术前情景模拟对肾活检患者依从性及并发症的影响

The application and effect of scene imitation method in health education in pre-renal biopsy

目的探讨情景模拟在肾活检患者术前健康教育中应用的效果。方法将182名需行肾活检的患者分为实验组和对照组,术前分别进行常规健康教育及情景模拟式健康教育,观察术中两组患者的心理变化、配合程度及术后并发症。结果对照组患者术中紧张程度明显高于实验组(P<0.05),而术中配合程度低于实验组(P<0.05),术后并发排尿困难、腰背酸痛及肾周血肿的发生率实验组低于对照组(P<0.05)。结论术前采用情景模拟式健康教育能够患者的紧张情绪,提高患者的依从性,减少术后并发症的发生,是一种行之有效的健康教育方法。

Objective To evaluate the effect of scene imitation method in prerenal biopsy education. Methods 182 patients were divided into two groups before renal biopsy. The patients were educated with the scene imitation method in the treatment group and with the usual method in control group. The patients＇ perioperative emotional reactions and compliance and the post - biopsy complications were observed. Results The psychometric score of the treatment group was higher than that of the control group （P 〈 0.05）. The compliance of the control group was lower than that of the treatment group （P 〈 0.05 ）. The incidence of postbiopsy lumbago and abdominal pain was lower in the test group （P 〈 0.05）. Conclusion The application of scene imitation method in pre - renal biopsy education can reduce nervousness and compliance of patients and decrease post - biopsy complications. Thus it proves to be effective and worth promoting.