术前访谈在介入手术患者中的应用评价  

Application Evaluation of Preoperative Interview in Patients with Interventional Surgery

作　　者：陈秀梅[1] 赖敏华 杨珊[1] 郝晓玲[1] CHEN Xiu-mei;LAI Min-hua;YANG Shan;HAO Xiao-ling(Cancer Center,Guangdong Provincial People's Hospital,Guangdong Academy of Medical Sciences,Guangzhou 510080,China)

机构地区：[1]广东省人民医院肿瘤中心广东省医学科学院

出　　处：《循证医学》2019年第3期185-188,共4页The Journal of Evidence-Based Medicine

基　　金：广东省医学科研基金资助项目(A2015269)

摘　　要：目的评价开展术前访谈在介入手术患者中的应用价值。方法纳入符合研究标准的介入手术患者246 例,观察组患者采取术前访谈的方式进行术前宣教,对照组采取常规的术前宣教方法,比较两组患者对介入手术相关知识的知晓情况。采用自制的介入病房护士专科知识摸底考核问卷对科室17 名护士进行专科知识摸底调查及培训后的考核,比较培训前后护士对专科知识的掌握情况。结果两组患者对介入相关知识的知晓情况差异有统计学意义(术前的相关注意事项χ^2=16.814,P<0.001;术后的相关注意事项χ^2=13.624,P<0.001;术后的相关饮食知识χ^2=23.111,P<0.001)。培训前后护士的介入手术相关知识的考核平均分从66.65 分提高到75.12 分。结论实施术前访谈的宣教方式的患者观察组,无论是患者对介入相关知识知晓率,还是对科室总体满意度,都明显优于患者对照组;根据访谈表内容对介入病房护士进行介入手术相关知识的培训,可全面提高护士的介入专科知识水平。Objective To investigate the application evaluation of preoperative interview in patients with interventional surgery. Methods A total of 246 interventional patients were included in the study. Preoperative interview was used for observation group to conduct preoperative education,and the routine preoperative education was used in control group. Compare the awareness of interventional knowledge between both groups. A self-developed questionnaire was used for nurse knowledge assessment and a second assessment after training on 17 nurses,to compare their understanding of the interventional surgery before and after training. Results There are statistically significant differences between each patient groups in preoperative precautions(χ^2=16.814,P<0.001),postoperative precautions(χ^2=13.624,P< 0.001) and postoperative dietary knowledge(χ^2=23.111,P<0.001). A test was taken on nurses about interventional surgery before and after training,and the average score was increased from 66.65 to 75.12 after training. Conclusions Preoperative interview can improve the satisfaction and awareness of interventional knowledge in patients with interventional surgery. Also,training of the nurses according to the contents of the interview form can comprehensively improve the interventional knowledge of the nurses.

关 键 词：术前访谈 介入手术患者 介入手术知识知晓率 满意度 

分 类 号：R47[医药卫生—护理学]