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肝移植患者围术期健康教育需求调查及影响因素分析 被引量:12

Investigation of the demand for perioperative health education and analysis of influencing factors in patients undergoing liver transplantation
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摘要 目的 调查围术期不同阶段肝移植患者健康教育需求,探讨其影响因素,为更好地满足患者的健康教育需求提供理论依据.方法 2014年7月—2016年3月采用自制肝移植患者健康教育需求问卷对71例符合纳入标准的肝移植患者进行健康教育需求调查,采用单因素分析和多元回归分析肝移植患者健康教育需求的影响因素.结果 肝移植患者健康教育需求得分(114.48±5.27)分,处于较高水平.术前阶段患者健康教育需求程度最高的条目是手术经济负担(4.52±0.81)分,术后阶段是饮食指导(4.61±0.57)分、出院前为复查随访指导(4.72±0.45)分.多元线性回归显示,文化程度与等待肝源时间是患者健康教育需求的主要影响因素(P〈0.05).结论 护理人员应了解评估肝移植患者健康教育需求现况,采取有针对性及个体化的健康教育,从而提高患者生存质量. Objective To investigate the demand for perioperative health education in liver transplantation patients at different stages, and to discuss its influencing factors, so as to provide the empirical evidence for nurses to satisfy patients' health education demand. Methods From July 2014 to March 2016, the self-designed health education demand questionnaire for patients undergoing liver transplantation was used to investigate 71 patients who met the criteria. Single factor analysis and multiple regression analysis were used to explore the influencing factors of the health education demand. Results The score of health education demand in liver transplantation patients was (114.48±5.27), which was at a relatively high level. The item with highest demand at preoperative stage was the financial burden of the surgery, with the score of (4.52±0.81). Diet guidance was the highest at postoperative stage, and the score was (4.61±0.57). Before discharge, review follow-up guidance was the most popular item, with the score of (4.72±0.45). Multiple regression analysis demonstrated that education background and waiting time for liver were the main influencing factors of health education demand (P〈0.05). Conclusions The nursing staff should realize the current situation of health education demand in liver transplantation patients and provide individualized health education for each individual patient to improve the patients' quality of life.
作者 雷雪雪 于颖 王春丽 金云玉 Lei Xuexue;Yu Ying;Wang Chunli;Jin Yunyu(Department of Hepatobiliary and Pancreas Surgery, the First Hospital of Jilin University, Changehun 130021, China;Disinfection Supply Center, the First Hospital of Jilin University, Changchun 130021, China()
出处 《中华现代护理杂志》 2018年第14期1673-1676,共4页 Chinese Journal of Modern Nursing
关键词 肝移植 围手术期护理 健康教育 需求 Liver transplantation Perioperative nursing Health education Needs
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