| Postoperative Pulmonary Complication is one of the most common complications and important cause of death after abdominal surgery. Pain, pulling internal organs during the surgical procedure, dysfunction of diaphragm can all have influence on normal pulmonary function. Most of PPC is pulmonary atelectasis. The chief reason of pulmonary atelectasis is the continuing reduction of VC and FRC. Because of postoperative pain and pressure of abdominal bandage, patients were afraid to deep breathe and cough. That may lead to pneumonia and acute respiratory distress syndrome. At the same time, surgery was a kind of stressful stimulus for patients. It can have influence on the psychological and physiological state. In order to improve the self-care ability and accelerate physical and psychological recovery of patients undergoing abdominal surgery, health education were provided in this study.This study was a prospective ,control research. The primary aim of the present study was to analyze the general characteristic of the anxiety and respiratory function in patients during perioperative period and placed emphases on the effect of health education on the operation stress and postoperative recovery of pulmonary function in the selected patients undergoing abdominal surgery. State-Trait Anxiety Inventory(STAI),Medical Coping Method Questionnaire, Visual Analogue painrating Scale(VAS),Surgery Information Questionnaire(SIQ) were employed to investigate 60 cases of selective patients undergoing abdominal surgery. This studyrandomly divided the patients into experiment and control group. Patients in bothgroups received regular treatment. Patients in the experiment group receivedextended care which was systematic, planned and focused health education bymeans of individual teaching, booklet and demonstration. Then testing thepulmonary function of the patients before and after operation.The results of this study were:1 .Anxiety began to emerge since the patient was hospitalized and with the near ofthe operation, the SAI score went up. The SAI score on the day before the surgerywas significant higher than that on the first day of hospitalization.2.There was significant difference between preoperative VAS and postoperativeVAS, and the former was higher than the latter.3.There was significant difference between preoperative SIQ and postoperative SIQ,and the former was lower than the latter. The preoperative SIQ score of patientshaving previous surgery history was higher than those having surgery first time.There was no difference between patients having different educational level.4.The preoperative parameters of pulmonary function were higher than thosemeasured in the 2,4 or 6 day after surgery.5.Through health education, patients in the experiment group had lower scores ofSAI than patients in the control group in the day before the operation.6. Patients in the experiment group had lower postoperative scores than patients in the control group in VAS, but there were no significant difference in the quantity of anodyne used postoperative between two groups.7. Through health education, patients in the experiment group had higher scores of SIQ than patients in the control group.8. Through health education, the postoperative pulmonary function of patients in the experiment group is higher respectively than that of patients in the control group.9. Resignation coping style, S-AI score of admission day and previous surgicalhistory had significant statistical meaning in the analysis of step-wise multipleregression to determine statistically reliable predictor of anxiety of the day beforesurgery.10.There was positive correlation between education level and change of SIQ score;there was negative correlation between previous surgery history.It proved that health education could significantly improve the surgery knowledge of patients undergoing abdominal operation and accelerate their physical and psychological recovery, and the educational st...
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