路径化健康教育对机械性心脏瓣膜置换术病人自我护理能力的影响

目的]观察路径化健康教育对机械性心脏瓣膜置换(MHVR)术后病人自我护理能力的影响。方法]将96例MHVR术后病人随机分为路径组和常规组,分别给予路径化健康教育和常规健康教育,并采用自我护理能力测定量表评价两组病人在手术后入病房时(干预前)、出院时及出院后3个月的自我护理能力并进行比较。结果]干预后路径化组病人出院时和3个月后自我护理能力总分及4个维度得分与干预前比较,差异均有统计学意义(P0.05)。出院时,两组自我护理能力总分及自理责任感、自我概念、健康知识水平3个维度得分比较,差异有统计学意义(P0.05);出院后3个月,两组自我护理能力总分及4个维度得分比较,差异有统计学意义(P0.05)。结论]路径化健康教育对MHVR病人自我护理能力的提升效果优于常规健康教育。

Influence of path health education on self care ability of patients with mechanical heart valve replacement

Objective:To observe the influence of path health education on self care ability of patients with me-chanical heart valve replacement(MHVR).Methods:A total of 96 patients with MHVR were randomly divided into pathway group and routine group,the patients in two groups received path health education and routine health education respectively.Self care ability of patients in both groups was evaluated by using nursing ability measurement scale before surgery,after surgery and 3 months after discharge.Results:After the intervention,the total score of self care ability and the 4 dimensions scores were statistically significant at the discharge and 3 months after discharge (P<0.05).At the discharge,the total score of self care ability,self responsibility,self concept and health knowledge level in three dimensions were compared between both groups,the difference was statistically significant(P<0.05).3 months after discharge,the self care ability score and four dimensions scores were compared between both groups,the difference was statistically significant(P<0.05).Conclusion:The enhancement effect of path health education was better than that of routine health education for self care ability of patients with MHVR.