健康教育路径评价表在鼻咽癌放疗患者健康教育中的应用.docVIP

健康教育路径评价表在鼻咽癌放疗患者健康教育中的应用 吴小红 （宁波市医疗中心李惠利医院，浙江宁波 315040） 摘要 目的 探讨将健康教育路径评价表应用于鼻咽癌放疗患者健康教育的实施效果。方法 将同期住院的255例鼻咽癌放疗患者随机分成两组：对照组125例按传统模式进行健康教育；实验组130例按制定好的健康教育路径评价表进行健康教育。比较两组健康教育效果。结果 实验组健康教育知晓率及对护理工作的满意度明显高于对照组，而放疗不良反应、平均住院日及住院费用低于对照组。结论 将健康教育路径评价表应用于鼻咽癌放疗患者健康教育能提高健康教育知晓率和患者对护理工作满意度，降低放疗不良反应、平均住院日住院费用。 关键词 健康教育；临床路径；鼻咽癌；放疗 The Application of the Health Education Assessment Form in education for the patients with nasopharyngeal carcinoma radiotherapy Wu xiaohong (NingBo Medical Center LiHuiLi Hospital, ZheJiang NingBo 315040) Abstract Objective To study the effect of Health Education Assessment Form which is used in health education for the patients with nasopharyngeal carcinoma radiotherapy. Methods Divide 255 cases of nasopharyngeal carcinoma radiotherapy patients which is in hospital during the same period into two groups randomly: The control group of 125 cases be in the traditional health education; and the experiment group of 130 cases be in health education with the assistance of Health Education Assessment Form. Compare the effect of the two groups. Results the experiment group on the awareness of the health education and satisfaction of nursing job was significantly higher than the control group, and radiotherapy adverse reactions, the day in hospital and the charge of be in hospital are also lower than those in the control group. Conclusion The application of the Health Education Assessment Form in education for the patients with nasopharyngeal carcinoma radiotherapy can improve the patients’ awareness on health education and satisfaction of nursing job, reduce radiotherapy adverse reactions and average fees in hospital. Key words health education; A clinical pathway; Nasopharyngeal carcinoma (NPC); radiation 鼻咽癌是一种对放射线高度敏感的肿瘤，故放射治疗是治疗鼻咽癌的首选方法[1]。然而放射治疗住院时间长，费用高，且放射线对局部皮肤，咽部粘膜等有一定的损伤，会出现不同程度的放疗不良反应及后遗症[2]。为缩短住院日减少住院费，减轻放疗不良反应，自2010年3月以来我们将健康教育路径评价表应用于鼻咽癌患者，效果满意。现报告如下。 资料与方法 1.1 一般资料 2010年3月至2012年1 月我科共收治255例鼻咽癌初治患者，男162例，女93例，年龄21-79岁。经病理切片证实为低分化鳞癌21