多媒体视频联合情景体验式健康教育在腹腔镜胆总管切开取石术患者中的应用效果

doi:10.20047/j.issn1673-7210.2023.06.34

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摘要目的探讨多媒体视频联合情景体验式健康教育在腹腔镜胆总管切开取石术患者中的应用效果。方法选取江苏省淮安市第一人民医院肝胆胰外科2018年3月至2021年4月收治的拟行腹腔镜胆总管切开取石术患者200例，采取随机数字表法将其分为对照组和研究组，各100例。对照组实施情景体验式健康教育，研究组实施多媒体视频联合情景体验式健康教育，护理前后比较两组相关护理指标、汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）及医学应对问卷（MCMQ）评分，并统计胃肠功能改善时间。结果护理后，两组健康知识掌握、自我防护意识、自我责任感、基础护理技能评分均提高，且研究组高于对照组，差异有统计学意义（P＜0.05）；护理后，两组HAMA、HAMD评分均降低，且研究组低于对照组，差异有统计学意义（P＜0.05）；两组MCMQ评分中面对评分均升高、回避和屈服评分均降低，且研究组面对评分高于对照组，回避和屈服评分低于对照组，差异有统计学意义（P＜0.05）；研究组进食恢复时间、肛门排气时间、肠鸣音恢复时间、排便时间、下床活动时间均短于对照组，差异有统计学意义（P＜0.05）。结论多媒体视频联合情景体验式健康教育，可缓解患者负面情绪，促进胃肠功能恢复时间，提高患者康复效果，可以被广泛推广。

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	王娜周玲玲侯彤

关键词 ：多媒体视频, 情景体验式健康教育, 腹腔镜, 胆总管切开取石术

Abstract：Objective To explore the application effect of multimedia video combined with situational experiential health education in patients undergoing laparoscopic choledochotomy and stone extraction. Methods A total of 200 patients were admitted with laparoscopic choledchotomy by Department of Hepatobiliary and Pancreatic Surgery, Huaian First People’s Hospital, Jiangsu Province from March 2018 to April 2021, they were divided into control group and study group, with 100 cases in each group. The control group implemented situational experiential health education, the study group implemented multimedia video combined with situational experiential health education. Relevant nursing indicators, Hamilton anxiety scale (HAMA), Hamilton depression scale (HAMD), and medical coping questionnaire (MCMQ) scores of the two groups were compared before and after nursing, the improvement time of gastrointestinal function was also calculated. Results After nursing, the scores of health knowledge, self-protection awareness, self-responsibility, and basic nursing skills of the two groups were improved, and the study group was higher than the control group, and the differences were statistically significant (P＜0.05); after nursing, HAMA and HAMD scores of the two groups were decreased, and the study group was lower than the control group, and the differences were statistically significant (P＜0.05); in the MCMQ scores of the two groups, face scores increased, avoidance and yield scores decreased, and the study group’s face scores were higher than those of the control group, avoidance and yield scores were lower than those of the control group, and the differences were statistically significant (P＜0.05); the feeding recovery time, anal exhaust time, bowel sound recovery time, and defecation time and getting out of bed time of the study group were shorter than those of the control group, and the differences were statistically significant (P＜0.05). Conclusion Multimedia video combined with situational experiential health education can relieve patients’ negative emotions, promote the recovery time of gastrointestinal function, and improve the rehabilitation effect of patients, which can be widely promoted.

Key words： Multimedia video Situational experiential health education Laparoscopy Choledochotomy and stone extraction

基金资助:江苏省高等教育教改研究立项课题（2017JSJG0 40）。

引用本文:

王娜周玲玲侯彤. 多媒体视频联合情景体验式健康教育在腹腔镜胆总管切开取石术患者中的应用效果[J]. 中国医药导报, 2023, 20(6): 149-152.
WANG Na ZHOU Lingling HOU Tong. Application effect of multimedia video combined with situational experiential health education in patients undergoing laparoscopic choledochotomy and stone extraction. 中国医药导报, 2023, 20(6): 149-152.

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https://www.yiyaodaobao.com.cn/CN/10.20047/j.issn1673-7210.2023.06.34 或 https://www.yiyaodaobao.com.cn/CN/Y2023/V20/I6/149

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