早期情景模拟联合微视频在膀胱癌尿流改道术患者健康教育中的应用效果  

Application of early scenario simulation combined with micro-video in health education for patients with bladder cancer undergoing urinary diversion

作　　者：陈玉焕[1] 戴璐[1] 王功成[1] 徐宗源[1] CHEN Yuhuan;DAI Lu;WANG Gongcheng;XU Zongyuan(Department of Urology,the Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University,Huai'an 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院泌尿外科,江苏淮安223300

出　　处：《医药高职教育与现代护理》2022年第1期59-63,共5页Medical Higher Vocational Education and Modern Nursing

摘　　要：目的探讨早期情景模拟联合微视频在膀胱癌尿流改道术患者健康教育中的应用效果。方法选取2019年1月至2020年12月因膀胱癌行根治性全膀胱切除及尿流改道术的39例患者为研究对象,分为研究组和对照组。研究组为2020年1月至12月20例患者,采取早期情景模拟联合微视频的健康教育方案;对照组为2019年1月至12月19例患者,采取常规健康教育方案。比较两组患者快速康复的依从性、尿路造口自我护理能力、健康教育的满意度、术后并发症的发生率及15天内返院率。结果研究组患者快速康复的依从性高于对照组(两组完全依从/部分依从/不依从人数分别为:17/3/0、11/5/3,P<0.05);研究组患者尿路造口自我护理能力评分[(16.9±1.3)分]高于对照组[(11.5±2.4)分](P<0.05);研究组患者对健康教育的满意度评分[(95.0±2.2)分]高于对照组[(81.0±4.0)分](P<0.05);研究组患者术后并发症发生率(2/20)低于对照组(8/19)(P<0.05);研究组患者15天内返院率(2/20)低于对照组(8/19)(P<0.05)。结论早期情景模拟联合微视频的健康教育模式,能有效提高膀胱癌尿流改道术患者快速康复的依从性、对健康教育的满意度和患者自我护理能力,同时有效降低术后并发症的发生率及15天内返院率。Objective To explore the effect of early scenario simulation combined with micro-video in health education of patients with bladder cancer undergoing urinary diversion.Methods 39 patients who underwent radical cystectomy and urinary diversion for bladder cancer from January 2019 to December 2020 were selected,they were divided into study group and control group.20 patients in the study group adopted an early scenario simulation combined with micro-video health education program from January to December 2020,19 patients in the control group adopted a conventional health education program from January to December 2019.Patients'compliance with rapid recovery,urinary stoma self-care ability,satisfaction with health education,incidence of postoperative complications and return to hospital within 15 days were compared between the two groups.Results The compliance with rapid recovery was higher in the study group than the control group(P<0.05).The score of urostomy self-care ability was higher in the study group than the control group(P<0.05).The satisfaction with health education was higher in study group than the control group(P<0.05).The rate of postoperative complication was lower in the study group than the control group(P<0.05).The rate of return to hospital within 15 days was lower in the study group than the control group(P<0.05).Conclusions The health education model of early scenario simulation combined with micro-video could effectively improve the compliance of patients with bladder cancer urinary diversion,the satisfaction of health education and the self-care ability,and reduce the incidence of postoperative complications and return rate within 15 days effectively.

关 键 词：早期情景模拟 微视频 膀胱癌 尿流改道术 自我护理能力 

分 类 号：R47[医药卫生—护理学]