多元化健康教育在胸、腹腔镜联合治疗食管癌患者围术期中的应用价值研究

Study on the Application Value of Diversified Health Education in Combined thoracic and Laparoscopy in the Perioperative Period of Patients with Esophageal Cancer

目的探讨多元化健康教育在胸、腹腔镜联合治疗食管癌患者围术期的应用价值。方法采用该院2017年1月-2019年10月接收的58例食管癌患者作为研究对象,按照数字表评分法将患者划为对照组和研究组,每组29例。对照组患者实施常规健康教育,研究组患者实施多元化健康教育,观察分析两组患者的自护能力、疾病认知能力、生活质量水平、心理状况评分、健康素养评分、并发症发生率和术后康复情况。结果研究组并发症发生率6.90%,与对照组数据对比差异有统计学意义(χ^(2)=4.350,P=0.037);研究组患者生活质量总评分为(84.31±5.41)分、自护能力评分为(111.69±5.89)分,其数据显著优于对照组,差异有统计学意义(t=16.070、12.326,P<0.001);研究组饮食、康复锻炼、并发症、疾病症状观察、药物应用、情绪管理、信息获取能力、交流互动能力、改善健康意愿、焦虑评分、积极应对、消极应对、希望指数、胸管拔出时间、排气时间、下床活动时间、住院时间分别为(4.09±1.56)分、(4.23±0.89)分、(5.13±1.31)分、(4.90±0.96)分、(3.89±0.51)分、(5.70±1.73)分、(40.69±3.73)分、(42.73±4.25)分、(20.46±2.44)分、(40.76±4.15)分、(40.89±5.59)分、(22.15±4.56)分、(45.39±3.14)分、(90.14±10.12)h、(95.73±3.74)h、(2.04±0.35)d、(8.14±3.45)d,其数据均优于对照组,差异有统计学意义(t=9.730、14.048、10.438、13.210、11.832、9.701、12.815、11.011、9.707、9.445、7.571、11.004、12.492、10.254、10.223、9.769、9.817,P<0.001)。结论为胸、腹腔镜联合治疗食管癌患者实施多元化健康教育,可以降低患者并发症发生率,改善术后康复情况,提升患者自我保护能力,值得临床大力推广。

Objective To explore the value of diversified health education in the perioperative period of combined thoracic and laparoscopy in the treatment of patients with esophageal cancer.Methods The 58 patients with esophageal cancer accepted by the hospital from January 2017 to October 2019 were used as the research objects,and the patients were divided into the control group and the study group according to the digital table scoring method,with 29 cases in each group.Patients in the control group received regular health education,and patients in the study group received diversified health education.The self-care ability,disease cognition ability,quality of life,psychological status score,health literacy score,complication rate,and recovery after surgery of the two groups were observed and analyzed.Results The complication rate of the study group was 6.90%,which was significantly different from the data of the control group(χ^(2)=4.350,P=0.037);the total quality of life score of the patients in the study group was(84.31±5.41)points,and the self-care ability score was(111.69±5.89)points,the data was significantly better than the control group,the difference was statistically significant(t=16.070,12.326,P<0.001);the study group’s diet,rehabilitation exercise,complications,disease symptoms,drug application,mood management,information acquisition ability,communication and interaction ability,willingness to improve health,anxiety score,active coping,negative coping,hope index,chest tube withdrawal time,exhaust time,time to get out of bed,and hospital stay were(4.09±1.56)points,(4.23±0.89)points,(5.13±1.31)points,(4.90±0.96)points,(3.89±0.51)points,(5.70±1.73)points,(40.69±3.73)points,(42.73±4.25)points,(20.46±2.44)points,(40.76±4.15)points,(40.89±5.59)points,(22.15±4.56)points,(45.39±3.14)points,(90.14±10.12)h,(95.73±3.74)h,(2.04±0.35)d,(8.14±3.45)d,the data was better than the control group,the difference was statistically significant(t=9.730,14.048,10.438,13.210,11.832,9.701,12.815,11.011,9.707,9.445,7.571,11.004,12.492,10.254,10.223,9.769,9.817,P<0.001).Conclusion The implementation of diversified health education for patients with esophageal cancer combined with thoracoscopy and laparoscopy can reduce the incidence of complications,improve postoperative rehabilitation,and enhance patients'self-protection ability.It is worthy of clinical promotion.