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目的:调查甲状腺手术患者对健康教育的需求情况,为更好地开展患者健康教育管理工作提供参考。方法:以2014年1月~2016年1月在温州医科大学附属第二医院行甲状腺手术患者48例为研究对象,采用问卷调查的方式,统计患者对术前、术后、出院期间相关知识了解情况及健康教育的需求程度、健康教育方式的选择情况,制定对策。结果:48例患者对出院期间相关知识了解、基本了解人数,均高于术前、术后(P<0.05),且不了解人数低于术前、术后(P<0.05)。所有患者对术前、术后、出院期间健康教育的需求均较高,十分需要人数所占比例分别为58.3%、39.6%、50.0%,需要人数所占比例分别为41.7%、60.4%、45.8%,三组数据比较,差异无显著性。健康教育方式包括书面资料、动作示范、集中宣教、个体指导,其中患者对术前、术后、出院期间选择个体指导健康教育方式的人数较多,所占比例分别为62.5%、43.8%、43.8%,三组数据比较,差异无显著性。结论:甲状腺手术患者对围术期相关知识了解较差,对健康教育需求较高,供选择的健康教育方式较多,临床需根据患者具体情况,制定个体化健康教育管理措施。
Objective: To investigate the demand of health education for patients undergoing thyroidectomy and provide references for better management of patients’ health education. Methods: From January 2014 to January 2016, 48 patients undergoing thyroidectomy in the Second Affiliated Hospital of Wenzhou Medical University were enrolled in this study. The questionnaires were used to analyze the patients’ knowledge about preoperative, postoperative and discharged patients The situation and the degree of demand for health education, the choice of health education, and formulate countermeasures. Results: All the 48 patients knew more about the knowledge about discharge and the basic knowledge of them, which were higher than preoperative and postoperative (P <0.05). The number of unknown patients was lower than preoperative and postoperative (P <0.05). All patients had higher demands for health education before, during and after discharge. The proportion of the population in need of them was 58.3%, 39.6% and 50.0%, respectively. The proportion of those in need was 41.7%, 60.4% and 45.8 %, Three sets of data comparison, the difference was not significant. Health education methods included written information, demonstration of action, centralization of propaganda and individual guidance. Among them, the number of individuals who chose health education mode for guidance before surgery, after surgery, and discharged from hospital was higher, accounting for 62.5%, 43.8% and 43.8% respectively %, Three sets of data comparison, the difference was not significant. Conclusion: Patients with thyroid surgery have poor knowledge of perioperative knowledge, higher demand for health education and more choices of health education methods. Individualized health education management measures should be formulated according to the specific conditions of patients.