范秀宇,冯慧霞,马春霞,焦延杰
FAN Xiuyu,FENG Huixia,MA Chunxia,JIAO Yanjie

• 1:华北医疗健康集团邢台总医院骨科

摘要(Abstract)：

目的 探讨针对性健康教育在胸椎黄韧带骨化术后并发脑脊液漏患者中的应用效果。方法 胸椎黄韧带骨化术后并发脑脊液漏患者82例，随机分为观察组和对照组；对照组进行常规健康教育干预、观察组在对照组的基础上予以针对性健康教育，干预时间为1个月；于术后干预前及干预结束1周时，采用焦虑自评表（SAS）和抑郁自评表（SDS）对两组患者进行性情绪评分，采用压疮愈合计分量表（PUSH 3.0）评定两组患者伤口愈合情况，采用自制相关健康知识掌握度量表评价两组患者对相关知识掌握度，利用生活质量综合评定量表（GQOL-74）评定生活质量；干预结束1周时纽卡斯尔护理服务满意度量表（NSNS）评定患者对干预的满意度。结果 干预后观察组患者SAS、SDS评分低于对照组，差异有统计学意义（t=3.617、4.436,P<0.05）；观察组患者伤口面积小于对照组（t=11.862）,PUSH评分低于对照组（t=8.627），差异有统计学意义（P<0.05）；观察组患者对相关知识掌握度高于对照组，差异有统计学意义（P<0.05）；观察组患者生活质量高于对照组，差异有统计学意义（P<0.05）；观察组患者对干预满意度高于对照组，差异有统计学意义（P<0.05）。结论 针对性健康教育有利于缓解胸椎黄韧带骨化术后并发脑脊液漏患者的负性情绪，促进其伤口愈合，提高生活质量。
Objective To investigate the application of targeted health education in patients complicated with cerebrospinal fluid leakage after surgery for thoracic ossification of ligamentum flavum(T-OLF).Methods Eighty-two patients with cerebrospinal fluid leakage after surgery for T-OLF were randomly divided into observation and control groups. Control group received routine health education intervention, while observation group received targeted health education on the basis of control group. The intervention lasted one month. Before the intervention after surgery and 1 week after the intervention, self-rating anxiety(SAS) and self-rating depression scale(SDS) were used to score the mood of two groups, and pressure ulcer healing scale(PUSH 3. 0) was applied to assess the wound healing of two groups. Self-made health knowledge-related mastery scale was used to evaluate patients' mastery of related knowledge. Generic quality of life inventory-74(GQOL-74) was used to evaluate their quality of life(QOL). Newcastle Satisfaction with Nursing Scale(NSNS) was used to assess the patients' satisfaction with the intervention at 1 week after completing the intervention.Results After intervention, the SAS and SDS scores were lower in observation group than those in control group(t=3.617, 4.436;P< 0. 05). Observation group had less wound areas(t= 11. 862) and PUSH scores (t= 8. 627) than control group(P< 0. 05). Observation group had higher mastery of relevant knowledge and QOL than control group(P< 0. 05). Observation group had higher satisfaction with the intervention than control group(P< 0. 05).Conclusion Targeted health education is beneficial to relieve the negative emotions of patients complicated with cerebrospinal fluid leakage after surgery for T-OLF, promote wound healing and improve the quality of life.

关键词(KeyWords)： 健康教育;胸椎黄韧带骨化术;脑脊液漏;伤口愈合;负性情绪
health education;thoracic ossification of ligamentum flavum;cerebrospinal fluid leakage;wound healing;negative emotions

Abstract:

Keywords:

基金项目(Foundation): 河北省创新能力提升计划后补助项目（189A7721H）

作者(Author): 范秀宇,冯慧霞,马春霞,焦延杰
FAN Xiuyu,FENG Huixia,MA Chunxia,JIAO Yanjie

DOI: 10.19367/j.cnki.2096-8388.2022.03.015

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