眼科日间眼底手术患者术前认知及健康教育服务需求调查分析  

Investigation and analysis of preoperative cognition and health education service needs of ophthalmic fundus day surgery patients

作　　者：马晓薇[1] 李岩岩[1] 刘淑贤[1] 倪如暘[2] MA Xiaowei;LI Yanyan;LIU Shuxian;NI Ruyang(Ophthalmologic Center,Beifing Tongren Hospital,Capital Medical University,Beifing 100730,P.R.China;Medical Department,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,P.R.China)

机构地区：[1]首都医科大学附属北京同仁医院眼科中心,北京100730 [2]首都医科大学附属北京同仁医院医务处,北京100730

出　　处：《华西医学》2019年第2期168-171,共4页West China Medical Journal

摘　　要：目的调查眼科日间眼底手术患者的术前认知情况,了解患者的健康教育需求,为眼科日间手术室有限时间内的高效、精准术前健康教育服务提供依据。方法采取便利抽样法选择2017年12月—2018年5月首都医科大学附属北京同仁医院日间手术室收治的符合纳入排除标准的患者,并对其进行调查。调查内容包括患者一般资料、眼科日间眼底手术患者术前认知和健康教育服务需求3个部分,调查问卷由专业人员发放和回收。结果共纳入患者112例。患者对于手术流程[(2.57±0.56)分]、术前饮食[(2.58±0.59)分]、术前用药[(2.60±0.64)分]以及心理状态[(2.58±0.65)分]的认知得分较低,而对于手术细节认知[手术时长(85.71%)、手术医师(79.46%)、手术开始时间(76.79%)]、术中注意事项(90.18%)以及术前焦虑(78.57%)3个方面健康教育服务需求较多。结论护理人员应根据日间手术患者术前认知及护理需求情况,制定术前健康教育内容,为患者提供高效、精准的健康教育服务。Objective To investigate the preoperative cognition of the patients undergoing daytime ophthalmic fundus surgery and understand their needs of health education, so as to provide an evidence for efficient and accurate preoperative health education services within the limited time of the ophthalmic day fundus surgery. Methods The convenient sampling method was used to select the patients who met the inclusion criteria in the ambulatory operating room of Beijing Tongren Hospital, Capital Medical University from December 2017 to May 2018. The study included three parts: the general information of the patients, the preoperative cognition of the patients, and the needs for health education service of the patients. Questionnaires were designed according to the research purpose and method, which were distributed and recovered by professionals. Results A total of 112 patients were included. Among them, the cognitive scores of operation process(2.57±0.56), preoperative diet(2.58±0.59), preoperative medication(2.60±0.64), and psychological status(2.58±0.65) were relatively low. More health education services were needed in three aspects: the cognition of operation details [operation duration(85.71%), surgeons(79.46%), operation start time(76.79%)],intraoperative cooperation(90.18%), and intervention for preoperative anxiety(78.57%). Conclusion Nurses should formulate the contents of preoperative health education according to the preoperative cognition and nursing needs of patients, so as to provide efficient and accurate health education services for patients.

关 键 词：日间手术 护理需求 术前认知 健康宣教 

分 类 号：R473.77[医药卫生—护理学]