路径化床边健康宣教在结核性胸膜炎患者中的应用效果研究

目的 探讨路径化床边健康宣教执行单在结核性胸膜炎患者中的应用效果。方法 选取2018年2月至2019年10月入住我院结核科的106例结核性胸膜炎住院患者为研究对象,按方便抽样法分为两组,每组各53例,对照组采用传统的健康宣教方法和常规护理,研究组在常规护理的基础上应用路径化床边健康宣教执行单,按照时间进行系统性健康宣教。观察两组患者非计划拔管的发生率、健康宣教知识掌握程度、患者满意度、出院后服药依从性。结果 研究组患者非计划拔管的发生率为0%(0/42),低于对照组的5.71%(2/35),两组比较差异无统计学意义(P0.05);研究组患者健康宣教知识掌握率为98.11%(52/53),高于对照组的86.79%(46/53),两组比较差异有统计学意义(P0.05);研究组患者满意率96.23%(51/53),高于对照组的84.91%(45/53),两组比较差异有统计学意义(P0.05);研究组出院后服药依从率是100.00%(50/50),高于对照组的92.16%(47/51),两组比较差异有统计学意义(P0.05)。结论 应用床边健康宣教执行单对结核性胸膜炎患者实施路径化的健康宣教,能够提高住院病人满意度和健康宣教知识的掌握程度,提高服药依从性。

Application effect study of pathway bedside health education in patients with tuberculous pleurisy

Objective To investigate the application effect of pathway bedside health education in patients with tuberculous pleurisy.Methods A total of 106 patients with tuberculous pleurisy admitted to the Department of Tuberculosis in our hospital from February 2018 to October 2019 were selected as the research objects,and were divided into two groups according to the convenient sampling method,with 53 patients in each group.The control group was treated with the traditional health education method and routine nursing,while the research group was treated with systematic health education according to the time on the pathway bedside health education execution sheet on the basis of routine nursing.The incidences of unplanned extubation,mastery of health education knowledge,patient satisfactions,and medication compliances after discharge were observed in the 2 groups.Results The incidence of unplanned extubation was 0 (0/42)in the research group,which was lower than 5.71% (2/35) in the control group,and no statistically significant difference was observed between the two groups(P>0.05).The mastery rate of health education knowledge in the research group was 98.11% (52/53),which was higher than 86.79% (46/53) in the control group,and the difference between the two groups was statistically significant(P<0.05).The satisfaction rate of the research group was 96.23%(51/53),which was higher than 84.91%(45/53)of the control group,and the difference between the two groups was statistically significant (P<0.05).The drug compliance rate of the study group was 100.00% (50/50) after discharge,which was higher than 92.16% (47/51)of the control group,and the difference between the two groups was statistically significant (P<0.05).Conclusion The application of bedside health education alone to carry out pathway health education for patients with tuberculous pleurisy can improve the satisfaction of inpatients,the mastery of health education knowledge,and the compliance of medication.