路径化健康教育对经桡动脉择期PCI手术患者的实施效果研究

目的 探讨急性心肌梗死临床路径的健康教育方法对经桡动脉穿刺行冠脉介入治疗(PCI)手术患者的实施效果.方法 将200例行择期PCI术的急性心肌梗死患者随机分为实验组和对照组,实验组采用临床路径的程序化健康教育,对照组采用常规宣教.结果 实验组患者对疾病知识掌握程度、对医疗护理满意度、PCI术后桡动脉穿刺侧肢体疼痛、肿胀感觉与对照组比较差异有统计学意义(P＜0.05).两组患者术后桡动脉穿刺侧渗血和血肿发生率比较差异无统计学意义(P＞0.05).结论 采用临床路径的健康教育模式有利于提高患者对疾病知识的掌握程度,并能减轻术后患者对穿刺侧肢体的部分主观体验,提高对医疗护理服务的满意度.

Effect of health education by clinical pathway in patients with elective transradial PCI

Objective To explore the effectiveness of health education by clinical pathway for the patients undergoing elective transradial percutaneous coronary intervention.Methods 200 patients with acute myocardial infarction were divided into experimental group and control group randomly.The experimental group enforced health education by clinical pathway.The control group took routine health education.Participants completed self made questionnaires including the following aspects,such as demographic data,the knowledge of the illness,the satisfaction with the medical care,symptoms and signs of the operative limb.Results The differences between the two groups were notable(P<0.05) about the scores of the knowledge of the illness,the satisfaction with the medical care,the limb pain and swelling.There were significant differences in the incidence of errhysis and hematoma(P>0.05) between the two groups.Conclusion Health education by clinical pathway can improve the patients’ knowledge of the illness,alleviate some symptoms,increase their satisfaction to the medical care.