术前情景模拟健康教育在胸腔手术患者中的应用

目的 探讨术前情最模拟健康教育在胸腔手术患者中的应用效果。方法 将180例择期行胸腔手术患者随机分为实验组和对照组各90例。对照组采用常规健康教育法即由护士对患者进行口头讲解手术相关知识、配合要点及注意事项；实验组根据患者病情及对疾病与手术相关知识的认知度和健康知识需求确定模拟内容，设计实物模拟和视频模拟，分阶段对患者开展术前健康教育和模拟训练。结果 实验组术后遵医行为显著高于对照组（P〈0．05）；胸腔闭式引流管留置时间、ICU监护时间显著少于对照组（均P〈0．05）。结论 术前情景模拟健康教育提高了患者的遵医行为，缩短了胸腔闭式引流管留置时间和ICU监护时间，有利于患者术后康复。

Application of Simulation in the Preoperative Health Education for Patients Undergoing Thoracic Surgery

Objective To study the effect of simulation in the preoperative health education for patients undergoing thoracic surgery.Methods One hundred and eighty patients undergoing thoracic surgery were randomly divided into an experimental group(n=90)and a control group(n=90).Routine health education was used in the control group before operation.Simulation was employed in the preoperative health education for patients in the experimental group.In simulation health education,the patients were centered and the contents of the health education were tailored according to the condition of the patients,their awareness of and demand for the health knowledge.The simulation in the health education was conducted by using real objects and video clips to simulate the authentic situations on step-by-step basis.The simulation training was given by nurses.Results In comparison with control group,the medical order-obeying behavior(MOOB)in the experimental group was significantly improved(P<0.05).The time of indwelling thoracic drainage and ICU monitoring time were significantly shorter in the experimental group than those of control group(P<0.05 for both).Conclusion Application of simulation in health education can improve the MOOB of the thoracotomic patients,reduce the time of thoracic drainage and ICU monitoring.