|
|
Effect of diversified health education based on the all-media concept on the effect of respiratory function training for patients undergoing cardiac surgery |
SHI Na1 GAO Jiao2▲ |
1.Department of Outpatient, the First Affiliated Hospital of Air Force Military Medical University, Shaanxi Province, Xi’an 710032, China;
2.Department of Anesthesia and Perioperative Operating Room, the First Affiliated Hospital of Air Force Military Medical University, Shaanxi Province, Xi’an 710032, China |
|
|
Abstract Objective To explore the effect of diversified health education based on the all-media concept on the effect of respiratory function training for patients undergoing cardiac surgery. Methods A total of 125 cases of elective cardiac surgery patients admitted to the First Affiliated Hospital of Air Force Military Medical University from May 2019 to August 2020 were selected. According to the random number table method, they were randomly divided into 64 cases in the treatment group and 61 cases in the control group. The control group was given regular health education, and the treatment group jointly applied diversified health education based on the omnimedia concept. The respiratory function training compliance behavior, lung function and complications of the two groups were compared. Results At discharge, the respiratory function training compliance behavior scores of the two groups were significantly higher than those of the same group at admission (P < 0.05). The observation group’s respiratory function training, active seeking help, respiratory function training precautions, and respiratory function training compliance behavior total scores were significantly higher in the control group (P < 0.05); at discharge, the forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and maximum expiratory volume per minute (MVV) in the two groups were significantly lower than those in the same group at admission (P < 0.05). The FVC, FEV1, and MVV of the treatment group were significantly higher than those of the control group (P < 0.05); the total incidence of complications in the observation group was lower than that in the control group (P < 0.05). Conclusion Diversified health education based on the concept of all-media is beneficial to improve the compliance behavior of respiratory function training in cardiac surgery patients, promote postoperative lung function recovery, and reduce the occurrence of complications such as atelectasis.
|
|
|
|
|
[1] 刘治元,郭惠明.胸腔镜心脏手术与常规心脏直视手术对肺功能影响的对比研究[J].实用心脑肺血管病杂志,2016,24(9):148-150.
[2] Smythe WR,Bavaria Jehall RA,Kling GM,et al. Thoracoscope removal of mediastinal parathyroid adenoma [J]. Annal,2015,59(1):236-238.
[3] 吴晓兰,付亮,秦呈婷.术前呼吸功能训练对老年房颤杂交术患者术后肺功能恢复及预后的影响分析[J].中国医学前沿杂志:电子版,2018,10(10):41-44.
[4] 袁国琴.呼吸训练器对胸外科术后患者肺功能恢复的影响[J].中华全科医学,2020,18(3):176-179.
[5] 俞瑾,徐美芳,樊敏娜,等.全媒体健康教育模式对冠心病合并糖尿病患者健康生活方式的影响[J].中国健康教育,2020,36(4):70-73.
[6] 王平,陈红宇,刘娅林.荆州市区域医疗中心全媒体健康教育模式的实施[J].中国健康教育,2016,32(12):1149-1151.
[7] 吴艳,康晓艳,李宁,等.食管癌开胸手术患者自我管理效能感对呼吸功能锻炼依从性的影响[J].中国医药导报,2017,14(14):111-114.
[8] 黎吉娜,黄伶智,李乐之.肺癌患者术后呼吸功能锻炼依从性及动画宣教需求调查[J].中华现代护理杂志,2016, 22(34):4976-4978.
[9] 孙建霞,张国群,季俊红,等.综合呼吸功能锻炼在老年食管癌患者围术期中的应用价值[J].医学临床研究,2017, 34(12):2432-2434.
[10] 蒋雅娟,王月,刘江.呼吸肌评估和训练对胸外科手术患者术后呼吸功能的影响[J].实用临床医药杂志,2016, 20(12):70-72.
[11] Karenovics W,Licker M,Ellenberger C,et al. Short-term preoperative exercise therapy does not improve long-term outcome after lung cancer surgery:a randomized controlled study [J]. Eur J Cardiothorac Surg,2017,52(1):47-54.
[12] 张颖,朱海芳,张会敏.呼吸训练对开胸患者术后肺功能和循环功能的影响[J].中华现代护理杂志,2018,24(7):839-842.
[13] 杨玲,梁秀凤.多元化健康教育对胸腔镜下肺癌根治术患者呼吸功能训练知信行水平及康复效果的影响[J].中国实用护理杂志,2019,35(28):2200-2204.
[14] 张小敏,刘东梅,邱菊.心理支持及放松训练对心脏病患者身心症状的影响[J].解放军预防医学杂志,2018, 36(12):1601-1602,1618.
[15] 邢珂,李涛,钱永军.心脏手术患者焦虑及干预[J].四川医学,2020,41(2):82-86.
[16] 韦靖,何静,梁芳.多媒体健康教育对普胸术后患者呼吸功能锻炼依从性的研究[J].海南医学,2014,25(13):2021-2022.
[17] 俞瑾,徐美芳,樊敏娜,等.全媒体健康教育模式对冠心病合并糖尿病患者健康生活方式的影响[J].中国健康教育,2020,36(4):70-73.
[18] 王芳.新媒体在医院健康教育中的应用[J].全科护理,2017,15(4):488-489.
[19] 张希臣,罗娇娇,刘畅.新媒体在健康传播中的应用现状及发展趋势[J].职业与健康,2018,34(8):1149-1152.
[20] 姜雪姣,任裴,许优,等.实施多元化护理干预措施对耐多药肺结核患者呼吸功能锻炼依从性的影响[J].结核病与肺部健康杂志,2018,7(1):37-43.
[21] 袁媛.整合式健康教育对心胸外科手术患者自我管理效能及呼吸功能锻炼依从性的影响[J].江苏预防医学,2018,29(4):466-468
[22] 杨宇.门诊护士实施健康教育的现状调查分析[J].实用临床护理学电子杂志,2017,2(35):182,188.
[23] 许艺凡,马冠生.新媒体在健康传播中的作用及评估[J].中国健康教育,2018,34(1):62-66.
[24] Ahmadvand A,Drennan J,Burgess J,et al. Novel augmented reality solution for improving health literacy around antihypertensives in people living with type 2 diabetes mellitus:protocol of a technology evaluation study [J]. BMJ Open,2018,8(4):e019422.
[25] 高莉,罗莉丽,许亚玲.术前情景模拟健康教育在胸腔手术患者中的应用[J].临床医学研究与实践,2016,1(23):171-173.
[26] 韩小英,陈春花.标准化病人运用于护理不良事件情景模拟教学的效果[J].中国当代医药,2020,27(21):177-179.
[27] 肖静,周志强,曹雪芹,等.不同身份参与羊水栓塞原位情景模拟教学的效果及运用[J].中国现代医生,2020,8(30):9-13.
[28] 李可,张平华.情景模拟在骨科护理安全管理中的应用效果观察[J].中国医学创新,2019,16(25):115-118.
[29] 钟丽君,冯家豪,余杨,等.情景模拟训练在低年资急诊护士急救技能培训中的应用及其临床价值[J].中国医药科学,2019,9(23):38-40,105. |
|
|
|