实践性指导和演示性指导在造口患者家属健康宣教中的比较和体会.pdfVIP

实用 l临床医药杂事 2011 年第 15 卷第2 期 Joom且1 of Clinica1 Medicine in Practice • 61 • 实践性指导和演示性指导在造口患者家属 健康置教中的比较和体会 陈庆丽，徐东亮，周金意 (南京医科大学第…附属医院部尿外科，江苏南京， 21ω129) 摘要:爵的 逃出一种贬为被患者家脱接受和学会的枯贴造口袋的方法，减少妒士宣教时间.减少患者家属学习时间， 增加选口袋的使用时间，减少您者费用。方法将50 例膀恍全切尿路边n的怠辛苦家属随机分为两组，一组采取护士演泳尿路 透口袋的帖贴方法，即护士操作家属在一旁观看;另叫组采用实践做操作方法，即手把手教怠街家属帖贴造口袋的方法，根据 各种指标进行统计学分析。结泉 实践性指导更容易被患者家属搜受，患者家属平均1.3 次就能学会，护士宽数时间平均每位 家属 30 min. 此组家属粘贴的选口袋平均使用时间 6.5 d. 明显优于演*组，节约患者更换造门袋费用。结论 采用实践性指 导即手把乎教患者家属粘贴造口袋比演示性指导llP ::lt;防护士操作家属在旁边观看更好.51!容易被患者家属接受。 关键词t 实践钝;曾遭示性;造口护理;健康商教 中团分类号: R 473.6 文献标识码:A 文章编号: 1672 叩 2353(2011)02 叩ω61 叫 02 Comparison and experience on heaJth education of patien s family with stoma by nurse demonstration and self-manipulation CHEN Qing-li , XU Dong峭Iiang， ZHOU Jin-yi (γñe First f如μωAffíliated ω Nanji略必创icaL University , Nanj吨， }iang.棚， 21∞29) ABSTRACf: Objective To investigate a method of plasteri咱 ostomy bag that is 明sier ac帽 cepted and leamed by family members of patients. Methods Clinica1 data of 50 families of total cystωomy patient with st佣18. The patient s families were divided into two groups , which were n旧时 demonstration 聊。up (25 cases)and self汀nanipulation group(25 cases) , then statistica1 analysis W随 b臼ed on various kinds of index. Rωults， Self-manipulation w;回 easi凹 accepted and leamed by family members of patients. The patient s f缸nilies were able to manipulate on the average of 1. 3 time , the evenn栅 time of n旧时 demonstration w;部 30 minutes with every patient s family , and this groups 惆tomy bag of evenness using time 6.5 days , that was obviously advantage ous over nurse demonstration group and exes of pations were 阻.