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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2021年2期

页码:

159-162

栏目:

出版日期:

2021-02-10

文章信息/Info

Title:

 Effects of Health Education Under Graphic Demonstration Mode on Self-care
Ability and Nursing Satisfaction of Patients with Hand Injury Undergoing Skin Flap
Transplantation

文章编号:

1008-6455（2021）02-0159-04

作者:

 吕柏蓉; 曹建华; 胡永梅

Author(s):

 LV Bai-rong; CAO Jian-hua; HU Yong-mei

关键词:

 [关键词]皮瓣移植; 手外伤; 形象演示模式; 健康教育; 自护能力; 满意度; 焦虑; 抑郁

Keywords:

 Key words: skin flap transplantation;  hand trauma;  graphic demonstration mode;  health education;  self-care ability;  satisfaction; anxiety;  depression

分类号:

R473.6

文献标志码:

A

摘要:

[摘要]目的：探讨形象演示模式下的健康教育对手外伤皮瓣移植修复患者自护能力及护理满意度的影响。方法：笔者医院从
2018年7月开始实施形象演示模式下的健康教育护理，在此理论基础上制订手外伤皮瓣移植术形象演示模式下的健康教育护
理方案，2017年1月-2018年6月随机选择75例行手外伤皮瓣移植术的患者作为对照组，2018年7月-2020年1月随机选择75例行
手外伤皮瓣移植术的患者为观察组，比较两组护理后手功能恢复情况、自护能力评分、汉密尔顿抑郁自评量表（Hamilton
depression scale，HAMD）和汉密尔顿焦虑自评量表（Hamilton anxiety scale，HAMA）评分及护理满意度评分。结果：观
察组术后手功能恢复良好率为69.33%高于对照组52.00%，差异有统计学意义（P ＜0.05）。两组患者护理后健康知识水平、
自我护理能力、自我概念、自护责任感评分均较护理前升高，且观察组高于对照组，差异有统计学意义（P ＜0.05）。两组
患者护理后HAMD、HAMA评分均低于护理前，观察组HAMD、HAMA评分均低于对照组，差异有统计学意义（P ＜0.05）。护理
后，观察组患者在科室环境、护理人员沟通讲解、态度和配合度四个方面的护理满意度得分高于对照组，差异有统计学意义
（P ＜0.05）。结论：形象演示模式下的健康教育有利于加快手外伤皮瓣移植术患者手功能恢复，改善其自护能力和不良情
绪，护理满意度更高。

Abstract:

Abstract: Objective To explore the effects of health education under graphic demonstration mode on self-care ability and
nursing satisfaction of patients with hand injury undergoing skin flap transplantation. Methods From July 2018, health
education nursing under graphic demonstration mode was implemented in the hospital. On basis of the theory, health education
nursing plans under graphic demonstration mode were developed for skin flap transplantation of hand injury. During the period
from January 2017 to June 2018, 75 patients who underwent hand injury skin flap transplantation were randomly enrolled
as the control group. During the period from July 2018 to January 2020, 75 patients who underwent hand injury skin flap
transplantation were randomly enrolled as the observation group. The hand function recovery, scores of self-care abilities,
Hamilton depression scale (HAMD), Hamilton anxiety scale (HAMA) and nursing satisfaction after nursing were compared
between the two groups. Results After surgery, good rate of hand function recovery in the observation group was higher than
that in the control group (69.33% vs 52.00%), the difference was statistically significant(P ＜0.05). After nursing, level of health
knowledge, scores of self-care abilities, self-concept and self-care responsibility in both groups were increased, which were
higher in the observation group than those in the control group (P ＜0.05). After nursing, scores of HAMD and HAMA in both
groups were decreased, which were lower in the observation group than those in the control group (P ＜0.05). After nursing,
scores of patients nursing satisfaction with department environment, communication explanation of nursing staffs, attitude and
cooperation degree in observation group were higher than those in control group (P ＜0.05). Conclusion The health education
under graphic demonstration mode is conducive to accelerating hand function recovery in patients with hand injury undergoing
skin flap transplantation, improve their self-care abilities and negative emotions, with higher nursing satisfaction.

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更新日期/Last Update: 2021-03-09