交互式视频健康宣教模式在老年急性单纯性肠梗阻患者围术期中的临床应用  

Clinical application of interactive video health education mode in elderly patients with acute simple intestinal obstruction during perioperative period

作　　者：张云云 郭娜 王建东 胡敏 Zhang Yunyun;Guo Na;Wang Jiandong;Hu Min(Emergency Department,First Affiliated Hospital of Naval Medical University,Shanghai,200433,P.R.China)

机构地区：[1]海军军医大学第一附属医院急诊科,上海200433

出　　处：《老年医学与保健》2022年第6期1329-1332,1337,共5页Geriatrics & Health Care

摘　　要：目的 研究交互式视频健康宣教模式在老年急性单纯性肠梗阻患者围术期中的临床应用。方法 选取2021年7月-12月海军军医大学第一附属医院收治的78例老年急性单纯性肠梗阻患者,采用随机数字表法分为对照组与观察组,每组39例。2组接受手术治疗,术前给予常规基础治疗,围术期间对照组行常规床旁口头教育,观察组实施交互式视频健康宣教。采用自拟肠梗阻疾病知识问卷、生存质量测定量表(QOL-100)、自拟患者满意度调查问卷,比较2组干预前后知识掌握水平和生活质量、干预后并发症发生率、满意度及住院时间、医疗费用。结果 干预后,2组知识掌握评分较干预前提高(P<0.05),观察组知识掌握评分高于对照组(P<0.05)。干预后,2组生理功能、躯体功能、社会功能及精神健康评分较干预前上升,且观察组QOL-100评分高于对照组(P<0.05);观察组腹腔感染、吻合口漏、胃肠紊乱、切口感染并发症发生率低于对照组(7.69%vs 25.64%,P<0.05);观察组满意率高于对照组(94.87%vs 61.54%,P<0.05),住院时间短于对照组,医疗费用低于对照组(P<0.05)。结论 交互式视频健康宣教模式有效提高老年急性单纯性肠梗阻患者对疾病知识掌握水平,减少并发症发生,提升生活质量,提高患者满意度。Objective To study the clinical application of interactive video health education mode in elderly patients with acute simple intestinal obstructionduring perioperative period. Methods 78 elderly patients with acute simple intestinal obstruction admitted to First Affiliated Hospital of Naval Medical University from July to December 2021 were selected and divided into control group and observation group by random number table method, with 39 cases in each group.The two groups received surgical treatment and routine basic treatment before operation. During perioperative period, the control group received routine bedside oral education, and the observation group received interactive video health education.The self-designed intestinal obstruction disease knowledge questionnaire, Quality of Life Scale(QOL-100) and self-designed patient satisfaction questionnaire were used to compare the level of knowledge mastery and quality of life before and after intervention, the incidence of complications after intervention, satisfaction, hospitalization time and medical expenses between the two groups. Results After intervention, the scores of knowledge mastery of the two groups were higher than those of the same group before intervention, and the scores of knowledge mastery of the observation group were higher than those of the control group(P<0.05). After intervention, the scores of physiological function, physical function, social function and mental health of the two groups were significantly higher than those of the same groupbefore intervention, and the QOL-100 score of the observation group was higher than that of the control group(P<0.05). The incidence of the complication sincluding abdominal cavity infection, anastomotic leakage, gastrointestinal disorder and incision infection in the observation group was lower than that in the control group(7.69% vs 25.64%, P<0.05). The satisfaction rate of the observation group was higher than that of the control group(94.87% vs 61.54%, P<0.05), the hospitalization time was shorter t

关 键 词：老年 急性单纯性肠梗阻 交互式视频健康宣教 生活质量 并发症 

分 类 号：R473.5[医药卫生—护理学]