目的:探讨健康教育对食管癌患者及家属的影响。方法:将2007.1～2008.1在我科行食管癌手术患者60例，随机分为两组，对照组按食管癌健康教育计划实施健康指导，实验组除实施对照组措施外，对患者家属同步实施健康教育。于手术前一天和术后第八天，采用问答方式调查两组患者及家属对围术期、康复期相关知识的掌握情况以及护理满意度，并进行比较。结果:两组患者及家属经健康指导后对围术期相关知识及康复期护理知识以及护理满意度具有差异性（P＜0.05）。结论:对患者及家属同步实施健康教育可促进对食管癌相关知识及恢复期保健知识掌握，能提高护理满意度。
ObjectiveTo investigate the high risk factors for perioperative atrial fibrillation (AF) and its effect on the postoperative short term outcome in esophageal carcinoma patients. MethodsSixty three patients with AF after esophagectomy (AF group) and 126 patients without AF after esophagectomy in control group were analyzed by χ 2, and logistic regression, and compare with patient the postoperative mortality and duration hospitalization in two groups.ResultsThe rates of age above 65 (χ 2=7.02, P lt;0.01), male sex (χ 2=4.06, P lt;0.05), history of cardiac disease (χ 2=6 03, P lt;0.05), history of chronic obstructive pulmonary disease (COPD, χ 2=29.14, P lt;0 01), postoperative thoracic gastric dilatation ( P lt;0.01), and postoperative lower oxygen saturation ( P lt;0.01) in AF group were significantly higher than those in control group. No significant relevance was found between history of diabetes or hypertension, choice of operative approach, site of stoma and postoperative AF. 1 in 15 AF patients regain sinus rhythm after remove the pathological factors, and the others resumed after antiarrhythmic drug therapy. The postoperative hospitalization time was 10.65±0.87 d in patients developing AF group and 9.98±0.96 d in control group ( P gt;0.05). No difference was observed between two groups with regard to mortality ( P gt;0.05).ConclusionAF occurs more frequently after esophagectomy in aged and male sex. Other factors contributing to AF are history of cardiac disease, COPD and lower oxygen saturation. And in this study, early occurrence of AF after operation for esophageal carcinoma does not show any negative impact on mortality or on postoperative duration hospitalization.