回访式健康教育在宫腔镜术后患者中应用.docVIP

回访式健康教育在宫腔镜术后患者中应用 　　摘 要 目的:通过对宫腔镜术后患者进行电话回访,将医院健康教育延伸到病人家中,有效了解患者术后情况,进行有针对性的健康教育,从而提高和巩固疗效。方法:对2006年1月～2006年12月行宫腔镜手术患者808例进行电话访问,主要访问内容:了解患者术后的恢复情况,离院指导内容的掌握及执行情况。结果:本组808例中776例获访,32例失访,回访率达96%,回访满意度98%;解答及指导776例院外患者存在的问题,电话回访后患者存在的问题有所减少,患者对疾病基本知识、用药知识、性卫生知识的了解,遵医行为差异都有显著性,P0.005。结论:电话回访工作是一种经济实用,患者易于接受的健康教育方式,促进和巩固疗效起积极作用,同时提高护理满意度及医院社会效应。 　　关键词 宫腔镜术后 电话回访 健康教育 　　doi:10.3969/j.issn.1007-614x.2010.23.255 　　AbstractObjective:To elevate and consolidate the therapeutic effect by follow-up visit education in patients underwent hysteroscope and extending the hospital health education to dischargepatients.Methods:From Jan.2006 to Dec.2006,808 patients enderwent hysteroscope in our hospital were follow-up by telephone.The contents of visit include getting the message of recovery after operation,the information and performance of the doctors guidance.Results:776 out of 808 patients were followed-up and 32 patients were not.The rate of return visit was 96% and the satisfaction rate was 98%.The patients problems were decreased after telephone follow-up visit of solution and guidance.There were significant difference among the essential knowledge of disease,medication, sexual hygiene and following doctorguidance(P0.005).Conclusion:follow-up visit by telephone was a kind of health education way which was economy,useful and easy to be accepted by patients.It is positive to elevate and consolidate the therapeutic effect an raise the nursing satisfactory by follow-up visit education. 　　Key Wordafter hysteroscope;telephone follow-up;health education. 　　资料与方法 　　2006年1月～2006年12月收治宫腔镜手术患者808例,年龄21～68岁;电话回访776例,访问率达96%,因更改电话、异地电话、电话不详、联系困难而失访32例;已婚780例,未婚28例;宫腔镜检查术372例,宫腔镜下输卵管插管术335例,宫腔镜电切术101例;临床诊断有原发不孕、继发不孕、输卵管阻塞、子宫内膜息肉、黏膜下子宫肌瘤、节育环嵌顿、功血、不全流产、宫腔粘连、子宫内膜炎、纵膈子宫等。 　　实施方法:建立患者的档案:科内设电话回访登记本及术后图文报告存底,将病人的姓名、年龄、地址、联系电话、术前诊断、手术医师、存在问题、回访日期时间、回访内容、相关指导、病理报告、用药情况、治疗等作记录。 　　回访护士的素质要求:由2名主管护师担任电话回访工作,同时要求其具有高度的责任心,丰富的临床经验,扎实的专科理论知识,良好的沟通技巧和语言表达能力,能说粤语、普通话,能满足患者需求,熟悉患者病情。 　　回访时间:①对于