本文選題：無(wú)縫隙管理模式　切入點(diǎn)：耳鼻喉科　出處：《中國(guó)健康教育》2017年05期

【摘要】：目的探討無(wú)縫隙管理模式在耳鼻喉科手術(shù)患者健康教育中的應(yīng)用。方法按照入院時(shí)間,將274例耳鼻喉科手術(shù)患者分為對(duì)照組和觀察組,每組137例患者。對(duì)照組采用常規(guī)健康教育,觀察組實(shí)施無(wú)縫隙管理模式的健康教育,比較2組患者的健康教育效果。結(jié)果實(shí)施無(wú)縫隙管理模式后,觀察組患者并發(fā)癥(70.1%)、藥物治療(71.5%)、手術(shù)治療的重要性(78.1%)、術(shù)前檢查(76.6%)、個(gè)人衛(wèi)生準(zhǔn)備(79.6%)、心理因素的重要性(70.1%)、術(shù)后康復(fù)(73.7%)、術(shù)后飲食(73.7%)、定期復(fù)檢的重要性(83.9%)等知識(shí)知曉率均高于對(duì)照組(P0.01);觀察組患者能夠表達(dá)自我感受(92.0%)、對(duì)醫(yī)護(hù)人員醫(yī)囑依從的意愿(97.1%)、尋求術(shù)后康復(fù)信息的意愿(97.8%)、接受術(shù)后康復(fù)鍛煉的意愿(94.9%)等正向態(tài)度持有率均高于對(duì)照組(P0.05);觀察組患者手術(shù)創(chuàng)口自我護(hù)理(85.4%)、尋求術(shù)后活動(dòng)方式(83.9%)、按照醫(yī)囑定時(shí)服藥(89.8%)、選擇合適的營(yíng)養(yǎng)品攝入(86.9%)、康復(fù)與功能鍛煉(83.9%)、定期復(fù)檢(86.9%)等健康行為均高于對(duì)照組(P0.05);觀察組患者無(wú)焦慮(29.9%)、輕度焦慮(43.8%)均高于對(duì)照組(P0.05)。結(jié)論無(wú)縫隙管理模式的健康教育可以提高耳鼻喉科手術(shù)患者的疾病相關(guān)知識(shí)水平、正向態(tài)度和健康行為,降低患者的焦慮狀態(tài)。
[Abstract]:Objective to explore the application of seamless management model in health education of patients undergoing otolaryngology operation. Methods 274 patients undergoing otolaryngology surgery were divided into control group and observation group according to the time of admission. There were 137 patients in each group. Routine health education was used in the control group, and the health education in the observation group was carried out in the seamless management mode, and the effect of health education in the two groups was compared. Results after the implementation of the seamless management model, In the observation group, 70.1% of the patients had complications, 71.5% of the drug treatment, 78.1% of the surgical treatment, 76.66% of the preoperative examination, 79.6% of the personal hygiene preparation, 70.1% of the psychological factors, 73.7% of the postoperative rehabilitation, 73.7% of the postoperative diet, 83.9% of the importance of regular reexamination). The positive attitude holding rate in the observation group was higher than that in the control group, such as 92.0% self-feeling, 97.1% willingness to follow the doctor's advice, 97.8% willingness to seek postoperative rehabilitation information, and 94.9% willingness to accept postoperative rehabilitation exercise.) the positive attitude holding rate in the observation group was higher than that in the control group. The healthy behaviors of the observation group were higher than that of the control group (P 0.05). The patients in the observation group received 85.4% of self-nursing care after operation, and 83.9% of the patients in the observation group took medicine as prescribed by the doctor, and 86.9% of the patients received 86.9% of the appropriate nutrition, 83.9% of the rehabilitation and functional exercise, and 86.9% of the control group (P 0.05), and the other health behaviors were significantly higher than those of the control group (P 0.05). The health behaviors of the observation group were higher than those of the control group (P 0.05). The observation group was higher than the control group (P 0.05). Conclusion the health education of seamless management mode can improve the knowledge level of diseases in patients undergoing otolaryngology surgery. Positive attitude and healthy behavior reduce anxiety state of patients.
【作者單位】： 南京醫(yī)科大學(xué)護(hù)理學(xué)院;江陰市人民醫(yī)院耳鼻咽喉科;
【基金】：南京醫(yī)科大學(xué)健康促進(jìn)護(hù)理協(xié)同創(chuàng)新中心建設(shè)項(xiàng)目(JX21831803/004)
【分類號(hào)】：R473.76

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