逆行胰胆管造影术患者应用健康教育的效果评价

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（P〈0.05）。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。

Evaluation of the Healthy Education Applied to Patients with Endoscopic Retrograde Cholangiopancreatography

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 group＇s 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 group＇s 16.3%, P=0.003, the differences between two groups were statistically significant （ P〈0.05）. 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.