动画视频在输尿管结石术前医患沟通中的应用效果  

Clinical effects of animated video in preoperative communication between doctors and ureteral calculi patients

作　　者：万小祥 王伟 焦伟 王文章 施国伟 WAN Xiaoxiang;WANG Wei;JIAO Wei;WANG Wenzhang;SHI Guowei(Department of Urology,Fifth People’s Hospital of Shanghai,Fudan University,Shanghai 200240,China)

机构地区：[1]复旦大学附属上海市第五人民医院泌尿外科,上海200240

出　　处：《现代泌尿外科杂志》2023年第8期670-673,共4页Journal of Modern Urology

基　　金：上海市医学重点专科基金项目(No.ZK2019A03)。

摘　　要：目的 探索动画视频在泌尿外科输尿管结石术前医患交流中的临床应用效果。方法 选取我院2021年1月-2021年12月因输尿管结石拟行手术治疗的278例患者。根据手术时间段分组,其中2021年1月-6月的146例患者为常规组,采用传统口述讲解进行术前谈话;2021年7月-12月的132例患者为视频组,采用动画视频进行术前谈话。比较两组患者及家属对手术知晓度、术前谈话满意度、焦虑、术前心电监护异常、医疗投诉等情况。结果 视频组患者及家属的手术知晓度[(93.35±2.33)分vs.(89.21±2.78)分]、术前谈话满意度评分[(94.27±2.33)分vs.(91.36±3.68)分]明显高于常规组(P<0.05)。比较焦虑情况、术前心电监护异常、医疗投诉等方面,视频组也具有明显的优势(P<0.05)。结论 利用动画视频辅助术前谈话能有效提高患者及家属对手术的知晓度,同时在一定程度上缓解患者术前焦虑、恐惧心理,从而更加配合治疗,保证手术顺利进行,防止术后投诉事件的发生。Objective To explore the clinical application effects of animated video in doctor-patient communication before surgical treatment of ureteral calculi.Methods A total of 278 cases of ureteral calculi treated in our hospital during Jan.and Dec.2021 were selected as subjects.According to the operation periods,146 patients treated during Jan.and Jun.2021 were classified as the conventional group,who received traditional oral explanation for preoperative conversation,while 132 patients treated during Jul.and Dec.2021 were classified as the video group who watched animated video for preoperative conversation.The two groups of patients and their families were compared in terms of operation awareness,satisfaction of preoperative conversation,anxiety,preoperative ECG monitoring abnormalities,medical complaints and so on.Results The operation awareness[(93.35±2.33)vs.(89.21±2.78)points]and satisfaction of preoperative conversation[(94.27±2.33)vs.(91.36±3.68)points]of the video group were significantly higher than those of the conventional group(P<0.05).In terms of anxiety,abnormal preoperative ECG monitoring and medical complaints,the video group also had significant advantages(P<0.05).Conclusion Using animated video to assist preoperative conversation can effectively improve the awareness of patients and their families about the operation,and alleviate the anxiety and fear of patients,so that they are more cooperative.This ensures the smooth operation and reduces the occurrence of postoperative complaints.

关 键 词：动画视频 输尿管结石 术前谈话 医患沟通 手术知晓度 

分 类 号：R693.4[医药卫生—泌尿科学]