對(duì)輸卵管結(jié)扎婦女進(jìn)行健康教育的效果研究

論文編號(hào):HL234 論文字?jǐn)?shù):9773,頁(yè)數(shù):23

論文題目：對(duì)輸卵管結(jié)扎婦女進(jìn)行健康教育的效果研究

摘 要
 
 目的：研究對(duì)輸卵管結(jié)扎婦女實(shí)施健康教育，給予心理干預(yù)對(duì)減輕受術(shù)者對(duì)手術(shù)的應(yīng)激反應(yīng)，緩解受術(shù)者心理壓力，減輕術(shù)前焦慮，提高手術(shù)適應(yīng)能力，積極預(yù)防并發(fā)癥方面的效果。
 方法：行輸卵管結(jié)扎手術(shù)的受術(shù)者60例，隨機(jī)分為干預(yù)組（n=30）和對(duì)照組(n=30 ) 。對(duì)干預(yù)組受術(shù)者進(jìn)行術(shù)前、術(shù)中、術(shù)后健康教育，實(shí)施心理干預(yù)。全部受術(shù)者都在術(shù)前和術(shù)后施行心理學(xué)調(diào)查與各種測(cè)試評(píng)價(jià)。術(shù)前采用填寫調(diào)查問(wèn)卷方法，讓受術(shù)者填寫焦慮自評(píng)量表（SAS）、抑郁自評(píng)量表（SDS ）;并在術(shù)前5min、切皮時(shí)、切皮后30min監(jiān)測(cè)血壓、心率、和心電圖數(shù)據(jù)；術(shù)后監(jiān)測(cè)并發(fā)癥發(fā)生率。                                                                                         
 結(jié)果：兩組受術(shù)者術(shù)前的SAS、SDS評(píng)分無(wú)明顯性差異，術(shù)后則有明顯性差異（P<0.05）；干預(yù)組的血壓和心率平穩(wěn)，對(duì)照組的血壓和心率則波動(dòng)明顯增大；術(shù)后并發(fā)癥隨訪干預(yù)組明顯低于對(duì)照組；干預(yù)組滿意度明顯高于對(duì)照組(P<0.01)。
 結(jié)論：術(shù)前、術(shù)中、術(shù)后健康教育有利于減輕輸卵管結(jié)扎婦女對(duì)手術(shù)的應(yīng)激反應(yīng)，減輕焦慮，減少手術(shù)并發(fā)癥，有利于手術(shù)的安全、順利進(jìn)行。
 
 關(guān)鍵詞：健康教育，輸卵管結(jié)扎手術(shù)，受術(shù)者，焦慮，效果
 
 論文類型：應(yīng)用研究

subject　of  thesis: Research about the effect of health instruction to women receiving tubal ligation
 

ABSTRACT

 Objective：To study the effects of healthy instruction to relieve mental stress, lighten preoperative anxiety , raise operation adaptive capacity and prevent complication of women who accept tubal ligation .
 Methods: 60 cases who accepted tubal ligation were devided randomly
into intervention （n=30）group and control group （n=30）. Women in intervention group accepted mental intervention.All cases filled in self-rating anxiety scale （SAS）and self-rating depression scale （SDS ）And they were monitored blood pressures, heart rates and electrocardiograms at 5 minutes before ,when and 30 minutes after operation.                                                                                  
 Results:There were no difference between intervention group and control group in preoperative SAS ans SDS between intervention group and control group .While the postoperative SAS ans SDS difference were significant （P<0.05）. Women’s blood pressures and heart rates were more equability in intervention group. Postoperative complications were lower in intervention group than in control group（P<0.01）.
 Conclusions: To carry on healthy instruction is help to lessen women’s mental stress . And he operation complications are reduced.
 KEY WORDS: healthy instruction, tubal ligation , accepter, anxiety, effect
 TYPE OF THESIS:exploratory development

目 錄
1 前言……………………………………………………………………………………1
 1.1背景和意義………………………………………………………………………1
 1.2目的及目標(biāo)………………………………………………………………………2
 1.3關(guān)鍵詞及意義……………………………………………………………………2
 1.4文獻(xiàn)回顧…………………………………………………………………………2
2 研究設(shè)計(jì)……………………………………………………………………………… 4
 2.1研究對(duì)象………………………………………………………………………… 4
 2.2干預(yù)方法………………………………………………………………………   4
 2.2.1程序和方法………………………………………………………………  4
 2.2.2健康教育的實(shí)施……………………………………………………………5
    2.2.3健康教育宣傳方式…………………………………………………………5
 2.2.4手術(shù)前健康教育……………………………………………………………6
 2.2.5手術(shù)中健康教育……………………………………………………………7
 2.2.6手術(shù)后健康教育……………………………………………………………7
 2.2.7術(shù)后隨訪……………………………………………………………………8
 2.3分析與統(tǒng)計(jì)…………………………………………………………………………9
3 結(jié)果……………………………………………………………………………………… 10
4 討論……………………………………………………………………………………… 12
5 結(jié)論……………………………………………………………………………………… 14
致謝………………………………………………………………………………………… 15
參考文獻(xiàn)…………………………………………………………………………………… 16
附錄………………………………………………………………………………………… 18