新型人性化健康教育在骨科护理中的应用及满意度分析

黄俊梅; 赵志; 宋紫薇; 周新社

doi:10.16766/j.cnki.issn.1674-4152.002643

新型人性化健康教育在骨科护理中的应用及满意度分析

doi: 10.16766/j.cnki.issn.1674-4152.002643

蚌埠医学院第一附属医院骨科，安徽蚌埠 233004

基金项目:

安徽高校自然研究重点项目 KJ2021A0807

详细信息

通讯作者:
周新社, E-mail: zhouxs1967@126.com

中图分类号: R473.6
计量
- 文章访问数: 148
- HTML全文浏览量: 170
- PDF下载量: 5
- 被引次数: 0
出版历程
- 收稿日期: 2022-01-28
- 网络出版日期: 2022-11-29

Application and satisfaction analysis of new humanised health education in orthopaedic nursing

Department of Orthopedics, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

摘要

摘要: 目的分析新型人性化健康教育在骨科护理中的应用效果，探究其对患者满意度的提升效果。方法选取2020年3月—2021年11月在蚌埠医学院第一附属医院骨科就诊的82例患者，采用随机数字表法将患者分为观察组和对照组，各41例，其中观察组实施新型人性化健康教育，对照组进行常规健康教育。比较2组患者依从性, 同时应用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估2组患者在健康教育开展前后心理状态，使用健康教育护理满意度评估表比较2组患者的满意度。结果健康教育干预前2组患者SAS和SDS评分差异无统计学意义(均P>0.05)。健康教育干预后观察组患者SAS和SDS评分均低于对照组，差异有统计学意义(均P＜0.05)。观察组患者对健康教育方式的依从率(97.56%，40/41)高于对照组(80.49%, 33/41)，差异有统计学意义(P＜0.05)。观察组的健康教育护理满意度评分为(92.53±3.62)分，高于对照组的(80.46±4.57)分，差异有统计学意义(P＜0.05)。结论对骨科患者实行新型人性化健康教育模式，能够提升患者对护理的认知水平，提高患者依从率和患者满意度。
- 骨科护理 /
- 新型人性化健康教育 /
- 应用效果 /
- 满意度
Abstract: Objective To analyse the application effect of new humanised health education in orthopaedic nursing and its impact on improving patient satisfaction. Methods A total of 82 patients treated in the Department of Orthopaedics of the First Affiliated Hospital of Bengbu Medical College from March 2020 to November 2021 were included in this study. The patients were randomly divided into experimental and control groups with 41 cases each. The experimental group received new humanised health education and the control group received routine health education. Patient compliance of the two groups with different health-education modes was compared. Moreover, self-rating anxiety scale (SAS) and the self-rating depression scale (SDS) were used to evaluate the psychological status of the patients in the two groups before and after health education. The satisfaction of patients treated with different health-education modes was compared using a health-education nursing satisfaction evaluation form. Results Before health-education intervention, no significant differences existed in the SAS and the SDS between the two groups (all P>0.05). After health-education intervention, SAS and the SDS in the experimental group were lower than those in the control group, and the differences were significant (all P < 0.05). The compliance rate of health education in the experimental group (97.56%, 40/41) was significantly higher than that in the control group (80.49%, 33/41, P < 0.05). The score of health-education nursing satisfaction in the experimental group [(92.53±3.62) points] was higher than that in the control group [(80.46±4.57) points], and the difference was statistically significant (P < 0.05). Conclusion The application of the new humanised health-education model for orthopaedic patients can improve their cognition of nursing, compliance rate, and satisfaction.
- Orthopaedic care /
- New humanised health education /
- Application effect /
- Satisfaction

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表 1 2组骨科患者依从率比较

Table 1. Comparison of compliance rate between 2 groups of orthopedic patients

组别	例数	完全依从[例(%)]	一般依从[例(%)]	不依从[例(%)]	依从率(%)
观察组	41	30(73.17)	10(24.39)	1(2.44)	97.56(40/41)
对照组	41	10(24.39)	23(56.10)	8(19.51)	80.49(33/41)
注：2组依从率比较，χ²=4.493，P=0.034。

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表 2 2组骨科患者心理状态比较(x±s，分)

Table 2. Comparison of psychological state between two groups of orthopedic patients (x±s, points)

组别	例数	SAS评分		t值	P值	SDS评分		t值	P值
组别	例数	干预前	干预后	t值	P值	干预前	干预后	t值	P值
观察组	41	48.12±5.51	24.15±4.51	19.860	< 0.001	49.15±5.42	25.62±4.24	21.890	< 0.001
对照组	41	47.98±5.42	32.24±5.22	13.390	< 0.001	48.95±5.36	33.24±5.22	13.440	< 0.001
t值		0.116	7.509			0.168	7.255
P值		0.908	< 0.001			0.867	< 0.001

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参考文献(18)

[1]	王静, 张娟. 健康教育在四肢骨折患者术后肢体康复护理中的应用效果分析[J]. 山西医药杂志, 2021, 50(16): 2473-2474. doi: 10.3969/j.issn.0253-9926.2021.16.032 WANG J, ZHANG J. Application effect analysis of health education in postoperative limb rehabilitation nursing of patients with limb fracture[J]. Shanxi Medical Journal, 2021, 50(16): 2473-2474. doi: 10.3969/j.issn.0253-9926.2021.16.032
[2]	张卉, 牛振娥, 吴忠慧, 等. 基于个人与家庭自我管理理论的健康教育在脑血管介入治疗患者中的应用[J]. 临床与病理杂志, 2021, 41(4): 848-853. https://www.cnki.com.cn/Article/CJFDTOTAL-WYSB202104020.htm ZHANG H, NIU Z E, WU Z H, et al. Application of health education based on personal and family self-management theory in patients undergoing cerebrovascular intervention therapy[J]. Journal of Clinical and Pathological Research, 2021, 41(4): 848-853. https://www.cnki.com.cn/Article/CJFDTOTAL-WYSB202104020.htm
[3]	彭文君, 李斌飞, 周仕海, 等. 基于微信平台多学科参与的术前访视系统在无痛胃肠镜检查中的应用效果评价[J]. 中国护理管理, 2021, 21(2): 288-293. doi: 10.3969/j.issn.1672-1756.2021.02.026 PENG W J, LI B F, ZHOU S H, et al. Effects of the preoperative visit system based on Wechat platform and multidisciplinary participation on painless gastrointestinal endoscopy[J]. Chinese Nursing Management, 2021, 21(2): 288-293. doi: 10.3969/j.issn.1672-1756.2021.02.026
[4]	李雅丽, 刘瑞, 张艳, 等. 将"手足并用"教学法形式运用到骨科护理健康宣教初探[J]. 内蒙古医科大学学报, 2019, 41(S2): 92-94. https://www.cnki.com.cn/Article/CJFDTOTAL-NMYX2019S2039.htm LI Y L, LIU R, ZHANG Y, et al. Preliminary study on the application of "hand and foot" teaching method to orthopedic nursing health education[J]. Journal of Inner Mongolia Medical University, 2019, 41(S2): 92-94. https://www.cnki.com.cn/Article/CJFDTOTAL-NMYX2019S2039.htm
[5]	张燕, 石君惠. 基于5S管理法的健康教育在甲乳外科临床护理管理中的应用分析[J]. 山西医药杂志, 2021, 50(1): 168-171. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYY202101075.htm ZHANG Y, SHI J H. Application analysis of health education based on 5S management method in the clinical nursing management of orthodontic surgery[J]. Shanxi Medical Journal, 2021, 50(1): 168-171. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYY202101075.htm
[6]	杨琳, 杨志英. 基于目标设定理论的动态健康教育在老年髋膝关节置换中的应用[J]. 实用骨科杂志, 2021, 27(7): 669-672. YANG L, YANG Z Y. Application of dynamic health education based on goal-setting theory in elderly patients undergoing hip and knee arthroplasty[J]. Journal of Practical Orthopaedics, 2021, 27(7): 669-672.
[7]	王琴凤. 手术室护理中应用人文关怀对提升护理质量以及患者满意度的效果分析[J]. 山西医药杂志, 2021, 50(11): 1892-1895. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYY202111044.htm WANG Q F. Effect analysis of humanistic care in operating room nursing to improve nursing quality and patient satisfaction[J]. Shanxi Medical Journal, 2021, 50(11): 1892-1895. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYY202111044.htm
[8]	李晓琴, 胡桂花, 赵清华, 等. 基于视觉传达理论的照顾者思维导图教育在全膝关节置换患者居家康复中的应用[J]. 解放军护理杂志, 2021, 38(3): 61-64, 89. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL202103015.htm LI X Q, HU G H, ZHAO Q H, et al. Application of mind mapping education among caregivers in home rehabilitation of patients after total knee arthroplasty: Based on the visual communication theory[J]. 解放军护理杂志, 2021, 38(3): 61-64, 89. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL202103015.htm
[9]	陈静, 刘茹, 康格平, 等. 以微信健康教育为主的延续护理干预对2型糖尿病患者糖尿病足知识、态度、行为和血糖控制情况的效果观察[J]. 贵州医药, 2021, 45(10): 1649-1650. https://www.cnki.com.cn/Article/CJFDTOTAL-GZYI202110079.htm CHEN J, LIU R, KANG G P, et al. Effect of continuous nursing intervention based on wechat health education on diabetic foot knowledge, attitude, behavior and blood glucose control in patients with type 2 diabetes mellitus[J]. Guizhou Medical Journal, 2021, 45(10): 1649-1650. https://www.cnki.com.cn/Article/CJFDTOTAL-GZYI202110079.htm
[10]	孙莹, 章传华, 郑福鑫, 等. 基于术后强化康复理念的护理干预在后腹腔镜肾癌根治术中的应用及效果评价[J]. 现代泌尿生殖肿瘤杂志, 2021, 13(3): 170-173. https://www.cnki.com.cn/Article/CJFDTOTAL-PXDM202103009.htm SUN Y, ZHANG C H, ZHENG F X, et al. Application and effect evaluation of nursing intervention based on the concept of postoperative intensive rehabilitation in retroperitoneal laparoscopic radical nephrectomy[J]. Journal of Contemporary Urologic and Reproductive Oncology, 2021, 13(3): 170-173. https://www.cnki.com.cn/Article/CJFDTOTAL-PXDM202103009.htm
[11]	周爽, 方雪, 余凤琴. 健康宣教结合心理护理在骨科老年患者手术中的应用[J]. 齐鲁护理杂志, 2016, 22(24): 118-119. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL201624063.htm ZHOU S, FANG X, YU F Q. Application of health education combined with psychological nursing in elderly patients with orthopedic surgery[J]. Journal of Qilu Nursing, 2016, 22(24): 118-119. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL201624063.htm
[12]	简文, 任莎莎, 张颖, 等. 心理护理对缓解骨科创伤患者心理情绪的系统评价[J]. 预防医学情报杂志, 2021, 37(2): 228-232. https://www.cnki.com.cn/Article/CJFDTOTAL-YFYX202102016.htm JIAN W, REN S S, ZHANG Y, et al. The systematic evaluation of psychological nursing to relieve the psychological emotion of orthopedic trauma patients[J]. Journal of Preventive Medicine Information, 2021, 37(2): 228-232. https://www.cnki.com.cn/Article/CJFDTOTAL-YFYX202102016.htm
[13]	赵志, 周焕, 王敏, 等. 医养结合模式在骨科老年患者术后康复中的应用研究[J]. 中华全科医学, 2018, 16(4): 543-545, 610. doi: 10.16766/j.cnki.issn.1674-4152.000149 ZHAO Z, ZHOU H, WANG M, et al. Application of medical and nursing combination mode in postoperative rehabilitation of elderly patients in orthopedics department[J]. Chinese Journal of General Practice, 2018, 16(4): 543-545, 610. doi: 10.16766/j.cnki.issn.1674-4152.000149
[14]	袁萌, 郑向英. 四肢骨折患者术后肢体康复护理中健康教育的应用及对患者生活质量评分的影响[J]. 山西医药杂志, 2020, 49(14): 1930-1933. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYY202014066.htm YUAN M, ZHENG X Y. Application of health education in postoperative limb rehabilitation nursing of patients with limb fracture and its influence on the quality of life score of patients[J]. Shanxi Medical Journal, 2020, 49(14): 1930-1933. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYY202014066.htm
[15]	张娟芝, 房兆, 白小艳. 知信行健康教育对骨科术后患者疾病认知, 遵医行为及并发症的影响[J]. 医学临床研究, 2021, 38(10): 1582-1585. https://www.cnki.com.cn/Article/CJFDTOTAL-JFJB202202014.htm ZHANG J Z, FANG Z, BAI X Y. Effect of knowledge, attitude and practice health education on disease cognition, compliance behavior and complications of patients after orthopedic surgery[J]. Journal of Clinical Research, 2021, 38(10): 1582-1585. https://www.cnki.com.cn/Article/CJFDTOTAL-JFJB202202014.htm
[16]	李曼, 李华特, 陈晨, 等. 行为习惯逆转疗法结合家属参与健康教育模式在老年瘙痒症病人护理中的应用[J]. 护理研究, 2020, 34(24): 4374-4378. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202024012.htm LI M, LI H T, CHEN C, et al. Application of habit reversal therapy combined with family participation health education model in nursing of patients with senile pruritus[J]. Chinese Nursing Research, 2020, 34(24): 4374-4378. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202024012.htm
[17]	张娜, 姜媛媛. 个性化健康教育及护理干预在糖尿病患者中的应用效果及对护理满意度的影响[J]. 临床医学研究与实践, 2022, 7(11): 162-164. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS202211045.htm ZHANG N, JIANG N N. Application effect of individualized health education and nursing intervention in patients with diabetes mellitus and its influence on nursing satisfaction[J]. Clinical Research and Practice, 2022, 7(11): 162-164. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS202211045.htm
[18]	陈智慧, 曾忠友, 钱锦锋. 集束化护理管理在负压引流术治疗骨科创伤感染患者中的应用研究[J]. 中华全科医学, 2021, 19(6): 1049-1052. doi: 10.16766/j.cnki.issn.1674-4152.001982 CHEN Z H, ZENG Z Y, QIAN J F. Application of cluster nursing management to the treatment of orthopaedic trauma with infection through vacuum sealing drainage[J]. Chinese Journal of General Practice, 2021, 19(6): 1049-1052. doi: 10.16766/j.cnki.issn.1674-4152.001982