Application Research Of Computer-assised And Three-dimensional Liver Surgery Planning For Peri-operative Health Education In Hepatic Cancers

Objectives：1. To understand present situation of peri-operative health education inhepatic cancers, including health education forms and methods, thecontents of health education, the effect of health education and theinfluencing factors;2. To investigate the effect of computer-assisted andthree-dimensional liver surgery planning for peri-operative healtheducation in hepatic cancers. So to get the efficient methods to improve thehealth education effect in hepatic cancers, improve the knowledge of thedisease and peri-operative nursing, maintain the peri-operative mentalstability in hepatic cancers.Methods:1.Using Convenience sampling, according to the pre-set inclusioncriteria,76hepatic cancers receiving hepatectomy in2upper first-classhospital in Nanchong city from Jan2011to Dec2012were selected. using the self-made qu-estionnaire about peri-operative disease and nursingknowledge of hepatocellular carcinoma. The patients’ general informationand attitude to peri-operative health education, the way and content of theperi-operative health education,the the influencing factors wereinvestigated by the self-made questionnaire.2. Using Convenience sampling, according to the pre-set inclusion criteria,84hepatic cancers receiving hepatectomy in2upper first-class hospital inNanchong city from Jan2011to Dec2012were selected. They wererandomly divided into experimental group(n=43) and control group(n=41).Patients of control group received routine peri-operative health education,the health education in experimental group were aided bycomputer-assisted and three-dimensional liver surgery planning. Thecognition degree toward peri-operative health education knowledge(usingthe self-made questionnaire about peri-operative disease and nursingknowledge of hepatocellular carcinoma), anxiety scores(using SAS) andsatisfaction degree(satisfied\medium\unsatisfactory) on health education ofthe two groups were compared.Result:1.The hepatic cancers had strong demand of the peri-operativeknowledge about the disease and nursing, especially the patients who hadbetter economic conditions, highly educated or had higher socialposition.The way of the peri-operative health education was normally oral education, and the content of wich is more confined to the diet, drug using,activities and rest, but lack of the conditions of the operation and thepatients themselves. The influencing factors were educational achievement,mood or character of the patients, responsiblility of the nurses, the way ofthe health education.2.The differences about the cognition degree toward peri-operativehealth education knowledge between the two groups have significantdifferences in statisticson when they were on discharge（P＜0.05）. Theanxiety scores of the two groups were significantly different before theoperation （P＜0.05）. The differences about satisfaction degree onperi-operative health education between the two groups were significant ondischarge（P＜0.05）.Conclusion:1.It was necessary to improve the content and methods of theperi-operative health education about the hepatocellular carcinoma. Exceptthe normal health education knowledge, the patients and their familymembers also focused on the the operation situation and body conditions ofthemselves. Compare d to the oral way,the patients and their familymembers were more likely to recept the way of pictures, especially thepatients who were older or received poorly education.2.When the nurses introduced the operation situation and bodyconditions of the patients, computer-assisted and three-dimensional liver surgery planning could help the patients and their family members tounderstand and remember better, so to lower their anxiety, improve theirsatisfaction and increase the qualities of the peri-operative healtheducation.