逆行胰胆管造影术患者应用健康教育效果评价.docVIP

逆行胰胆管造影术患者应用健康教育效果评价 　　[摘要] 目的 探讨“一对一”三步走健康教育方法对降低内镜逆行胰胆管造影术后并发症发生率的作用。方法 将160 例ERCP手术患者随机分为两组，由医护人员按常规健康教育对照组和进行“一对一”三步走健康教育观察组进行对比，观察新健康教育模式对提高疾病知晓率、ERCP检查知晓率、降低紧张应激心理，增强手术配合意识的效果。结果 观察组患者疾病知晓率（93.80%））高于对照组（67.50%），P=0.000，手术并发症观察组（2.6%）明显低于对照组（16.3%），P=0.003，两组有显著差异性（P0.05）。结论 “一对一”三步走健康教育方法能提高患者疾病知晓率，有效减轻患者焦虑心理，降低手术并发症的发生。 　　[关键词] 健康教育；ERCP；并发症；效果评价 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-0742（2014）05（c）-0175-03 　　[Abstract] Objective To explore the effect of one to one three-step method of health education on reducing the incidence of complications after endoscopic retrograde cholangiopancreatography （ERCP）. Methods 160 cases of patients underwent ERCP surgery from October， 2012 to October， 2013 were randomly divided into two groups， the conventional health education group and the one to one three-step of health education group， and were compared by the medical personnel. The effect of the new mode of health education on improving the awareness of the disease， ERCP examination awareness， reducing psychological tension stress and enhancing surgery cooperation consciousness was compared. Results The observation groups awareness of the disease （93.80%） was higher than that （67.50%） of the control group， P=0.000， surgical complications （2.6%） of the observation group was obviously lower than the control groups 16.3%， P=0.003， the differences between two groups were statistically significant （P0.05）. Conclusion The one to one three-step of health education can improve the awareness of the disease， alleviate the psychological anxiety of the patients effectively， and reduce the incidence of operative complications. 　　[Key words] Health education； ERCP； Complications； Effect evaluation 　　内窥镜逆行胰胆管造影（endoscopic retrograde cholangiopancrea to graphy，ERCP）目前已广泛应用于胰胆疾病的诊断与治疗中， 成为诊断与治疗胰腺和胆道疾病的主要手段之一[1]。该院地处多民族聚居地，疾病知识普率相对较低。行ERCP手术患者绝大部分是不具备医学知识的少数民族病人。随着ERCP的广泛开展，并发症时有发生，不但增加患者痛苦、延长患者住院时间，严重时甚至危及生命。因此ERCP术后并发症的预防就显得尤为重要。2012年10月―2013年10月间起该院医护人员与病房医护人员协作，开展研究探讨“一对一”三