Abstract: Objective  To explore the methods of health education in patients with tuberculous destroyed lung who received surgery. Methods  One hundred patients with tuberculous destroyed lung who received surgery in our hospital from June 2010 to March 2013 were randomly divided into experimental group and control group according to admission time. We designed nursing clinical pathway for the experimental group. Fifty patients in the experimental group received health education by clinical pathway according to the patient’s specific clinical symptoms and care needs, and the patients in control group received routine care health education. The effects of health education in 2 groups were compared. SPSS 11.0 software was used for data analysis, χ² test was applied to compare the difference of awareness rate and t test was applied to compare the difference of score of health behavior. P<0.05 was set for statistical difference.  Results  The awareness rates of patients in experimental group on 4 preoperative examination knowledge points（86.5%，173/200）, 6 preoperative preparation knowledge points（82.3%，247/300）, 3 postoperative analgesia knowledge points（80.7%，121/150）, 1 postoperative pipeline manage knowledge point（82.0%，41/50）, 1 knowledge point（82.0%，41/50） on diet and nutrition and 4 postoperative rehabilitation knowledge points（82.0%，164/200）were significantly higher than the control group(78.0%,156/200; 58.7%,176/300; 54.7%,82/150; 56.0%,28/50; 62.0%,31/50; 57.0%,114/200 respectively）(χ² values were 4.95, 40.397, 23.17, 7.901, 4.96 and 29.48 respectively, P<0.05）. And there was no significant difference of diseaserelated knowledge awareness between 2 groups (χ²＝2.953, P>0.05）. There were more changes in health behavior in experimental group than control group［(11.34±1.17) vs (10.38±1.64）］ (t=4.13, P<0.05）.  Conclusion  Establishing nursing clinical pathway for patients with tuberculous destroyed lung who received surgery can provide comprehensive and effective professional guidance for nurses, improve the effect of health education and help patients recover quickly.

Key words: Tuberculosis, pulmonary/surgery, Preoperative care , Postoperative care, Health education