围手术期微视频健康宣教对腹腔镜直肠癌手术患者认知程度及自我效能的影响  

Effects of perioperative micro-video health education on cognitive degree and self-efficacy of patients undergoing laparoscopic rectal cancer surgery

作　　者：王虎平 张彦涛 王湘萍 WANG Huping;ZHANG Yantao;WANG Xiangping(Department of Anesthesia and Perioperative Medicine,Pingmei Shenma Medical Group General Hospital,Pingdingshan 467000,He'nan,China)

机构地区：[1]平煤神马医疗集团总医院麻醉与围术期医学科,河南平顶山467000

出　　处：《癌症进展》2024年第21期2408-2411,共4页Oncology Progress

基　　金：河南省中医药科学研究专项课题(2022ZY2067)。

摘　　要：目的 探讨围手术期微视频健康宣教对腹腔镜直肠癌(RC)手术患者认知程度及自我效能的影响。方法将111例腹腔镜RC手术患者按干预方式的不同分为观察组(n=55)和对照组(n=56),观察组实施围手术期微视频健康宣教,对照组实施常规干预。比较两组患者的疾病认知程度[疾病认知问卷(ICQ)]、自我效能感[中文版癌症患者自我管理效能感量表(C-SUPPH)]、并发症发生情况及满意度。结果 干预后,两组患者无助感评分均降低,接纳、感知益处评分均升高,且观察组患者无助感评分低于对照组,接纳、感知益处评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者C-SUPPH评分均升高,且观察组患者C-SUPPH评分高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者并发症总发生率低于对照组,满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论 围手术期微视频健康宣教可有效改善腹腔镜RC手术患者的认知程度及自我效能感,还可有效防止并发症的发生,提高护理满意度。Objective To investigate the effects of perioperative micro-video health education on cognition degree and self-efficacy in patients undergoing laparoscopic rectal cancer(RC)surgery.Method A total of 111 patients with laparoscopic RC surgery were divided into observation group(n=55)and control group(n=56)according to different inter-vention methods.The observation group received perioperative micro-video health education,while the control group received routine intervention.The degree of disease cognition[illness cognition questionnaire(ICQ)],self-efficacy[Chinese-strategies used by people to promote health(C-SUPPH)],complications and satisfaction of the two groups were compared.Result After intervention,the scores of helplessness in both groups were decreased,and the scores of acceptance and perceived benefit were increased,and the score of helplessness in the observation group was lower than that in the control group,and the scores of acceptance and perceived benefit were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of C-SUPPH scale increased in both groups,and the score of C-SUPPH scale in observation group was higher than that in control group,the differences were statistically significant(P<0.05).The total incidence of complications of observation group was lower than that of control group,and the satisfaction rate was higher than that of control group,the differences were statistically significant(P<0.05).Conclusion Perioperative micro-video health education can effectively improve the cognitive degree and self-efficacy of patients undergoing laparoscopic RC surgery,and can effectively prevent complications and improve nursing satisfaction.

关 键 词：腹腔镜直肠癌手术 微视频 健康宣教 围手术期 自我效能 认知程度 

分 类 号：R735.37[医药卫生—肿瘤]