摘要目的探讨PBL联合案例化教学法(CBS)的健康教育模式在经导管肝动脉化疗栓塞术(TACE)治疗肝癌患者中的应用效果.方法采用便利抽样法,选取2017年10月—2018年8月北京协和医学院肿瘤医院介入治疗科行TACE治疗的肝癌患者200例为研究对象,按照入院时间均分为对照组和干预组各100例.对照组实施常规健康宣教;干预组在常规健康宣教的基础上,采用PBL联合CBS健康教育模式进行宣教.比较两组患者的焦虑程度和宣教内容掌握程度.结果入院时两组患者焦虑程度比较差异无统计学意义(P＞0.05).出院时,与对照组相比,干预组患者的焦虑程度低且宣教内容掌握程度高,差异具有统计学意义(P＜0.05).结论PBL联合CBS健康教育模式在TACE治疗肝癌患者的健康宣教中,体现了对患者的个体化护理,可有效降低患者的焦虑程度并提高患者对宣教相关知识的掌握程度,有利于改善患者生活质量和疾病的转归及康复.

abstractsObjectiveTo evaluate the efficacy of problem-based learning (PBL) and case-based study(CBS)in health education for patients with hepatocellular carcinoma treated by transcatheter arterial chemoembolization(TACE). MethodsUsing convenience sampling method, 200 patients with hepatocellular carcinoma treated by TACE in the Department of Invasive Treatment, Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College from October 2017 to August 2018 were selected as the study subjects. According to the admission time, they were divided into control group and intervention group with 100 cases each. The control group was given routine health education, while the intervention group was given PBL combined with CBS health education on the basis of routine health education. Anxiety level and mastery level of education contents were compared between the two groups. ResultsThere was no significant difference in level of anxiety between the two groups at admission (P＞ 0.05). When discharged from hospital, compared with the control group, the anxiety level of intervention group was lower and the mastery of education contents was higher, and the differences were statistically significant (P＜ 0.05). ConclusionsPBL combined with CBS in the health education for patients with liver HCC treated with TACE embodied the individualized nursing for patients and can effectively reduce the patients' anxiety degree and improve their mastery level towards the relevant knowledge, hence improve their quality of life as well as the disease outcome and recovery.