Study On The Development, Implementation And Evaluation Of Perioperative Breast Health Education Path

Objective:Female patients with breast cancer as special patients, whose quality of life had become a social concern. Domestic and international researches showed that health education was an effective way to improve these patients'quality of life, and it also showed that health education path could meet the health information needs to the patient who was in hospital.This study was on the basis of the nursing health education theory to build the evaluation of health education path about perioperative breast cancer approaching by evidence-based, then did the evaluation, variation analysis and feedback through the clinical implementation in order to improve the content path and explore the effect of health education path.Methods:The study had conducted into two phases. PartⅠ:Used literature review, analysis induction, expert meetings and Delphi to complete the content of perioperative breast cancer health education path, make the evaluation indicators and criterion and clinical process and so on. Used AHP to quantify weights. Design the health education evaluation questionnaire. PartⅡ:Did the clinical study on total of 102 patients, who meeted the conditions of the perioperative breast cancer path and were willing to participate in the study.They were divided into two groups:control and experimental groups with comparable demographic data during July to December in the year of 2010.Control group had received routine breast health education of perioperative care, experimental group received the health care and education according to the perioperative breast cancer path, then did the evaluation and comparison to explore the effects and influences of this health education path.Results:Part I:The text and executive process of the perioperative breast health education path had been completed. The positive factor of expert advice were 100%, the authority were greater than 0.8, the degree of coordination by the Kendall test was meanful(p<0.05),the concentration was higher. The consultation results was scientific and enforceability.PartⅡ:The incidences of complication in the experimental group was lower than the control group. The experimental group got the higher evaluation scores of general condition in body KPS score, upper limb muscle strength, exercise and other aspects of postoperative functional and the assessment scores about the experimental group in the know, believing and the quality of life were higher in the health education evaluation questionnaire with a statistically significant difference in the comparison (p<0.05); It still needs to strengthen the guidance of preoperative medication, preoperative psychological and the activities after discharge from hospital, which were obtained from the feedbacks.Conclusion:The study improved the perioperative breast health education path, developed the evaluation and standards to the path, designed the perioperative breast cancer health education evaluation questionnaire to provide a basis for further study. At the same time, through research we found that the implementation of the path could standardized the clinical health education program and improved the effects of the health education.It also could improve the quality of perioperative nursing and promote the postoperative rehabilitation as well as the patients'quality of life.It could improve the patient's care and job satisfaction and reflect the modern humanistic nursing care better.