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自护教育和护理包使用对无喉患者的效果观察
引用本文:刘桂梅,曾小芬,廖学娜,陈冬兰,黄嫦媚,王毅,覃宇铭. 自护教育和护理包使用对无喉患者的效果观察[J]. 中国实用护理杂志, 2009, 25(8). DOI: 10.3760/cma.j.issn.1672-7088.2009.03.041
作者姓名:刘桂梅  曾小芬  廖学娜  陈冬兰  黄嫦媚  王毅  覃宇铭
作者单位:广西医科大学第一附属医院耳鼻咽喉-头颈外科,南宁,530021
基金项目:美国增进人类健康科研基金赞助项目 
摘    要:目的 探讨术后早期实施自我护理教育和后期指导护理包使用对无喉患者产生的效果.方法 符合入组条件40例喉全切除术后患者按手术日期分为对照组和观察组各20例,对照组接受常规护理;观察组除接受常规护理措施外由专业护士进行系统干预,干预内容包括早期自我护理教育和后期指导使用护理包.分别于术后15 d、3个月进行问卷调查,比较2组应对方式、自护能力及生存质量.结果 应对方式比较2次测评结果均有显著差异.自护能力比较术后15 d自护技能和健康知识水平有差异,其他2项比较无差异;术后3个月自护4个项目比较均有显著差异.患者生存质量总分评定2组比较有差异.结论 术后早期进行系统自护教育和后期指导使用护理包可以推动患者积极应对,提高自理能力和生存质量.

关 键 词:护理教育  护理包使用  应对方式  自理能力  生存质量

Observation on the effect of serf-care education and nursing package usage on non-throat patients
LIU Gui-mei,ZENG Xiao-fen,LIAO Xue-na,CHEN Dong-lan,HUANG Chang-mei,WANG Yi,QI Yu-ming. Observation on the effect of serf-care education and nursing package usage on non-throat patients[J]. Chinese Journal of Practical Nursing, 2009, 25(8). DOI: 10.3760/cma.j.issn.1672-7088.2009.03.041
Authors:LIU Gui-mei  ZENG Xiao-fen  LIAO Xue-na  CHEN Dong-lan  HUANG Chang-mei  WANG Yi  QI Yu-ming
Abstract:Objective To discuss the effect of self- care education at the early time of postoperation and the use of nursing packages during the later period on non- throat patients. Methods 40 patients having un-dergone total laryngectomy were divided into the control group and the experimental group according to the surgery date with 20 cases in each group. The control group received conventional nursing, while the experi-mental group was given the system intervention by specialized nurses. The intervention content included self-care education at the early time of postoperation and the use of nursing packages during the later period. The questionnaire survey was carried out 15 days and 3 months after operation.The coping style,self-care ability and survival quality were compared between the two groups. Results The comparison of coping style showed re-markable difference in the two groups. The comparison of self- care ability and level of health knowledge showed significant difference 15 days after operation except two other items,but the four items demonstrated significant difference 3 months after operation. Difference also existed in the total scorn of survival quality. Conclusions Early system serf- care education after operation and the use of nursing package during the later period can impel the patients to cope positively, enhance self-care ability and survival quality.
Keywords:Nursing education  Use of nursing package  Coping style  Self-care ability  Survival quality
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