临床健康教育路径在老年股骨颈骨折围手术期护理中的应用

目的探讨临床健康教育路径在老年股骨颈骨折围手术期护理中的临床应用价值。方法按入院日期的单双号顺序，将120例需行手术治疗的老年股骨颈骨折患者随机分为观察组和对照组各60例。对照组实施传统的健康教育路径，而观察组实施临床健康教育路径，即针对患者不同住院时段（入院时、术前、术后及出院时）制定标准化的健康教育内容，并按照健康教育流程实施，对两组患者掌握健康知识情况、遵医行为率、对护理工作满意度、住院时间及费用等指标进行评价。结果观察组掌握健康知识情况、遵医行为率及对护理工作的满意度分别为98．3％、95．0％和91．7％，均高于对照组的85．0％、76．7％和53．3％）；而住院时间（13．8±1．3）d短于对照组的（17．4±1．5）d，住院费用（11236．3±129．5）元也少于对照组的（15663．2±131.6）元，组间差异均具有统计学意义（P＜0．05）。结论临床健康教育路径应用于老年股骨颈骨折围手术期护理中，可以缩短住院时间，减少住院费用，提高患者掌握健康知识率、遵医行为率及对护理工作的满意度，具有重要临床应用价值。

Clinical health education paths in peri-operative femoral neck fracture patients

Objective To explore the clinical value of the clinical health education paths in the peri-operative femoral neck fracture patients. Methods According to the order of admission date of odd and even numbers, 120 femoral neck fracture patients were randomly divided into observation and control groups（n=60）. The control group received traditional health education path management, and implementation of clinical observation group health education path that was different periods of hospitalization of patients（admission, preoperative, and postoperative hospital discharge） to develop a standardized health education and follow health educational process of health education. The health knowledge, the rate of compliance behavior, nursing job satisfaction, and other indicators of hospital stay and costs were evaluated. Results Health knowledge, the rate of compliance behavior and satisfaction of nursing work of the observation group were higher than that of the control group. The length of hospital stay of the observation group （13.8±1.3） d was shorter than that of the control group （17.4±1.5） d. The hospital costs of the observation （11236.3±129.5 Yuan） was less than that the control group （15663.2 ±131.6 Yuan） （P〈0.05）. Conclusion Clinical health education path femoral neck fracture perioperative care can shorten the hospital stay, reduce hospital costs and improve patient health knowledge mastered rate, the rate of compliance behavior and satisfaction of nursing work.