The application of experiential health education in patients discharged from hospital with the tube after pancreaticoduodenectomy / 中国实用护理杂志

ABSTRACT

Objective:To evaluate the effect of experiential health education on patients discharged from hospital with the tube after pancreaticoduodenectomy.Methods:A total of 65 patients admitted to the General Surgery Department of Peking University Third Hospital for pancreaticoduodenectomy from September 2020 to August 2021 were selected as the study objects by convenience sampling method. The 31 patients with pancreaticoduodenectomy who received routine education about drainage tube from September 2020 to February 2021 were selected as the control group, and 34 patients with pancreaticoduodenectomy who received experiential health education about drainage tube from March 2021 to August 2021 were selected as the study group. The self-nursing ability and self-management of drainage tube of the patients in both groups were observed.Results:The total score of drainage tube self-care ability, drainage bag fixation score, drainage bag replacement score, drainage fluid dumping score, anti-drainage tube pull score, drainage tube extrusion method score were 10.00(10.00, 10.00), 2.00(2.00, 2.00), 2.00(2.00, 2.00), 2.00(2.00, 2.00), 2.00(2.00, 2.00), 2.00(2.00, 2.00) points, Higher than the control group 5.00(4.00, 5.00), 1.00 (1.00, 1.00) and 1.00 (0.00, 1.00), 1.00 (1.00, 1.00) and 1.00 (1.00, 2.00), 1.00 (1.00, 1.00) points, the differences were statistically significant ( Z values were -7.31--5.78, all P<0.05).In the self-management of drainage tubes in the study group, the drainage tube pulling rate, the incidence of exudation around drainage tubes, and the rate of leakage of drainage fluid registration were 8.82% (3/34), 14.7% (5/34), and 5.88% (2/34), respectively, lower than 61.29% (19/31), 41.94% (13/31), and 87.10% (27/31) in the control group, with statistically significant differences ( χ2=19.94, 6.00, 43.28, all P<0.05). Conclusions:Experiential health education can effectively improve drainage tube self-care ability of patients after pancreaticoduodenectomy, promoting postoperative rehabilitation of patients.