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多元化视频宣教在内镜黏膜下剥离术患者健康教育中的应用
李娟      许丹      李雯
南京鼓楼医院消化内镜中心,江苏南京   210000
Application of diversified video education in health education for patients after endoscopic submucosal dissection
LI Juan   XU Dan   LI Wen
Digestive Endoscopy Center, Nanjing Drum Tower Hospital, Jiangsu Province, Nanjing   210000, China
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摘要 目的 分析多元化视频宣教在内镜黏膜下剥离术患者中的应用效果。 方法 选择2019年1月—2020年2月南京鼓楼医院收治的内镜黏膜下剥离术患者91例,按住院时间分为试验组(2019年8月—2020年2月)47例、对照组(2019年1月—7月)44例。对照组采用常规健康教育,试验组联合应用多元化视频宣教。随访6个月,比较两组疾病不确定感、自我护理能力、健康教育方式满意度。 结果 随访6个月,两组疾病不确定感量表(MUIS)评分均明显低于教育前(P < 0.05),试验组不明确性评分、不一致性评分、复杂性评分及MUIS总分明显低于对照组(P < 0.01);随访6个月,两组自我护理能力测定量表(ESCA)评分均明显高于教育前(P < 0.05),试验组健康知识水平、自我概念、自我责任感、自我护理技能评分及ESCA总分明显高于对照组(P < 0.05);实验组对健康教育方式的满意度高于对照组(P < 0.05)。 结论 多元化视频宣教有助于化解内镜黏膜下剥离术患者疾病不确定感,促进自我护理能力的养成,提高患者满意度。
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李娟 许丹 李雯
关键词 内镜下黏膜剥离术视频教育疾病不确定感自我护理能力    
Abstract:Objective To analyze the application effect of diversified video education in patients undergoing endoscopic submucosal dissection. Methods A total of 91 cases of endoscopic submucosal dissection patients admitted to Nanjing Drum Tower Hospital from January 2019 to February 2020 were selected. According to the length of hospital stay, they were divided into 47 cases in the treatment group (August 2019-February 2020) and 44 cases in the control group (January-July 2019). The control group used conventional health education, and the treatment group jointly applied diversified video education. After six months of follow-up, the two groups disease uncertainty, self-care ability, and satisfaction with health education methods were compared between the two groups. Results After six months of follow-up, the uncertainty in illness scale (MUIS) scores of the two groups were significantly lower than those before education (P < 0.05). The ambiguity score, inconsistency score, complexity score and MUIS total score of the treatment group were significantly lower than those of the control group (P < 0.01); after six months of follow-up, the exercise of self-care agency (ESCA) scores of the two groups were significantly higher than those before education (P < 0.05). The health knowledge level, self-concept, self-responsibility, self-care skill score and ESCA total score of the treatment group were significantly higher than those of the control group (P < 0.05); the treatment group satisfaction with health education methods was higher than the control group (P < 0.05). Conclusion Diversified video education helps to resolve the uncertainty of disease in patients undergoing endoscopic submucosal dissection, promote the development of self-care ability, and improve patient satisfaction.
Key wordsEndoscopic mucosal dissection    Video education    Disease uncertainty    Self-care ability
    
基金资助:江苏省基础研究计划(自然科学基金)——青年基金项目(BK20170211)。
引用本文:   
李娟 许丹 李雯. 多元化视频宣教在内镜黏膜下剥离术患者健康教育中的应用[J]. 中国医药导报, 2021, 18(17): 177-180.
LI Juan XU Dan LI Wen. Application of diversified video education in health education for patients after endoscopic submucosal dissection. 中国医药导报, 2021, 18(17): 177-180.
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https://www.yiyaodaobao.com.cn/CN/     或     https://www.yiyaodaobao.com.cn/CN/Y2021/V18/I17/177

 

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