基于双相交流的健康宣教干预在ERCP患者围手术期护理中的应用  

Application of health education intervention based on biphasic communication in perioperative nursing of ERCP patients

作　　者：甘喆[1] 李桂贤[1] 董寒星 Gan Zhe;Li Guixian;Dong Hanxing(Hepatopancreatobiliary Surgery,Peking University Shenzhen Hospital,Shenzhen 518036,China)

机构地区：[1]北京大学深圳医院肝胆胰外科,深圳518036

出　　处：《国际医药卫生导报》2024年第4期670-673,共4页International Medicine and Health Guidance News

摘　　要：目的探讨基于双相交流的健康宣教干预在经内镜逆行胆胰管成像(ERCP)患者围手术期护理中的应用效果。方法选取2021年5月至2023年5月期间北京大学深圳医院收治的460例ERCP患者进行随机对照试验,通过随机数字表法将患者分为对照组与观察组,各230例。对照组男110例,女120例,年龄(52.49±6.27)岁,采用常规干预。观察组男115例,女115例,年龄(51.53±6.29)岁,采用基于双相交流的健康宣教干预。比较两组负性情绪评分、疾病知识掌握度与术后并发症发生情况。统计学方法采用t检验、χ^(2)检验。结果观察组干预后的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均低于对照组[(6.74±1.04)分比(8.37±1.03)分、(6.37±1.04)分比(8.69±1.18)分],差异均有统计学意义(t=16.889、22.369,均P<0.05)。观察组干预后疾病知识、心理咨询、药物指导、饮食运动掌握度均高于对照组[95.22%(219/230)比67.39%(155/230)、90.00%(207/230)比70.43%(162/230)、85.22%(196/230)比63.91%(147/230)、90.00%(207/230)比72.17%(166/230)],差异均有统计学意义(χ^(2)=58.579、27.741、27.521、23.829,均P<0.05)。观察组患者的总并发症发生率低于对照组[3.04%(7/230)比12.17%(28/230)],差异有统计学意义(χ^(2)=13.638,P<0.05)。结论基于双相交流的健康宣教应用于ERCP患者,具有缓解负性情绪、提高疾病知识掌握度、降低并发症发生率等优点,值得推广。Objective To explore the application of health education intervention based on biphasic communication in perioperative nursing of endoscopic retrograde cholangiopancreatography(ERCP)patients.Methods A randomized controlled trial of 460 ERCP patients admitted to Peking University Shenzhen Hospital from May 2021 to May 2023 was conducted.The patients were divided into a control group and an observation group by the random number table method with 230 cases in each group.In the control group,110 males and 120 females,aged(52.49±6.27)years,were treated with routine intervention.In the observation group,115 males and 115 females,aged(51.53±6.29)years,were treated with health education intervention based on biphasic communication.The negative emotion score,disease knowledge mastery,and postoperative complications were compared between the two groups.Statistical methods used were t test andχ^(2) test.Results The scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in the observation group after intervention were lower than those in the control group[(6.74±1.04)points vs.(8.37±1.03)points,(6.37±1.04)points vs.(8.69±1.18)points],with statistically significant differences(t=16.889 and 22.369,both P<0.05).After intervention,the mastery degrees of disease knowledge,psychological counseling,drug guidance,and diet and exercise of the observation group were higher than those of the control group[95.22%(219/230)vs.67.39%(155/230),90.00%(207/230)vs.70.43%(162/230),85.22%(196/230)vs.63.91%(147/230),90.00%(207/230)vs.72.17%(166/230)],with statistically significant differences(χ^(2)=58.579,27.741,27.521,and 23.829,all P<0.05).The total complication rate of the observation group was lower than that of the control group[3.04%(7/230)vs.12.17%(28/230)],with a statistically significant difference(χ^(2)=13.638,P<0.05).Conclusion The application of health education based on biphasic communication in ERCP patients has the advantages of alleviating the negative emotions,improving the mastery of disease knowle

关 键 词：经内镜逆行胆胰管成像 围手术期 双相交流 健康宣教 

分 类 号：R473.6[医药卫生—护理学]