[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.

[Study on risk factors of early complications after surgery for schistosomal portal hypertension].

OBJECTIVE: To explore the related factors of early complications after surgery for schistosomal portal hypertension, so as to provide a scientific basis for prevention of postoperative complications and development of perioperative prevention programe. METHODS: Case data of patients with schistosomal portal hypertension in Xiangyue Hospital affiliated to Hunan Institute of Parasitic Diseases from January, 2000 to September, 2009 were collected. With single factor analysis and relevant professional knowledge, related factors were analysed with logistic regression analysis. RESULTS: A total of 52 related factors from the data of 323 cases were analysed with univariate analysis, indicating that 17 factors, including sex, history of bleeding, history of smoking, history of ascites, preoperative length of stay, diameter of portal vein, A/G ratio, albumin, total bilirubin, blood ammonia, total bile acid, operative mode, blood loss, blood transfusion, size of the right liver, postoperative analgesia, time of indwelling gastric tube, were related to the incidence of postoperative complications (all P values < 0.05). Logistic regression results showed the portal vein diameter, A/G ratio, bleeding history, blood loss, time of indwelling gastric tube were risk factors of postoperative complications within 30 days. Postoperative analgesia was considered as the protection factor. CONCLUSIONS: The patients with larger portal vein diameter, lower of A/G ratio, history of bleeding, more loss of blood, longer retention with gastric tube have greater risk of postoperative complication. Loss of blood in operation was the greatest risk, but postoperative analgesia was the protection factor.