健康教育路径对食管癌放疗患者认知行为的影响

目的探讨健康教育路径对食管癌放疗患者认知行为的影响。方法将100例食管癌放疗患者，随机分为对照组50例和实验组50例。对照组采用随机化口头健康教育，实验组按食管癌放疗患者健康教育路径表进行健康教育，比较两组患者对疾病相关知识认知和行为依从性的差异。结果实验组患者认知掌握情况分别为：疾病知识88％、放疗知识76％、放疗并发症66％，均高于对照组（40％，24％，16％），差异有统计学意义（χ2分别为25．0，25．01，25．84；P〈0．01）；实验组患者行为依从性情况分别为：改变不良生活习惯82％、预防和处理并发症76％、自觉调整心理状态74％，均高于对照组（44％，36％，50％），差异有统计学意义（χ2分别为15．49，16．23，6．11；P〈0．05）。结论健康教育路径能提高食管癌放疗患者的正确认知和行为依从性。

Effect of clinical pathway of health education on cognitive behavior of patients with esophageal carcinoma under radiotherapy

Objective To investigate the clinical pathway of health education on the cognitive behavior of patients with esophageal carcinoma under radiotherapy. Methods 100 cases of esophagus cancer patients treated with radiotherapy were randomly divided into two groups. Patients in control group were treated with traditional methods of randomized oral education. Patients in the experimental group were treated with the clinical pathway of health. The cognition of disease-related knowledge and behavior compliance in two group were compared. Results The cognition of the esophagus cancer, radiotherapy and complications for the experimental group were 88% ,76% ,66% respectively,which were significantly higher than those from the control group （40% ,24% ,16% respectively） （ χ2 = 25.0,25. 01,25.84, respectively; P 〈 0.01 ）. For the compliance, 82% of the patients in the experimental group changed bad habit; 76% of them prevented and dealt with the compliances; 74% of them adjusted their psychological condition voluntarily. Those numbers were significantly higher than those of the control group （ χ2 = 15.49,16.23, 6. 11, respectively ; P 〈 0. 05 ）. Conclusions The clinical pathway of health education can improve patients＇ correct cognition and compliance with esophageal carcinoma under radiotherapy.