家属同步教育对术后肢体淋巴水肿CDT治疗患者疾病不确定感的影响

The Influence of Family Members’ Synchronous Instruction on Uncertainty in Illness Among Patients with Postoperative Limb Lymphedema Treated with Complex Decongestion Therapy

目的探讨家属同步教育对术后肢体淋巴水肿综合消肿疗法(Complex decongestion therapy,CDT)治疗患者疾病不确定感的影响。方法2018年2月至2018年3月,便利抽样法选择术后肢体淋巴水肿CDT治疗患者60名,随机分为对照组(n=30)及试验组(n=30),对照组给予常规健康教育,试验组在常规健康教育基础上实施家属同步教育。于首次CDT治疗前、1个疗程后采用Mishel疾病不确定感量表对两组患者进行调查。结果首次CDT治疗前,对照组、试验组患者的疾病不确定感得分分别为(70.60±4.78)和(69.67±3.72),两组无明显差异(P>0.05);CDT治疗1个疗程后,对照组、试验组患者的疾病不确定感得分分别为(67.10±3.19)和(59.40±2.28),差异有统计学意义(P<0.05)。结论对术后肢体淋巴水肿CDT治疗患者进行常规健康教育的同时实施家属同步教育,能有效降低患者疾病不确定感。

Objective To evaluate the influence of family members’synchronous instruction education on uncertainty in illness among patients with postoperative limb lymphedema(PLL)treated with complex decongestion therapy(CDT).Methods From February 2018 to March 2018,convenience sampling was adopted to investigate 60 patients with PLL treated with CDT.The 60 patients were divided into control group and experimental group averagely and randomly.The 30 patients in the control group received routine health education,and the patients in the experimental group received routine health education and synchronous instruction for family members together.The patients in the two groups were investigated by Mishel disease uncertainty scale(Chinese version)before CDT treatment and after one course of CDT treatment.Results Before the first CDT treatment,the disease uncertainty scores of the control group and the experimental group were(70.60±4.78)and(69.67±3.72),respectively,with no significant difference between the two groups(P>0.05);after one course of CDT treatment,the disease uncertainty scores of the control group and the experimental group were(67.10±3.19)and(59.40±2.28),respectively,with statistical difference.Significance(P<0.05).Conclusion The uncertainty in illness for the PLL patients treated with CDT can be effectively reduced by the combination of routine health education and synchronous instruction for family members.