应用3D打印技术的宣传教育对胸椎结核患者术前改善负性情绪的影响  

The effect of 3D printing technology and education on preoperative improvement of negative emotion in patients with thoracic tuberculosis

作　　者：郑佳妹 黄丽霞[1] 王敏[1] 金阳辉[1] ZHENG Jia-mei , HUANG Li-xia , WANG Min ,dIN Yang-hui(Department of Orthopedics, Integrated Chinese and Western1 Medicine Hospital of Zhejiang Province, Hangzhou 310003, Chin)

机构地区：[1]浙江省中西医结合医院骨科,杭州310003

出　　处：《中国防痨杂志》2018年第5期494-498,共5页Chinese Journal of Antituberculosis

基　　金：杭州市科技计划项目（20180533878）

摘　　要：目的探讨应用3D打印技术的宣传教育对胸椎结核手术患者术前负性情绪改善的效果。方法选取在浙江省中西医结合医院骨科2016年1月至2017年12月手术治疗的胸椎结核患者42例，用投硬币法将两个病区随机分为对照组和观察组，两组各21例。对照组实施常规护理；观察组实施常规护理外，还对患者结合3D打印模型进行个体化宣传教育，比较两组患者的术前每日平均起床次数，以及焦虑自评量表（SAS）、自我感受负担量表（SPBS）、抑郁自评量表（SDS）评分结果，评估3D打印技术及相应的宣传教育对胸椎结核患者术前负性情绪的影响。结果观察组患者术前每日起床次数为（0．95±0．86）次，低于对照组的（3．66±1．31）次，差异有统计学意义（t=7．90，P〈O．05）。观察组术前SAS评分平均为（43．40±6．53）分，明显低于对照组[（58．45±7．78）分]；观察组术前SPBS评分平均为（27．09±6．13）分，明显低于对照组[（34．43±5．97）分]；观察组术前SDS评分平均为（41．45±5．72）分，明显低于对照组[（53．26±7．53）分]，差异均有统计学意义（t值分别为6．79、3．93、5．72，P值均＜0．01）。对照组和观察组对术前护理及宣传教育措施的满意度评分分别为（85．56±7．97）分、（94．35±7．56）分，差异有统计学意义（t=3．67，p=0．001）。结论通过应用3D打印技术对患者进行术前宣传教育能减少患者起床的次数，改善患者的负性情绪，提高患者对护理人员的满意度。Objective To explore the influence of 3D printing technology and education on preoperative improvement of negative emotions in thoracic spinal tuberculosis patients. Methods Between January 2016 and December 2017 in Orthopedics Department of Integrated Chinese and Western Medicine Hospital of Zheiiang Province, 42 patients with thoracic tuberculosis were enrolled, By the coin cast method, two wards were randomly divided into control group and observation group （21 cases in each group）. Patients in the control group were given routine nursing, whereas patients in the observation group were given routine care and individual education using 3D print model. The average number of preoperative daily wakes, self-rating anxiety scale （SAS）, self perceived burden scale （SPBS）, and selbrating depression scale （SDS） scores were compared, and the influence of 3D printing technology and education on preoperative improvement of negative emotions was assessed in patients with thoracic spinal tuber culosis. Results The number of daily wakes of the observation group was （0.95±0.86）, lower than that in the control group （3.66±1.31）（t=7.90, P〈0.05）. The preoperative SAS score of the observation group （43.40± 6.53） was significantly lower than that of the control group （58.45±7.78）, the SPBS score （27.09±6.13） was significantly lower than that of the control group （34.43±5.97）, and the SDS score （41.45±5.72） was significantly lower than that of the control group （53.26±7.53） （t=6.79,t=3.93,t=5.72,P〈0.01）. The satisfaction scores of the preoperative care and education in the control group and the observation group were （85.56 ± 7.97） and （94.35±7.56）, respectively; the difference was statistically significant （t=3.67, P=0. 001）. Conclusion Using 3D printing technology to produce equal proportion models and then performing preoperative education can reduce the number of patients＇ daily wakes, improve the patients＇ negative emotions, and enhance the p

关 键 词：结核 脊柱 胸椎 手术前护理 情绪 对比研究 3D打印 

分 类 号：R473.6[医药卫生—护理学]