目的 探讨健康教育路径在围手术期肺癌患者家属中的应用效果。方法 将117名接受手术治疗肺癌患者的家属根据患者入院时间的不同分为对照组（2009年1—6月入院，n=58）和试验组（2009年7—12月入院，n=59），分别按常规方法和自行拟定的健康教育路径表对家属进行健康教育，比较两组家属对疾病相关知识和护理技能掌握的程度、对住院护理质量的满意度、遵医嘱行为以及患者的住院时间、住院费用和并发症的发生情况。结果 试验组家属在对疾病相关知识和护理技能的掌握、遵医嘱行为及对住院护理质量的满意度方面均优于对照组（P<0.05）。与对照组比较，试验组患者住院时间较短、住院费用较少、并发症发生率较低，两组间比较差异具有统计学意义（P<0.05）。结论 应用健康教育路径对肺癌患者家属实施健康教育，能够提高医疗护理质量及患者家属对疾病的认知度，使患者家属能够主动参与医疗、护理过程并引导患者积极配合治疗，对患者的康复有积极促进作用。

Objective To investigate the application of health education pathway on the relatives of patients with lung cancer during perioperation. Methods One hundred and seventeen relatives of patients with lung cancer undergoing surgical treatment were divided into control group (hospital admission between January 2009 and June 2009, n=58) and experiment group (hospital admission between July 2009 and December 2009, n=59) according to different time of hospital admission, and were intervened by conventional health education and self-designed health education pathway respectively. The mastery of disease-related knowledge and nursing skills, satisfaction with quality of nursing during hospitalization and compliance to advice from doctors were compared between relatives of patients in two groups, and the length of hospital stay, cost of hospitalization and prevalences of complications were also compared between patients in two groups. Results The relatives of patients in experiment group gained better results than those in control group in mastery of disease-related knowledge and nursing skills, satisfaction with quality of nursing during hospitalization and compliance to advice from doctors （P<0.05）. Compared with patients in control group, those in experiment group had shorter length of hospital stay, less cost of hospitalization and lower prevalence of complications, with significant differences between two groups (P<0.05). Conclusion Application of health education pathway on relatives of patients with lung cancer can improve the quality of medical nursing and disease-related recognition of relatives, which may enhance the participation of relatives of patients in medical treatment and nursing, instruct the cooperation of patients with medical treatment and promote the rehabilitation of patients.