Effect of diversified health education model on postoperative limb functional exercise in patients with tuberculous empyema

doi:10.3969/j.issn.1000-6621.2018.06.020

Abstract

Abstract:

The clinical data of 175 male patients with tuberculous empyema who underwent pleural fibreboard stripping surgery from January 2016 to December 2017 at the First Department of Thoracic Surgery of Shenyang Chest Hospital was analyzed retrospectively. Seventy-five patients from January to December of 2016 were defined as pre implementation group and applied routine health education model after surgery. One hundred patients from January to December of 2017 were defined as post implementation group and applied diversified health education model after surgery. The patient’s compliance of functional exercise in the pre implementation group was 65.3% (49/75), which was lower than that in the post implementation group (84.0% (84/100)), and the difference was statistically significant (χ ²=8.19, P=0.004). The satisfactory degrees of patients on the nursing care in the pre implementation group (93.3% (70/75)) was lower than that in the post implementation group (100.0% (100/100)), and the difference was statistically significant (χ ²=9.29, P=0.010). For patients with tuberculous empyema after operation, the diversified health education significantly improves the patient’s compliance of postoperative limb functional exercises and increases the satisfactory degrees of patients on the nursing care.

Key words: Empyema, tuberculous, Health education, Patient care planning, Autogenic training, Patient compliance, Comparative study

Ying LIU,Yu QI,Jiao BI. Effect of diversified health education model on postoperative limb functional exercise in patients with tuberculous empyema[J]. Chinese Journal of Antituberculosis, 2018, 40(6): 652-655. doi: 10.3969/j.issn.1000-6621.2018.06.020

Figures/Tables 4

组别	年龄 (岁, $x ˉ$ ±s)	切口长度 (cm, $x ˉ$ ±s)	切口位置[例(构成比,%)]		手术时间 (h, $x ˉ$ ±s)	出血量 (ml, $x ˉ$ ±s)
组别	年龄 (岁, $x ˉ$ ±s)	切口长度 (cm, $x ˉ$ ±s)	左侧	右侧	手术时间 (h, $x ˉ$ ±s)	出血量 (ml, $x ˉ$ ±s)
实施后组(100例)	42.05±16.22	11.79±1.08	52(52.00)	48(48.00)	3.24±0.65	1082.50±198.39
实施前组(75例)	41.40±17.56	11.76±1.19	44(58.67)	31(41.33)	3.11±0.53	1058.00±179.53
检验值	0.32^a	0.22^a	0.03^b		4.43^a	1.37^a

References 6

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条目	选项
1. 您的年龄是?	A. 15~29岁; B. 30~49岁; C. 50~59岁; D. 60岁以上
2. 您的学历是?	A. 文盲; B. 小学; C. 初中或高中; D. 大学及以上
3. 您是否掌握功能锻炼的方法?	A. 掌握; B. 了解一些; C. 完全不了解
4. 您住院期间的功能锻炼如何完成?	A. 自己主动完成; B. 在家人的督促下能够完成; C. 完全依赖家属; D. 完全依赖护士; E. 医生没让我活动,我不敢动
5. 您会按照护士告知您的功能锻炼方式进行练习吗?	A. 会; B. 偶尔会; C. 不会,觉得没有必要; D. 没有被告知
6. 您不愿意做功能锻炼的原因是?	A. 疼痛; B. 不了解方法; C. 认为没有必要; D. 怕加重肿胀; E. 体力不够; F. 缺乏他人帮助,缺乏督导; G. 懒惰
7. 您的责任护士了解您对功能锻炼的掌握情况吗?是否进行督导?	A. 会; B. 偶尔会; C. 经常; D. 不会
8. 您认为护士关于功能锻炼的指导对您的术后康复有帮助吗?	A. 有; B. 没有; C. 有一点; D. 完全没有
9. 您对护士关于功能锻炼的指导满意吗?	A. 非常满意; B. 满意; C. 一般; D. 不满意
10. 对于护士关于功能锻炼的指导,您还有哪些建议?

调查内容	满意程度(分)
调查内容	满意		基本满意		不满意
1. 您初入病房时,能否得到护士的热情接待,对于护士的举止、态度是否满意?	10		5		0
2. 您入院时护士是否为您介绍了主治医生、责任护士、病区设施等?您对护士的介绍内容是否满意?		10		5		0
3. 入院时护士是否详细介绍住院期间关于各项安全方面的注意事项?您对介绍是否满意?		10		5		0
4. 您在做各项检查前,护士是否向您讲明地点及注意事项?您是否满意?		10		5		0
5. 护士是否主动向您说明所患疾病相关知识、您的饮食特殊要求及注意事项,您是否满意?		10		5		0
6. 护士是否告知您出院后关于药物、饮食、活动、康复等注意事项,您是否满意?		10		5		0
7. 您在住院期间护士对您的健康教育,您是否满意?		10		5		0
8. 您对护士的护理操作技术是否满意?		10		5		0
9. 您对护士掌握的专业知识水平是否满意?		10		5		0
10. 您对护士仪表是否满意?		10		5		0

组别	满意		基本满意		不满意		满意度 (%)	χ²值	P值
组别	例数	构成比(%)	例数	构成比(%)	例数	构成比(%)	满意度 (%)	χ²值	P值
实施后组(100例)	96	96.0	4	4.0	0	0.0	100.0	9.29	0.010
实施前组 (75例)	63	84.0	7	9.3	5	6.7	93.3

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