摘要
目的评价结直肠癌手术患者采用集中式术前健康教育的效果。方法将186例拟行结直肠癌根治手术的患者随机分为试验组(n=102)和对照组(n=84),试验组采用集中式术前健康教育,对照组采用传统的一对一口头术前健康教育,利用患者满意度调查表调查参加术前健康教育患者对护理的满意率,同时采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评定比较两组患者焦虑、抑郁水平。结果两组患者年龄、性别、文化程度无显著性差异。试验组患者对护理工作的满意率为96.1%,明显优于对照组(85.7%),差异有统计学意义(P<0.05)。入院时试验组和对照组患者的SAS和SDS评分分别为(55.6±15.7)、(57.4±17.5)和(50.2±10.7)、(52.6±9.7),两组比较无统计学差异(P>0.05)。术前进行健康教育后,再次评定结果显示,术前1d、术后1d和7d,两组患者的SAS和SDS评分均下降,但试验组下降程度较对照组更加显著,差异有统计学意义(P<0.05)。结论对结直肠癌患者进行集中式术前教育,有助于患者掌握手术注意事项,提高患者的满意度,减轻患者术前、术后的焦虑和抑郁情绪,提高患者术后的生活质量。
Objective To evaluate the effect of pre-operative centralized health education in colorectal cancer patients. Methods From October 2008 to June 2009 ,186 patients with colorectal cancer were randomly divided into two groups ,the experimental group (n =102) received centralized health education while the control group (n =84) traditional one-to-one oral health education before operation. Patient satisfaction questionnaire was used to investigate the degree of satisfaction on nursing. The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were evaluated on admission without health education , and then on the 1st day with health education before radical operation , 1st day and 7th day after radical operation. The patients' anxiety and depression levels were compared between the two groups. Results There were no significant differences in age , gender and level of education between the two groups. The satisfaction rate of the patients in the experimental group was 96.1% , significantly higher than 85.7% in the control group (P<0.05). The SAS and SDS scores of the patients without health education on admission were (55.6 ±15.7) and (50.2 ±10.7) in the experiment group , (57.4±17.5) and (52.6±9.70 in the control group , there were no significant differences between the two groups (P >0.05). With health education, the SAS and SDS scores decreased on the 1st day before operation,1st day and 7th day after operation both in the two groups , furthermore the SAS and SDS scores in the experiment group decreased more significantly than that in the control group (P <0.05). Conclusions As for colorectal cancer patients , pre-operative centralized education is useful for the patients to master peri-operative notes , promote the degree of satisfaction , alleviate patients’ anxiety and depression, and improve the quality of life after operation.
出处
《消化肿瘤杂志（电子版）》
2012年第2期116-118,共3页
Journal of Digestive Oncology(Electronic Version)
关键词
结直肠癌
护理
术前教育
集中式
效果
Colorectal cancer
Nursing
Centralized health education
Effect
