视频宣教模式对完全植入式静脉输液港自我维护的应用价值  

Application value of video health education mode in patient′s self-maintenance of totally implantable venous access port

作　　者：吴燕燕 刘国涛 葛文程 凌燕 杨亚娟 蒋英[3] WU Yanyan;LIU Guotao;GE Wencheng;LING Yan;YANG Yajuan;JIANG Ying(Catheter Room,Department of Diagnostic Radiology,Second Affiliated Hospital of Naval Military Medical University,Shanghai 200003,China)

机构地区：[1]海军军医大学第二附属医院放射诊断科导管室,上海200003 [2]海军军医大学第二附属医院护理处,上海200003 [3]上海交通大学附属仁济医院神经外科脑血管病中心

出　　处：《介入放射学杂志》2024年第12期1355-1359,共5页Journal of Interventional Radiology

基　　金：长征医院护理课题面上项目(CZYY-HLM916)。

摘　　要：目的探讨视频健康宣教模式在完全植入式静脉输液港(totally implantable venous access ports,TIVAP)自我维护中的应用价值。方法纳入2021年9月至2022年12月海军军医大学第二附属医院接受TIVAP植入手术的患者208例,随机将患者分为对照组108例,观察组100例。对照组患者予以传统健康宣教,观察组患者在此基础予以基于视觉传达理论的视频宣教。采用自我护理能力实施量表(ESCA)评估两组干预前、置港6个月后的自护能力,分析对比两组并发症、不良事件发生率及留港时长。结果干预前两组ESCA表中各维度及总分比较,差异无统计学意义(P>0.05),干预后观察组ESCA表中各维度及总分高于对照组(P<0.05);干预后,观察组并发症总发生率明显低于对照组(P<0.05),不良事件总发生率明显低于对照组(P<0.05),且观察组TIVAP留置时间明显长于对照组。结论采用视频健康宣教模式可显著提升患者TIVAP自我护理能力,降低并发症与不良事件发生率,延长TIVAP使用时长,是一种有效的TIVAP健康宣教模式。Objective To discuss the application value of video health education mode in patient′s self-maintenance of totally implantable venous access port(TIVAP).Methods A total of 208 patients,who received implantation of TIVAP at the Second Affiliated Hospital of Naval Military Medical University of China From September 2021 to December 2022,were enrolled in this study.The patients were divided into control group(n=108)and observation group(n=100).Traditional health education was conducted for the patients of the control group,while on the basis of traditional health education an additional video health education based on visual communication theory was carried out for the patients of the observation group.Evaluation of self-care ability(ESCA)was used to evaluate the self-care ability before the intervention and 6 months after the implantation of TIVAP in the two groups.The complications,the incidence of adverse events,and the indwelling duration of the infusion port were compared between the two groups.Results Before intervention,the differences in each dimension score and total score of ESCA table between the two groups were not statistically significant(all P>0.05).After intervention,the each dimension score and total score of ESCA table in the observation group were significantly higher than those in the control group(all P<0.05).After intervention,both the total incidence of complications and the total incidence of adverse events in the observation group were remarkably lower than those in the control group(both P<0.05),besides,the indwelling duration of the infusion port in the observation group was obviously longer than that in the control group.Conclusion The use of video health education mode can significantly improve the self-care ability of patients carrying a TIVAP,reduce the incidence of complications and adverse events,and extend the effective duration of TIVAP.Therefore,it is an effective health education mode.

关 键 词：完全植入式静脉输液港 视觉传达 视频 健康宣教 

分 类 号：R472[医药卫生—护理学]