摘要
目的 研究胆囊切除患者健康教育需求及其影响因素。方法 采用随机数表法选取在我院2015年6月至2017年1月就诊 的胆囊切除患者112例为调查对象。设计健康教育需求调查问卷量化患者健康教育需求及影响因素,比较患者健康 教育需求各维度得分及患者健康教育需求影响因素多元线性回归分析结果。结果 患者术前准备、手术相关知识、 并发症预防、术后镇痛方法、术后功能恢复方法得分分别为(46.85±6.12)、(29.65±2.12)、(15.53±2.23)、 (11.65±2.35)、(28.76±3.56),其中术前准备得分最高。患者性别、年龄、文化程度、家庭收入标准化回归系数 分别为-0.132、0.125、-0.112、-0.222,各组P<0.05。结论 患者对健康教育的需求主要表现在术前准备、手术相 关知识、并发症预防、术后镇痛效果上,对需求的主要影响因素为年龄、文化程度、家庭收入。
Objective To study the health education needs in patients with cholecystectomy and analysis of its influencing factors. Methods From Jul. 2014 to Jan. 2015, a total of 112 patients with cholecystectomy accepted treatment in our hospital were randomly chosen as the clinical research objects. A health education needs questionnaire was designed in order to quantify patients' health education needs and influencing factors, and compare their health education needs scores of all dimensions and multiple linear regression analysis results of health education needs influencing factors. Results The score of preoperative preparation was (46.85±6.12) which was higher than the scores of surgery related knowledge, prevention of complications, postoperative analgesia and postoperative functional recovery methods (29.65±2.12), (15.53±2.23), (11.65±2.35) and (28.76±3.56), the standardized regression coefficients of gender, age, educational level and family income were respectively -0.132, 0.125, -0.112 and -0.222(P<0.05). Conclusion The health education needs whose main influencing factors are gender, age, educational level and family income is mainly manifested in preoperative preparation, surgery related knowledge, prevention of complications and postoperative analgesia.
【关键词】胆囊切除;健康教育需求;影响因素
【中图分类号】R657.4
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2018.03.016
前言
胆囊结石主要见于成人,女性多于男性,发病率 随年龄增长而增长。结石为胆固醇结石或以胆固醇为 主的混合性结石和黑色胆色素结石[1]。胆结石与多种 因素有关,任何影响胆固醇与胆汁酸浓度比例改变和 造成胆汁淤滞的因素都能导致结石形成,如肥胖、糖 尿病、高血脂、肝硬化等[2]。随着人们生活水平的提 高以及饮食结构的改善,胆结石的发病率逐年提高, 腹腔镜胆囊切除术创伤小,住院时间短,康复快,已 经成为治疗该病的主要方法,采用该方法的患者在手 术期间有不同的健康需求[3-4]。本研究目的是研究胆 囊切除患者健康教育需求及影响因素,以补充和完善 相关研究。
罕少疾病杂志
第25卷, 第 3 期
2019年11月
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