图文式健康教育对老年ERCP术患者的影响  

Influence of graphic health education on elderly patients undergoing endoscopic retrograde cholangiopancreatography

作　　者：陈艳[1] 

机构地区：[1]天津市南开医院内镜诊疗中心,天津市300100

出　　处：《世界华人消化杂志》2017年第32期2906-2910,共5页World Chinese Journal of Digestology

摘　　要：目的研究图文式健康教育在老年患者内镜逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)术中的应用及对患者焦虑程度的影响.方法选择2016-01/2017-06在天津市南开医院接受ERCP手术的老年患者1200例.用随机数表法分为对照组和观察组,每组各600例,对照组患者给予常规健康教育,观察组患者在对照组的基础上采用图文式健康教育.比较两组患者的生命体征、焦虑自评量表(SelfRating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)评分、视觉模拟评分法(visual Analogue Scale,VAS)评分、护理满意度等.结果观察组患者的舒张压、收缩压、心率和呼吸次数分别为129.47 mm Hg±12.95 mm Hg、83.26 mm Hg±7.83 mm Hg、78.63次/min±5.49次/min和19.73次/min±2.26次/min,均低于对照组(P<0.05).干预前两组患者的SAS、SDS和VAS评分相近(P>0.05),干预后观察组患者的SAS、SDS和VAS评分分别为31.36分±5.72分、30.42分±6.01分和4.17分±1.19分,均低于对照组(P<0.05).观察组患者疾病知识、饮食、活动、药物等ERCP相关知识的掌握例数分别为573例(95.50%)、546例(91.00%)、562例(93.67%)和578例(96.33%),高于对照组(P<0.05).观察组患者的宣教时间为6.12 min±2.73 min,短于对照组,护理满意度为96.67%,高于对照组(P<0.05),两组患者的并发症发生率相近(P>0.05).结论在行ERCP手术的老年患者中应用图文式健康教育可以明显缓解患者的焦虑情绪,减轻患者生理指标的波动,提高患者对健康知识的掌握程度和护理满意度,值得在临床推广.AIM To observe the influence of graphic health education on elderly patients undergoing endoscopic retrograde cholangiopancreatography（ERCP）.METHODS One thousand and two hundred elderly patients who underwent ERCP at our hospital from January 2016 to June 2017 were selected and randomly divided into either a control group or an observation group, with 600 cases in each group. Both groups were given routine nursing care, and the observation group was additionally given graphic health education. The physiological indexes, Self-rating Anxiety Scale（SAS） score, Self-rating Depression Scale（SDS） score, Visual Analogue Scale（VAS） score, and nursing satisfaction degree were compared between the two groups.RESULTS Diastolic blood pressure,systolic blood pressure, heart rate, and respiratory rate were significantly lower in the observation group than in the control group（P 0.05）. Before the intervention, SAS, SDS, and VAS scores were similar between the two groups. After intervention, SAS, SDS, and VAS scores were significantly lower in the observation group than in the control group（P 0.05）. The percentages of patients with knowledge on the disease, diet, activity, drugs, and other ERCP related aspects were significantly higher in the observation group than in the control group（P 0.05）. The education time was significantly shorter and the nursing satisfaction rate was significantly higher in the observation group than in the control group（P 0.05）, although the complication rates of the two groups was similar.CONCLUSION Graphic health education among elderly patients undergoing ERCP can significantly relieve anxiety, reduce physiological index fluctuations,and improve patients＇ health knowledge level and nursing satisfaction

关 键 词：图文式健康教育 经内镜逆行胰胆管造影术 老年 焦虑 

分 类 号：R473.5[医药卫生—护理学]