目的探讨健康教育路径对巨脾型晚期血吸虫病(晚血)围手术期患者的效果。方法巨脾型晚血围手术期患者60例随机分为观察组和对照组,每组30例。观察组按健康教育路径表的标准化流程从入院到出院实施护理及健康教育,对照组给予常规健康教育。比较两组患者对护理工作的满意度、住院时间和住院总费用及健康教育掌握度。结果观察组和对照组患者满意度分别为90.0%和60.0%,差异有统计学意义(χ2=7.57,P<0.05);两组平均住院时间分别为14.0±3.5 d和19.0±6.8 d,差异有统计学意义(t=2.85,P<0.01);两组平均住院费用分别为(1.5±0.5)万元和(2.2±0.7)万元,差异有统计学意义(t=24.57,P<0.01)。术后第10天,两组健康知识掌握度分别为96.7%和50.0%,差异有统计学意义(χ2=16.86,P<0.001)。结论实施健康教育路径可促进巨脾型晚血围手术期患者康复,提高患者满意度及健康知识掌握度,缩短住院时间,节省住院费用。 Objective To explore the effect of health education on perioperative patients with splenic type schistosomiasis (late blood). Methods 60 patients with splenic type of perioperative period were randomly divided into observation group and control group, 30 cases in each group. Observation group according to the standardization process of health education routing table from admission to hospital for nursing and health education, the control group to give routine health education. The satisfaction of nursing work, hospitalization time, total cost of hospitalization and health education mastery were compared between the two groups. Results The satisfaction rate of patients in observation group and control group was 90.0% and 60.0%, respectively, and the difference was statistically significant (χ2 = 7.57, P <0.05). The average length of stay in the two groups was 14.0 ± 3.5 d and 19.0 ± 6.8 d, respectively (T = 2.85, P <0.01). The average hospitalization costs of the two groups were (1.5 ± 0.5) million and (2.2 ± 0.7) million respectively, with statistical significance (t = 24.57, P <0.01) ). On the 10th day after operation, the mastery degree of health knowledge in both groups was 96.7% and 50.0%, respectively, with significant difference (χ2 = 16.86, P <0.001). Conclusion The implementation of the path of health education can promote the recovery of patients with splenomegaly and perioperative blood during perioperative period, improve patient satisfaction and knowledge of health knowledge, shorten hospitalization time and save hospitalization costs.