健康教育路径对胸腔引流管留置时间的影响

目的探讨健康教育路径对胸腔引流管留置时间的影响，规范该类患者手术后的护理措施。方法将2006年3—12月行开胸手术患者45例作为对照组，将2007年1—9月50例同类患者作为实验组。对照组进行胸腔闭式引流常规护理及宣教；实验组按健康教育路径由经培训的专职责任护士在患者术后当天及术后第1、2、3、4天对患者根据健康教育路径实施干预，内容包括心理护理与疼痛管理、呼吸功能锻炼、活动训练及引流效能增进措施等。比较2组患者胸腔引流管平均留置时间。结果实验组与对照组胸腔引流管平均留置时间分别为（74．40±8．88）h、（91．68±10．08）h，经t检验，差异有统计学意义（P〈0．01）。结论胸腔引流术后落实健康教育路径，有效地缩短了开胸术后胸腔引流管留置时间，减少患者的痛苦与费用。

Influence of health education pathway on detaining time of thoracic drainage tube

Objective To discuss the influence of health education pathway on detaining time of thoracic drainage tube and standardize the nursing procedure for postoperative patients. Methods Forty five patients after thoracotomy from March to December in 2006 were set as the control group.Fifty patients of the same kind from January to September in 2007 were named the test group. The control group received conventional nursing education. The test group received health education on the day of operation,the first, second,third and fourth day after operation from specified nurses according to health education pathway. The contents included psychological nursing,pain management,respiratory function and physical training and enhancement of drainage efficacy.The average indwelling time of thoracic drainage tube was recorded. Results The average indwelling time of thoracic drainage tube in the test group and the control group was （74.40±8.88）h and （91.68±10.08）h respectively,which showed statistical difference,P 〈 0.01. Conclu- sions Application of health education pathway effectively shortened indwelling time of thoracic drainage tube as well as reduced pain and medical costs of patients.