主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2020, Vol. 20 ›› Issue (5): 659-663.doi: 10.3969/j.issn.1672-1756.2020.05.005

• 论 著 • 上一篇    下一篇

全程健康教育方案在喉癌术后人工气道患者居家护理安全管理中的应用

汪文娟 申玉玲 刘金花 郭佳佳 姜芸 张庆翔 何双八   

  1. 东南大学医学院附属南京同仁医院耳鼻咽喉头颈外科,211102 南京市(汪文娟,申玉玲,刘金花,郭佳佳,张庆翔,何双八);大外科(姜芸)
  • 出版日期:2020-05-15 发布日期:2020-05-15
  • 通讯作者: 何双八,博士,副主任医师,E-mail:hesb@njtrh.org
  • 作者简介:汪文娟,本科,主管护师,护士长
  • 基金资助:
    江苏省自然科学基金(BK20161116)

Application of multi-mode whole-course education program in home nursing safety management of patients with artificial airway after laryngeal carcinoma surgery

WANG Wenjuan, SHEN Yuling, LIU Jinhua, GUO Jiajia, JIANG Yun, ZHANG Qingxiang, HE Shuangba   

  1. Department of Otolaryngology Head and Neck, Nanjing Tongren Hospital, School of Medicine, Southeast University, Nanjing, 211102, China
  • Online:2020-05-15 Published:2020-05-15
  • Contact: E-mail:hesb@njtrh.org

摘要: 目的:分析全程健康教育方案在喉癌术后人工气道患者居家护理安全管理中的应用效果。方法:采用便利抽样法,选取2015年1月至2016年12月符合纳入标准的75例患者为对照组,给予常规护理;选取2017年1月至2018年12月符合纳入标准的75例患者为实验组,应用全程健康教育方案,同时在患者携管出院后配合使用移动终端信息交流工具进行延伸管理。结果:实验组患者出院3个月内居家护理不良事件发生率低于对照组(5.3%?vs?33.3%),差异有统计学意义(P<0.05)。出院指导质量量表调查结果显示,两组患者对出院指导内容的需求量一致,差异无统计学意义(P>0.05),对患者获得出院指导的内容和护士指导的效果、技巧两方面,差异有统计学意义(P<0.01)。结论:全程教育方案,配合使用移动终端信息交流工具,能有效降低喉癌术后人工气道患者居家护理不良事件发生率,保障患者安全,提升患者出院指导质量。

关键词: 人工气道;喉癌;健康教育;安全管理;居家护理

Abstract: Objective: To explore the application effects of whole-course health education program in home nursing safety management of patients with laryngeal cancer after artificial airway operation. Methods: Seventy-five patients who met the inclusion criteria from January 2015 to December 2016 were selected as the control group and given routine nursing. Seventy-five patients who met the inclusion criteria from January 2017 to December 2018 were selected as the experimental group, and the health education program was applied. At the same time, the mobile terminal information exchange tool was used for extended management after the patients were discharged from the hospital. Results: The incidence of adverse events of home care in the experimental group was significantly lower than that in the control group within three months after discharge (5.3% vs 33.3%, P<0.05). The results of the questionnaire showed that there was no significant statistical difference between the two groups regarding the demands for discharging guidance content (P>0.05). There were significant differences in the content of discharging guidance the two groups received and the effects and skills of nurses' guidance between the two groups (P<0.01). Conclusion: The whole-course education program, combined with the use of mobile terminal information exchange tools, can effectively reduce the incidence of adverse events in home care of patients with laryngeal cancer after artificial airway surgery, ensure patient safety and improve the quality of discharge guidance.

Key words: artificial airway; laryngeal cancer; health education; safety management; home nursing

中图分类号: 

  • R47