术前健康教育对乳腺癌患者术后主动康复意愿的影响.pdfVIP

现代临床护 (Modem Clinical Nurs／ng)2008．7(1) 57 · 健康教育· 术前健康教育对乳腺癌患者术后主动康复意愿的影响 李海静，李月婵，古利丽，潘青竹，卢丽金 (中山大学附属第五医院普外Ⅱ区，广东珠海，519000) [摘要] 目的 探讨术前健康教育对乳腺癌患者术后康复治疗效果的影响。方法 选择67例乳腺癌患者，分为实验 组和对照组，两组均采用相同的常规健康教育，实验组(34例)在术前开始行一对一讲解化疗知识及示范上肢功能锻炼，对照 组(33例)在术后24 h内根据患者病情状态一对一讲解术后相关知识。调查两组患者术后1周主动康复意愿情况。结果 两 组患者在术后主动了解自身康复治疗相关知识及上肢功能锻炼的配合方面均存在统计学差异，其中实验组患者术后能较主 动了解自身康复治疗相关知识，功能锻炼的配合度高于对照组(均P0．05)。结论 通过术前健康教育，患者术后能主动索 求健康知识，积极主动配合患侧上肢功能锻炼，提高了生活质量，也加强了护患沟通，拉近了护患间距离。 [关键词] 术前；乳腺癌；健康教育；康复治疗；护理 [中图分类号] R473．6 [文献标识码] A [文章编号] 1671—8283(2008)01—0057—03 [Abstract] Objective To investigate the effect of preoperative health education on the desire of breast cancer patients for postoperative initiative rehabilitation． Methods 67 breast cancer patients were divided into 2 groups： the experimental group and control group．Routine health education Was done in both of the two groups．Additionally，the 34 cases in the former group received one·to·one preoperative health education on chemotherapy and demonstration of upper limb exercise， while the control group(33 cases)did 24 hours after operation．The initiative to rehabilitation and the requirements for relevant knowledge in 2 groups were studied and compared one week after operation． Results There were statistical differences in initiative to rehabilitation and the requirements for relevant knowledge between the 2 groups． Th e testing group Was more voluntary to seek the relevant know~dge of rehabilitation and more cooperative in exercise therapy after operation(尸0．05)． Conclusiom By purposive preoperative health education， patients can seek the rehabilitation knowledge initiatively and perform corresponding upper limb exercises cooperatively．It Can promote the living quality and the communication between nurse and patient． [Key words] pre-operation；breast cancer；health educat