摘要
目的探讨临床路径健康宣教对颈淋巴结结核术后患者生活质量的影响.方法选择2016年1月~2017年12月因颈淋巴结结核手术治疗的患者60例为研究对象,随机分为干预组与对照组各30例.对照组采用常规护理与健康教育,干预组实施临床路径健康宣教.比较出院3个月后两组生活质量、治疗依从性,比较术后恢复情况.结果出院后3个月,两组生活质量各维度得分均显著高于入组时,差异有统计学意义(P<0.05);出院后3个月,干预组生活质量各维度得分显著高于对照组,差异有统计学意义(P<0.05).秩和检验结果显示,干预组治疗依从性显著高于对照组,差异有统计学意义(P<0.05).术后干预组下床活动时间、肛门通气时间、进食时间、住院时间显著早于对照组,住院费用显著低于对照组,满意度显著高于对照组,差异有统计学意义(P<0.05).结论颈淋巴结结核手术患者实施临床路径健康宣教能显著促进术后恢复,提高治疗依从性,提高术后生活质量.
Objective To investigate the effect of clinical pathway health education on the quality of life of postoperative patients with cervical lymph node tuberculosis. Methods 60 patients with cervical lymph node tuberculosis surgery from January 2016 to December 2017 were enrolled in the study. They were randomly divided into intervention group and control group, with 30 cases in each group. The control group was treated with routine nursing and health education, and the intervention group implemented clinical pathway health education. The quality of life, treatment compliance after discharge for 3 months, and postoperative recovery were compared between the two groups. Results At 3 months after discharge, the quality of life scores in all dimensions in each group were significantly higher than those when enrolled, and the difference was significant(P<0.05). At 3 months after discharge, the quality of life scores in all dimensions in the intervention group were significantly higher than those in the control group. The difference was statistically significant(P<0.05). The results of rank sum test showed that the treatment compliance of the intervention group was significantly higher than that of the control group, and the difference was statistically significant(P<0.05). The ambulation time, anal ventilation time, eating time, and hospitalization time in the intervention group were significantly earlier than those in the control group after surgery. The hospitalization cost in the intervention group was significantly lower than that of the control group, and the satisfaction in the intervention group was significantly higher than that of the control group. The difference was statistically significant(P<0.05). Conclusion The implementation of clinical pathway health education in patients with cervical lymph node tuberculosis surgery can significantly promote postoperative recovery, improve treatment compliance and improve postoperative quality of life.
作者
张玥
黄金鹏
ZHANG Yue;HUANG Jinpeng(Department of Tuberculosis Surgery,Zhejiang Integrated Traditional Chinese and Western Medicine Hospital (Integrated Traditional Chinese and Western Medicine Hospital,Zhejiang University of Traditional Chinese Medicine),Hangzhou 310003,China)
出处
《中国现代医生》
2019年第26期161-164,共4页
China Modern Doctor
基金
浙江省中医药科技计划项目(2016ZB096)
关键词
临床路径
健康宣教
颈淋巴结结核术后
生活质量
Clinical pathway
Health education
Postoperative cervical lymph node tuberculosis
Quality of life
