Health Education Pathway Research Articles

Proposed health education pathway among patients with Diabetes Mellitus

Proposed health education pathway among patients with Diabetes Mellitus

Evaluation of the effectiveness of health education pathway in the care of patients with gestational diabetes mellitus.

Evaluation of the effectiveness of health education pathway in the care of patients with gestational diabetes mellitus.

Clinical nursing visual health education pathway for patients with perianal abscess†

Abstract Objective: To investigate the effect of a clinical nursing pathway and visual health education on patients with perianal abscesses was the objective of this study. Methods: Eighty patients with perianal abscesses undergoing in-patient surgical treatment (blinded for review) between December 2019 and November 2020 were divided randomly and evenly into a control group and an experimental group. The control group received routine nursing care, and the experimental group received visual health education nursing care. Digital pain scores, patient satisfaction scores, nursing quality scores, and scores measuring knowledge of perianal abscess disease for the two groups before and after nursing care were compared and analyzed. Results: The experimental group had visual analog scale (VAS) scores significantly lower than those of the control group (P < 0.05). For total nursing satisfaction, the experimental group demonstrated a higher satisfaction rate (P < 0.05). Clinical nursing quality scores were significantly higher in the experimental group than those in the control group (P < 0.05). The perianal abscess disease-related knowledge scores after intervention were significantly higher in the experimental group than those in the control group (P < 0.01). Conclusions: Visual health education nursing can help patients better understand and deal with perianal abscess disease.

Application of Clinical Nursing Pathway in Health Education of Patients with Bronchial Asthma

Objective To observe effect of clinical nursing pathway in health education of patients with bronchial asthma.Methods A total of 60 patients with bronchial asthma in our department from 2012 February to October were randomly divided into therapy group and control group.Patients in therapy group were given clinical nursing pathway,while patients in control group received traditional health education respectively.Lengths of stay,grasping rates of health knowledge and satisfaction rates of the two groups were compared.Results Lengths of stay in therapy group was shorter than that in control group(P0.05),and grasping rate of health knowledge,satisfaction rate and qualification rate in therapy group were significantly higher than those in control group(P0.05).Conclusion Clinical nursing pathway in health education of patients with bronchial asthma may improve the quality of health education,nurses′ ability and nurse-patient relationship.

Effectiveness of a new health education pathway for echinococcosis control among primary school students in hyper-endemic regions

To investigate the effectiveness of a new health education pathway for echinococcosis control among primary school students in regions highly prevalent for echinococcosis in China. Six primary schools were randomly selected from echinococcosis hyper-endemic regions, with 13 classes assigned to the intervention group and 9 to the control group, and all students in these 21 classes were recruited as the study subjects. Echinococcosis health education was performed through the pathway of assessing the current status-strengthening the building of teaching resources-focusing on practices in the intervention group, while routine health education was given in the control group. A questionnaire survey was performed to assess the score of echinococcosis control knowledge (including theoretical knowledge score and mean daily practical capability score) before and after the health education interventions to evaluate the effectiveness of this new health education pathway for echinococcosis control. The mean score of echinococcosis control knowledge was 68.86 ± 18.70 points at baseline, with the mean theoretical knowledge score of 40.97 ± 10.75 points, and the mean daily practical capability score of 27.89 ± 12.50 points. Clustering analysis showed three types of populations, including "unsatisfactory", "learn and apply creatively", and "rote learning", which accounted for 24.62% (240/975), 45.74% (446/975) and 29.64% (289/975), respectively. The mean score of echinococcosis control knowledge was 81.08 ± 18.15 points in the intervention group during the final assessment, with the mean theoretical knowledge score of 43.65 ± 9.40 points, and the mean daily practical capability score of 37.43 ± 12.22 points, and both were significantly higher relative to baseline (t = -4.201 and -15.202, both P values < 0.01). The mean score of echinococcosis control knowledge was comparable between at baseline (70.55 ± 19.46 points) and final assessment (71.74 ± 19.37 points) in the control group (t = -0.87, P > 0.05). The awareness of echinococcosis control knowledge is fair among primary school students in echinococcosis hyper-endemic regions; however, the capability of combining theoretical learning and practices requires to be improved. The health education mode based on the pathway of assessing the current status-strengthening the building of teaching resources-focusing on practices seems to remarkably improve the understanding of echinococcosis control knowledge among primary school students in echinococcosis hyper-endemic regions.

Application of quality control circle with health education pathway and teach-back method to reduce the incidence of constipation after transurethral resection of the prostate

Application of quality control circle with health education pathway and teach-back method to reduce the incidence of constipation after transurethral resection of the prostate

Effects of standardized health education pathway on patients undergoing endobronchial ultrasound‐guided transbronchial needle aspiration

AbstractBackgroundTo explore the application and effect of standardized health education pathway in patients undergoing EBUS‐TNBA.MethodsHundred and one patients undergoing EBUS‐TBNA for the first time from September 2017 to June 2018 were divided into the study group and the control group. Patients in the control group (n = 50)received routine health education, while those in the study group (n = 51) received health education intervention based on the standardized health education pathway. Differences of anxiety, heart rate and oxygen saturation recovery time, success rate of first intubation attempt, and patient satisfaction between the two groups were observed.ResultsBasic information of patients in the two groups was comparable (P &gt; .05). The SAS scores of the recovery time of heart rate and oxygen saturation in the study group were observably lower than those in the control group (P &lt; .05), while the success rate of first intubation attempt and the satisfaction rate of the patients in the study group were remarkably higher (P &lt; .05).ConclusionHealth education based on the standardized pathway can reduce the anxiety level of patients undergoing EBUS‐TNBA, reduce the operation time, and improve the success rate of first intubation attempt as well as the satisfaction of patients.

Application of quality control circle with health education pathway and teach-back method to reduce the incidence of constipation after transurethral resection of the prostate

Application of quality control circle with health education pathway and teach-back method to reduce the incidence of constipation after transurethral resection of the prostate

Application effect of the health education pathway in patients with intracranial aneurysms undergoing interventional therapy

Objective To explore the effect of health education pathway in patients with intracranial aneurysm after interventional therapy. Methods From August 2018 to March 2019, a total of 80 patients diagnosed with intracranial aneurysm and undergoing stent-assisted embolization in neurosurgery of Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology were selected as subjects by convenient sampling, they were divided into observation group and control group according to the random number table with 40 cases in each group. The observation group adopted a health education pathway, and the control group adopted a conventional health education model. The two groups of patients were compared for the scores of Quality of Discharge Teaching Scale (QDTS) , Readiness for Hospital Discharge Scale (RHDS) , Self-management Scale, and nursing satisfaction rates. Results After the implementation of the health education pathway, in addition to the required content, the dimensions and total scores of the QDTS, RHDS and Self-management Scale were higher than those in control group with statistically significant differences (P<0.05) . The nursing satisfaction rate in the observation group was 97.50% (38/40) , which was higher than the control group's 77.50% (31/40) , the difference was statistically significant (P<0.05) . Conclusions The implementation of health education pathway for patients with intracranial aneurysm after interventional therapyregulates the health education behavior of nursing staff, reflects the patient-centered concept, and is worthy of promotion and clinical application. Key words: Intracranial aneurysms; Health education; Clinical pathway; Interventional therapy

Effect of health education pathway in the prevention of ear pressure injury druing hyperbaric oxygen therapy

目的 探讨健康教育路径预防高压氧治疗患者中耳气压伤的效果。 方法 选取高压氧治疗患者100例，采用随机数字表法将患者分成观察组和对照组，每组50例，对照组采用常规健康教育方式，观察者采用健康教育路径方式，比较分析两组患者的临床效果。 结果 观察组患者在中耳气压伤发生率(4.0%)和临床护理满意度(98.0%)均优于对照组(22.%，70.0%)，两组患者在临床效果方面相比，差异均有统计学意义(χ2＝15.425、9.842，均P<0.05)。 结论 健康教育路径不但能够促进高压氧治疗的顺利进行，而且能够预防与减少中耳气压伤的发生率，同时提升患者对治疗的满意度，因此健康教育路径属于一种值得广泛推广的治疗方法。

Effects of health education pathway in patients with liver cirrhosis complicated with upper gastrointestinal hemorrhage

Objective To explore the effects of health education pathway on the quality of life, mental status, nursing satisfaction, hemostasis time, hospitalization duration and hospitalization expenses in patients with liver cirrhosis complicated with upper gastrointestinal hemorrhage. Methods From January to December 2016, a total of 140 patients with cirrhosis and upper gastrointestinal hemorrhage in the Second Affiliated Hospital of Wenzhou Medical University were enrolled by convenience sampling method, and divided into observation group and control group with 70 cases in each group according to the random number table method. The patients in the control group were given routine health education, while the patients in the observation group were educated with health education path. The quality of life, the scores of Self-Rated Anxiety Scale (SAS) and Self-Rated Depression scale (SDS) , the nursing satisfaction, hemostasis time, hospitalization duration and hospitalization expenses of both groups were collected and compared before and after intervention. Results Before intervention, there were no significant differences in the quality of life, the score of SAS and SDS between the two groups (P>0.05) . After intervention, the scores of 8 aspects of the quality of life of the observation group were all higher than those of the control group. Meanwhile, the scores of SAS and SDS were lower than those of the control group. All the differences were statistically significant (P<0.01) . The hemostasis time, hospitalization time and hospitalization expenses of the observation group were all lower than those of the control group, while the nursing satisfaction of the observation group was higher than that of the control group, and all the differences were statistically significant (P<0.01) . Conclusions Health education pathways can improve the quality of life, anxiety and depression in patients with cirrhosis complicated with upper gastrointestinal hemorrhage and improve the therapeutic effect. Key words: Health education; Liver cirrhosis; Quality of life; Anxiety; Depression; Upper gastrointestinal hemorrhage

Application of health education pathway in hospitalized children with unintentional injury and their caregivers

Objective To explore the effect of health education pathway on hospitalized children with unintentional injury and their caregivers. Methods From January to December 2015, a total of 100 children with unintentional injuries and their caregivers admitted to ICU in a class Ⅲ grade A hospital were selected as the research objects. They were divided into the observation group and the control group according to the random number table, with 50 cases in each group. Patients and their caregivers in the control group received routine health education, while patients and their caregivers in the observation group were given the pathway of health education based on the control group. The health education knowledge, hospitalization expenses, hospitalization days, rehospitalization rate and nursing satisfaction of children and caregivers in the two groups before and after intervention were compared. Results The degree of mastery of health education knowledge of children and the caregivers was 98% , 98% in the observation group and 86% , 80% in the control group, and the differences were statistically significant (χ2=4.89, 9.55; P< 0.05) . The hospitalization expenses, hospitalization days and rehospitalization rate of the observation group were lower than those of the control group, the differences were statistically significant (t=2.56, 2.67, 9.82; P< 0.05) . The nursing satisfaction of the patients and the caregivers of the observation group was 94%, which was higher than 76% of the control group, the difference was statistically significant (χ2=15.78, P<0.05) . Conclusions The pathway of health education can reduce the hospitalization expenses, rehospitalization rate and improve the nursing satisfaction of hospitalized children with unintentional injury, worthwhile for clinical use. Key words: Children; Unintentional injury; Health education pathway; Caregivers

Application of health education pathway in acute myocardial infarction

目的 探讨健康教育路径在急性心肌梗死诊疗中的应用效果。 方法 选取急性心肌梗死患者100例，采用随机数字表法分成观察组和对照组，每组50例，观察组采用健康教育路径方法，对照组采用常规教育方法，比较分析两组患者的临床效果。 结果 两组对急性心肌梗死相关知识的掌握程度上，观察组：疾病知识(84%)、药物知识(78%)、饮食知识(100%)、遵医行为(100%)、康复信心(100%)等掌握程度上均明显优于对照组[疾病知识(42%)、药物知识(66%)、饮食知识(58%)、遵医行为(44%)、康复信心(56%)]，差异均有统计学意义(χ2＝12.325、9.214、11.236、13.014、11.257，均P<0.05)。在满意度方面，观察组的满意度(100%)明显优于对照组(44%)，两组差异有统计学意义(χ2＝13.014，P<0.05)。 结论 将健康教育路径应用于急性心肌梗死患者及亲属不仅消除了心理障碍，也能增进了护患沟通，进而让患者及亲属的信任度和满意度不断提升。

Effect of health education pathway in pediatric patients with nephrotic syndrome

Objective To explore the effect of health education pathway on reducing the recurrence rate in pediatric patients with nephrotic syndrome. Methods A total of 102 pediatric patients with nephrotic syndrome in nephrology department of Children′s Hospital of Zhengzhou from June 2013 to June 2015 were selected and randomly divided into observation group (n=51, routine health education + systemic health education pathway) and control group (n=51, routine health education) . The cognition on diseases of the pediatric patient and their parents along with the nursing behavior for PNS of their parents were investigated with the self-made PNS health education impact assessment questionnaire and the nursing behavior for PNS of the parent questionnaire. Moreover, the recurrence rate in pediatric patients was also compared between two groups. Results Followed up for one and a half years, the recurrence rate of nephrotic syndrome of pediatric patients was 33.3% in observation and 74.5% in control group with a significant difference (χ2=7.58, P<0.05) . Conclusions The implementation of health education pathway can reduce the recurrence rate in pediatric patients with nephrotic syndrome. Key words: Nephrotic syndrome; Health education pathway; Recurrence rate

Clinical application of clinical pathway in health education for patients with primary cerebral infarction

目的 探讨临床路径应用于首发脑梗死患者健康教育中的应用效果。 方法 将首发急性脑梗死患者84例采用数字表法随机分为研究组42例和对照组42例，对照组采用常规的健康教育方式进行指导和护理；研究组则成立临床路径小组，应用循证医学理论及历史文献进行有针对性的健康教育。比较两组健康教育前后效果的差异。 结果 研究组经临床健康教育路径护理后，患者对脑梗死疾病知识的知晓率(97.62%)、对护理服务满意度(100.00%)及健康行为合格率(97.62%)均明显高于对照组，差异均有统计学意义(χ2＝8.47、21.31、9.72，均P<0.05)。研究组脑梗死复发率(2.38%)明显低于对照组，差异有统计学意义(χ2＝3.90，P<0.05)。研究组血压和血脂正常水平持续时间[(9.21±2.64)个月、(9.52±2.23)个月]较对照组[(6.13±2.52)个月、(6.31±3.20]个月]明显延长，差异均有统计学意义(t＝9.26、19.36，均P<0.05)。研究组出院时Barthel指数评分[(70.31±6.20)分]明显高于对照组[(54.81±6.13)分]，差异有统计学意义(t＝18.22，P<0.05)。研究组神经功能缺损改善程度[(13.62±1.45)分]明显优于对照组[(18.54±1.31)分]，差异有统计学意义(t＝19.75，P<0.05)。 结论 临床护理路径是一种新的护理模式，它可以将护理的工作模式由被动护理变为主动护理，工作有目的、有预见性，不再机械地执行医嘱，作为以患者为中心的护理模式，保证了脑梗死患者健康教育的效果和质量，临床护理路径应用于首发脑梗死患者健康教育中效果显著，降低了脑梗死的复发率，值得临床推广使用。

Application status of health education pathway model in high-quality nursing service

The health education pathway which followed in the corresponding clinical nursing pathway, was a widely spread model of nursing care in recent years.An overall responsibility nursing form was formulated according to the nursing features of the patients with different disease.The necessary nursing measures were applied to the patients of different time in order to gave the best nursing service to the patients.The method accelerated the rehabilitation of the patients and saved the medical resources.The article had summarized the clinical application research advance of health education pathway in recent years. Key words: Health education pathway; High-quality nursing service; Progress

Application of clinical nursing pathway in health education for oncology patients chemotherapy

Objective To explore the application of clinical pathway way of thinking on health education for patients of knowledge about cancer chemotherapy. Methods 176 cancer patients undergoing chemotherapy accepting traditional health education methods from January to December 2010 were selected into control group, and 176 cancer patients undergoing chemotherapy accepting health education by clinical pathway from January to December 2011 were selected into experimental group. Results Emotional changes, mastering the knowledge degree, treatment compliance and self care ability and patient satisfaction survey in observation group were significantly better than those of control group(P< 0.01). Conclusions Clinical nursing pathway could significantly improve the tumor chemotherapy patients anxiety, pessimistic and negative emotions, improve chemotherapy patients compliance and the treatment effect, improve the quality of life of patients with chemotherapy oncology. Key words: Clinical nursing path; Patients with tumor; Chemotherapy; Health education

Application of health education path in laparoscopic hysterectomy of hysteromyoma patients in the perioperative period

Objective To observe the application of clinical path of health education in perioperation period nursing of laparoscopic hysterectomy of hysteromyoma patients .Methods Totals of 160 cases were selected and divided into observation group （n=80） and control group （n=80） randomly.The clinical nursing path for health education was used in observation group , and traditional nursing path was given in control group .＆amp;nbsp;The average days of hospitalization , incidence of postoperative complications , average postoperative ambulation time, patient care and job satisfaction , degree of mastering of health knowledge of patients in two groups were compared.Results The degree of mastering of health knowledge of patients and patients ’ satisfaction in observation group was 95 .0%, 97 .5%, higher than that in control group; the postoperative complication rate （2.5%） in observation group was lower than that in control group; the differences were statistically significant （χ^2 =58.46,72.97,7.35, respectively;P〈0.05）.The average days of hospitalization in observation group was （4.56 ±1.48）d, lower than the control group’s （6.91 ±1.33）d, the difference was statistically significant （t=5.82,P〈0.05）.Conclusions The application of health education pathway in the nursing of perioperation period can shorten hospital stay , reduce the incidence of complications , improve nursing quality and patients ’ satisfaction on laparoscopic hysterectomy of hysteromyoma patients , which worthy of clinical application . Key words: Perioperation period; Health education path; Laparoscopic hysterectomy

Influence of health education pathway on self care ability and quality of life for postoperative laryngeal carcinoma patients

Objective To explore the effect of health education path on self care ability and quality of life for postoperative laryngeal carcinoma patients. Methods Totals of 86 patients with laryngeal cancer resection were randomly divided into the observation group and the control group, with 43 cases in each group. The control group was treated with conventional rehabilitation nursing after operation, and the observation group was treated with health education pathway based on the routine rehabilitation nursing. The self care ability and quality of life of two groups were evaluated by the Exercise of Self-Care Agency Scale（ESCA） and Quality of Life Scale （QOL）. Results Before carrying out the health education, there was no statistically significant difference between the two groups in ESCA score （ t = 0. 037, P = 0. 920） and QOL score （ t = 0. 291, P = 0. 604）. The ESCA total scores showed that the patients in the observation group had higher self care ability than that in the control group after the implementation of health education [ （ 120.7 ± 11.5 ） vs （ 106.0 ± 10.6 ） ], and the difference was statistically significant （t = 5.059 ,P = 0. 028 ）. The QOL total scores revealed that the patients in the observation group had better quality of life than that in the control group after the implementation of health education[（40.0 ± 5.5 ） vs （ 33.7 ± 5.3 ） ], and the difference was statistically significant （ t = 4. 092, P = 0. 029）. Conclusions To strengthen health education can improve the self care ability of postoperative patients with laryngeal carcinoma and improve the quality of life. Key words: Health education; Laryngeal neoplasm; Quality of life; Self care ability

Higher School Mental Health Education to Carry out the Way to Explore

To explore ways and methods of psychological health education, so as to promote students' psychological health education work. Combination of local colleges and universities for students psychological health education work, summed up the students' psychological health education work method. From the necessity of the education of psychological health and the influencing factors of mental health, as well as the development of mental health education pathway to higher school mental health education work is discussed and explored.