案,并分别比较和分析两组支气管镜检查患者依从性、紧张程度及满意度等情况。结果与对照组患者相比,观察组支气管镜检查患者的完全遵医率(68.00%比47.92%)、总遵医率(92.00%比77.08%)均明显提高,差异均有统计学意义(均P<0.05);观察组支气管镜检查患者紧张程度为Ⅰ级的比率比对照组明显提高(72.00%比52.08%),而Ⅲ级的比率则明显降低(6.00%比20.83%),差异均有统计学意义(均P<0.05);观察组支气管镜检查患者护理服务非常满意率(62.00%比35.42%)、总满意度(96.00%比81.25%)均比对照组明显提高,差异均有统计学意义(均P<0.05)。结论以护理流程管理为指导的健康教育对于支气管镜检查患者遵医行为的改善、紧张程度的消除及满意度的提升意义重大。

Objective To probe into the clinical application value of health education guided by nursing process management in bronchoscopy.Methods From January 2017 to December 2018,98 patients with bronchoscopy were selected as clinical subjects in our hospital.The patients were divided into observation group (50 cases) and control group (48 cases) by randomized digital table method.The patients in the control group were given general health education,and the patients in the observation group were given health education guided by nursing process management based on the control group.The compliance,level of tension,and satisfaction of patients with bronchoscopy in the two groups were compared and analyzed.Results The complete compliance rate in the observation group was 68.00%,and the total compliance rate was 92.00%,which were significantly higher than those in the control group (47.92%,77.08%),with statistically significant differences (P<0.05).The rate of gradeⅠtension in the observation group was significantly higher than that in the control group (72.00%vs.52.08%),the rate of grade Ⅲ tension was significantly lower than that in the control group(6.00% vs.20.83%),with statistically significant differences(P<0.05).The ratio of very satisfied with nursing services in the observation group was significantly higher than that in the control group (62.00% vs.35.42%),the total satisfaction degree was significantly higher than that in the control group (96.00% vs.81.25%),with statistically significant differences (P<0.05).Conclusion Health education guided by nursing process management has great significance for the improvement of compliance behavior,the elimination of tension,and the improvement of satisfaction for patients with bronchoscopy.