[Application of health education path in advanced schistosomiasis patients with splenomegaly in perioperative period].

OBJECTIVE: To evaluate the effect of health education path on advanced schistosomiasis patients with splenomegaly in perioperative period. METHODS: A total of 60 advanced schistosomiasis patients with splenomegaly in perioperative period were randomly divided into an observation group and a control group (30 cases each group). The patients in the observation group were intervened by the nursing and health education from admission to discharge according to the standardized process of health education path, while those in the control group were implemented with the conventional health education. Then the satisfaction of nursing work, hospital stays, hospitalization expenses and mastery of health knowledge of the patients in the two groups were investigated and the results were compared. RESULTS: The satisfaction rates of nursing work of patients in the observation group and the control group were 90% and 60%, respectively, the difference between them was statistically significant (χ2 = 7.57, P < 0.05). The average hospitals stays of the above two groups were 14.0 ± 3.5 d and 19.0 ± 6.8 d (t = 2.85, P < 0.01), respectively, and the average hospitalization expenses were (1.5 ± 0.5) thousand Yuan and (2.2 ± 0.7) thousand Yuan (t = 24.57, P < 0.01), respectively, both of the differences were statistically significant. On the 10th day after surgery, the mastery rates of the health knowledge of the two groups were 96.7% and 50.0%, respectively, the difference was statistically significant (χ2 = 16.86, P < 0.001). CONCLUSIONS: The implementation of the health education path can promote the rehabilitation of advanced schistosomiasis patients with splenomegaly, and increase the satisfaction as well as improve the mastery of the health knowledge of the patients. Meanwhile, it also can cut down the hospital stays and save the hospitalization expenses.

[Design and application of psychological intervention paths for ascites type of advanced schistosomiasis patients].

OBJECTIVE: To explore the design and application of psychological intervention paths for ascites type of advanced schistosomiasis patients. METHODS: A total of 156 ascites type of advanced schistosomiasis patients were divided into an intervention group and a control group with 78 cases each. A psychological intervention path table was designed in accordance with the psychological characteristics and demands of the advanced schistosomiasis patients. Five steps were used to guide the nurses involved to carry out the psychological intervention. RESULTS: Before the intervention, there were no statistically significant differences (all P > 0.05) between two groups in SAS, SDS, WHOQOL-BRER scores, but after the intervention, all the evaluation indexes improved in the intervention group and there were statistically significant differences between the intervention group and control group in SAS, SDS, WHOQOL-BRER scores (all P < 0.05). CONCLUSION: The application of psychological intervention paths for ascites type of advanced schistosomiasis patients can improve their negative emotions and qualities of life.

[Analysis on depression of patients with advanced schistosomiasis and its influencing factors].

OBJECTIVE: To explore the status of depression in patients with advanced schistosomiasis and its influencing factors, so as to provide the evidence for improving psychological interventions. METHODS: A total of 206 patients with advanced schistosomiasis were investigated with the self-designed general information questionnaire, the Self-Rating Depression Scale, and WHOQOL-BREF Form. RESULTS: Among the 206 cases, the incidence of depression was 69.4%, and depression was negatively related to the quality of life (P = 0.000). The multiple logistic regression analysis showed that the times of hospitalization (ß = 0.442, P = 0.007) was a risk factor for depression, while the high education levels (ß = -0.583, P = 0.011) and the history of portal hypertension operation (ß = -0.917, P = 0.000) were the protective factors. CONCLUSION: The incidence of depression in advanced schistosomiasis patients is high, and it is influenced by various factors. Therefore, we should take corresponding interventions to reduce its occurrence.