连续性健康教育在消化性溃疡出血手术患者中的应用效果

Application Effect of Continuous Health Education in Surgical Patients with Peptic Ulcer Hemorrhage Undergoing

目的:观察连续性健康教育对消化性溃疡出血手术患者生活方式及复发的影响,总结临床护理经验。方法:选择2017年6月-2018年6月本院收治的消化性溃疡出血手术患者60例,根据电脑随机数字表抽取法分成观察组和对照组,每组30例。对照组实施常规健康教育,观察组实施连续性健康教育,比较两组患者的应用效果。结果:护理干预后,两组患者HPLP-Ⅱ各维度评分均高于干预前,且观察组各维度评分均高于对照组,差异均有统计学意义(P<0.05);护理干预后,观察组患者的8项特异性生活方式依从性评分及总分均高于对照组,差异均有统计学意义(P<0.05);观察组患者平均住院时间短于对照组,平均出血量少于对照组,差异均有统计学意义(P<0.05);观察组患者护理干预后住院期间再次出血率及随访期复发率均显著低于对照组,差异均有统计学意义(P<0.05)。结论:连续性健康教育应用在消化性溃疡出血手术患者中,可促进其健康行为,提高其特异性生活方式依从性,改善术后康复及远期复发,具有重要的临床应用价值。

Objective:To observe the effect of continuous health education on the lifestyle and recurrence of patients with peptic ulcer bleeding surgery and summarize the clinical nursing experience.Method:A total of 60 surgical patients with peptic ulcer bleeding admitted to our hospital from June 2017 to June 2018 were selected.According to the computer random number table extraction method,they were divided into observation group and control group,30 cases in each group.The control group received regular health education,the observation group implemented continuous health education.The effects of the two groups of patients were compared.Result:After the nursing intervention,HPLP-Ⅱ each dimension scores of two groups were higher than those before intervention,the scores of all dimensions in the observation group were higher than those in the control group,the differences were statistically significant (P<0.05).After the nursing intervention,the scores and total scores of 8 specific lifestyle compliance in the observation group were higher than those in the control group,the differences were statistically significant (P<0.05).The average length of stay in the observation group was shorter than that in the control group,the average amount of blood loss was less than that of control group,the differences were statistically significant (P<0.05).In the observation group,the rate of rebleeding during hospitalization and recurrence during follow-up period after nursing intervention were significantly lower than those in the control group,the differences were statistically significant (P<0.05).Conclusion:The application of continuous health education in patients with peptic ulcer bleeding surgery can promote their health behavior,improve their specific lifestyle compliance,improve postoperative rehabilitation and long-term recurrence,which has important clinical application value.