多维度系统化健康教育对肿瘤住院患者的影响

目的 探讨肿瘤住院患者科学而有效的健康教育模式.方法 将住院患者按时间分为两组,对照组对患者采用传统说教式的单维度健康教育方式,而观察组对患者采用内容广泛、方式多种、个体化、路径化、时段性强的多维度系统化的健康教育方式.比较两组患者的满意度及在延迟CT检查、投诉手术费用等缺陷发生情况.结果 观察组护理工作满意度（98.4％,1 256/1 276）较对照组（91.3％,918/1005）明显提高,差异有统计学意义（x2=63.199,P＜0.01）,观察组发生延迟CT检查、投诉手术费用、不配合佩戴腕带、私自使用电器等护理缺陷均明显降低,总体护理缺陷（0.86％,11/1 276）较对照组（17.8％,179/1005）明显下降,差异有统计学意义（x2 =34.78,P ＜0.01）.结论 多维度系统化的健康教育模式能显著提高患者满意度并有效减少护理缺陷,值得广泛临床应用.

Effect of multidimensional and systematic health education in the hospitalized tumor patients

Objective To explore the scientific and effective communication education mode in the hospitalized tumor patients.Methods The patients were divided into two groups according to the time,and the control group received the traditional single dimension communication education,and the observation group received the multidimensional and systematic communication education.The patient satisfaction and the incidence of defects such as delayed CT examination,complaints operation cost and so on were compared between two groups.Results The satisfaction was 98.4% （1 256/1 276） in the observation group,and was higher than 91.3% （918/1 005） in the control group,and the difference was statistically significant （x2 =63.199,P 〈 0.01）.The nursing defects including delayed CT examination,complaints operation cost,failure to wear the wrist strap,use of electrical appliances and so on in the observation group were significantly decreased,and the total incidence rate of nursing defects in the observation group was 0.86% （11/1 276）,and was significantly lower than 17.8% （179/1 005） in the control group,and the difference was statistically significant （x2 =34.78,P 〈 0.01）.Conclusions The multidimensional and systematic communication education can significantly improve the patient satisfaction,and can effectively reduce the nursing defects,and is worthy of wide clinical application.