智能化自我教育系统在直肠癌手术患者中的应用效果  

Application effect of intelligent self-education system in patients with rectal cancer surgery

作　　者：余婷 祁海鸥[2] 徐欣[1] 林仙娉[1] YU Ting;QI Haiou;XU Xin;LIN Xianping(Operating Room,Sir Run Run Shaw Hospital Affiliated with Zhejiang University School of Medicine,Zhejiang Province,Hangzhou310016,China;Department of Nursing,Sir Run Run Shaw Hospital Affiliated with Zhejiang University School of Medicine,Zhejiang Province,Hangzhou310016,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院手术室,浙江杭州310016 [2]浙江大学医学院附属邵逸夫医院护理部,浙江杭州310016

出　　处：《中国当代医药》2023年第32期174-178,共5页China Modern Medicine

基　　金：浙江省医药卫生科技计划项目(2022KY845)。

摘　　要：目的探讨智能化自我教育系统在直肠癌手术患者中的应用效果。方法选取2021年2月至2023年2月浙江大学医学院附属邵逸夫医院收治的100例直肠癌患者作为研究对象,按照随机数字表法分为对照组(50例)和观察组(50例),对照组采用常规教育方法,观察组采用智能化自我教育系统干预方法,两组患者均持续干预至患者出院。比较两组患者手术相关知识掌握情况、焦虑水平、生理指标、疼痛水平、睡眠状况、生活质量以及满意度。结果观察组手术相关知识的掌握情况评分均高于对照组,差异有统计学意义(P<0.05);观察组干预后状态-特质焦虑问卷(STAI)评分、心率、收缩压水平、视觉模拟评分法(VAS)评分、匹兹堡睡眠质量指数量表(PSQI)评分均低于对照组,差异有统计学意义(P<0.05);观察组干预后健康调查简表(SF-36)评分高于对照组,差异有统计学意义(P<0.05);观察组患者总满意度高于对照组,差异有统计学意义(P<0.05)。结论智能化自我教育系统可加深直肠癌手术患者对手术相关知识的了解,有效改善患者焦虑心理,减少生命体征波动,还能减轻患者疼痛,提升患者睡眠质量和生活质量,利于术后康复,故患者满意度更高。Objective To explore the application effect of intelligent self-education system in patients with rectal cancer surgery.Methods A total of 100 patients with rectal cancer admitted to Sir Run Run Shaw Hospital Affiliated with Zhejiang University School of Medicine from February 2021 to February 2023 were selected as research objects,and they were divided into control group(50 cases)and observation group(50 cases)according to random number table method.The control group was treated with conventional education method,and the observation group was treated with intelligent self-education system intervention method.Intervention continued in both groups until discharge.Surgical knowledge,anxiety level,physiological indexes,pain level,sleep status,quality of life and satisfaction were compared between the two groups.Results The surgical knowledge scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The scores of state-trait anxiety inventory(STAI),heart rate,systolic blood pressure,visual analogue scale(VAS)and Pittsburgh sleep quality index(PSQI)in observation group were lower than those in control group after intervention,with statistical significances(P<0.05).The SF-36 scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The total satisfaction of patients in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion The intelligent self-education system can deepen the understanding of patients with rectal cancer surgery,effectively improve the anxiety of patients,reduce the fluctuation of vital signs,reduce the pain of patients,improve the quality of sleep and life of patients,and facilitate postoperative rehabilitation,so patients have higher satisfaction.

关 键 词：直肠癌 智能化自我教育系统 手术相关知识 焦虑 疼痛 睡眠状况 满意度 

分 类 号：R473.73[医药卫生—护理学]