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中国防痨杂志 ›› 2015, Vol. 37 ›› Issue (3): 280-284.doi: 10.3969/j.issn.1000-6621.2015.03.012

• 论著 • 上一篇    下一篇

责任小组式教育提高胸腰椎结核手术患者健康教育知晓率

毕娜 马远征 于梅 张延晖 余兴艳 陈嘉一   

  1. 100091 北京,解放军第三〇九医院骨科中心
  • 收稿日期:2015-01-04 出版日期:2015-03-10 发布日期:2015-04-03
  • 通信作者: 马远征 E-mail:myzzxq@sina.com

Effect of team working health education for patients with thoracolumber vertebra tuberculosis operation

BI Na, MA Yuan-zheng, YU Mei, ZHANG Yan-hui, YU Xing-yan, CHEN Jia-yi   

  1. Department of Orthpdic, The 309th Hospital of PLA, Beijing 100091, China
  • Received:2015-01-04 Online:2015-03-10 Published:2015-04-03
  • Contact: MA Yuan-zheng E-mail:myzzxq@sina.com

摘要: 目的 探讨责任小组式健康教育在提高胸腰椎结核手术患者健康教育知晓率上的有效性。 方法 应用随机数字表法随机选择2014年1—10月本院骨科中心脊柱外科病区收治的胸腰椎结核手术患者100例,历史对照实验设计分为实验组(6—10月患者)和对照组(1—5月患者)。实验组从2014年6月份开始实施责任小组式健康教育,其中责任护士负责制定健康教育计划,责任组长组织实施小组教育,护士长组织健康教育查房。测量患者健康教育知晓情况、护理服务满意度和护理健康教育计划准确程度。两组健康教育知晓程度、护理服务满意度、健康教育计划准确度得分比较采用t检验,以P<0.05为差异有统计学意义。 结果 实验组与对照组患者健康教育知晓程度总得分分别为(18.21±1.26)分和(15.26±1.01)分,护理服务满意度总得分分别为(96.68±7.62)分和(85.88±8.91)分,护理健康教育计划准确度总得分分别为(28.16±6.27)分和(23.14±5.13)分,实验组均高于对照组(t值分别为12.92、6.51、4.38,P值均<0.01)。 结论 责任小组式健康教育有利于培养护士健康教育能力,提高护理服务满意度和患者健康教育知晓率。

关键词: 结核, 脊柱/护理, 胸椎, 腰椎, 健康教育, 觉知, 病人医疗护理计划, 护理, 小组

Abstract: Objective To evaluate the effect of team working health education on improving the awareness of patients with thoracolumber vertebra tuberculosis operation. Methods A total of 100 patient with thoracolumber vertebra tuberculosis operation from January to October 2014 in the Department of Orthopedics in the 309th Hospital of PLA were randomly selected. The patients treated from January to May were in the control group, and from June to October were in the experimental group. The team working health education was conducted from June. The primary nurse developed the health education plan, the group leader organized the group education, and the head nurse organized the health education ward round. The scores of patients’ awareness, satisfaction on the nursing, and the accuracy of nursing planning of health education in the two groups were observed and compared by t test. P<0.05 was considered statistically significant. Results The scores of patients’ awareness were (18.21±1.26) and (15.26±1.01), of satisfaction were (96.68±7.62) and (85.88±8.91), and the accuracy of nursing planning were (28.16±6.27) and (23.14±5.13) in the two groups, and those of the experimental group were all significantly higher than the control group (t=12.92, 6.51 and 4.38, P<0.01). Conclusion The team working health education can improve the nursing competency of health education, and promote the satisfaction of nursing and patients awareness as well.

Key words: Tuberculosis, spinal/nursing, Thoracic vertebrae, Lumbar vertebrae, Health education, Awareness, Patient care planning, Nursing, team