视频联合行动导向教学法对泌尿结石留置输尿管支架患者自我管理能力和并发症的影响  

Effects of video combined with action-oriented teaching on self-management and complications in patients with urinary calculus after indwelling tube

作　　者：张瑞莉[1] 张艳[1] 贾亮花[1] 丁清清[2] Zhang Ruili;Zhang Yan;Jia Lianghua;Ding Qingqing(Urodynamic Center of Urological Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Urological Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院泌尿外科尿动力中心,郑州450052 [2]郑州大学第一附属医院泌尿外科,郑州450052

出　　处：《中国实用护理杂志》2022年第5期379-384,共6页Chinese Journal of Practical Nursing

摘　　要：目的探讨视频联合行动导向教学法对泌尿结石留置双J管患者健康教育中的应用效果,为提升临床护理健康教育水平提供参考。方法选择2018年3月至2019年10月在郑州大学第一附属医院泌尿外科行钬激光碎石术后留置双J管的100例患者为研究对象。按照随机数字表法分为试验组和对照组,每组50例。对照组采用常规护理和口述式健康教育,试验组在常规护理基础上实施视频联合行动导向教学法健康教育。比较2组患者健康自我管理能力和并发症发生率。结果拔管时,试验组健康自我管理能力测评量表中自我管理行为、自我管理认知、自我管理环境等分量表得分和总分分别为(54.26±4.39)、(57.22±6.93)、(39.91±7.91)、(151.39±13.37)分,高于对照组的(47.92±6.96)、(52.69±6.45)、(34.63±8.53)、(135.24±12.71)分,差异有统计学意义(t值为2.64~6.04,均P<0.05)。试验组并发症总发生率为39.1%(18/46),明显低于对照组的61.2%(30/49);其中试验组腰痛、膀胱刺激征、血尿发生率分别为10.9%(5/46)、13.0%(6/46)、10.9%(5/46),低于对照组的28.6%(14/49)、32.7%(16/49)、30.6%(15/49),差异有统计学意义(χ^(2)值为4.63~5.56,均P<0.05)。结论视频联合行动导向教学法应用于泌尿结石留置双J管患者,可提高患者健康自我管理能力,减少相关并发症的发生。Objective To explore the effects of video combined with action-oriented teaching on self-management skill and complications in patients with urinary calculus after indwelling tube,and to provide basis for improving the effect of clinical health education.Methods A total of 100 patients with urinary calculus after indwelling double J tube from department of urological surgery of the First Affiliated Hospital of Zhengzhou University from March 2018 to October 2019 were divided into experimental group and control group,45 cases in each group by ramdom digits table method.The patients in the control group recieved routine care and oral health education,the experimental group implemented video combined with action-oriented teaching.The levels of health self-management skill as well as complications were compared between the two groups.Results After extubation,self-management behavioral scores,self-management cognitive scores,self-management environment scores and total scores in Adults Health Self-Management Skill Rating Scale were(54.26±4.39),(57.22±6.93),(39.91±7.91),(151.39±13.37)points,which were significantly higher than those in the control group(47.92±6.96),(52.69±6.45),(34.63±8.53),(135.24±12.71)points,the difference were statistically significant(t values were 2.64-6.04,all P<0.05).The total incidence of tube related complications was 39.1%(18/46)in the experimental group,which was significantly lower than that in the control group 61.2%(30/49).The incidence of lumbago,bladder irritation symptom and shematuria were 10.9%(5/46),13.0%(6/46),10.9%(5/46)in the experimental group,significantly lower than those in the control group 28.6%(14/49),32.7%(16/49),30.6%(15/49),the differences were statistically significant(χ^(2) values were 4.63-5.56,all P<0.05).Conclusions Video combined with action-oriented teaching can effectively improve self-management skill and reduce tube-related complications of patients with urinary calculi after indwelling double J tube.

关 键 词：视频 行动导向教学法 泌尿结石 双J管 自我管理 

分 类 号：R473.6[医药卫生—护理学]