鼻咽癌放疗患者康复视听教材的制作与应用

Development and application of audio-visual materials in radiotherapy patients with nasopharyngeal carcinoma

目的探讨康复视听教材的制作及其在鼻咽癌放疗患者中的应用效果。方法参考相关文献编写康复方案，经专人演示康复锻炼的动作和数码录像制作视听教材DV。选择在浙江大学金华医院放疗科行根治性放疗的84例鼻咽癌患者，按住院时间先后分为对照组和干预组各42例。对照组采用传统一对一口头健康宣教方法，干预组采用康复锻炼视听教材光盘的系统播放并指导患者模仿锻炼方法进行健康宣教，比较两种健康教育方法实施后两组患者康复锻炼依从性情况和患者对护理服务满意度。结果干预组出院后1，3个月依从性得分高于对照组，差异有统计学意义（P〈0．05）；两组患者满意度得分比较差异有统计学意义（P〈0．01）。结论自制的康复视听教材具有直观、形象、通俗易懂、便于模仿、易于被患者接受等优点，能有效提高患者康复锻炼的依从性，促进患者康复，同时提升患者对护理服务的满意度。

Objective To develop andio-visual materials and confirm their effect in patients with nasopharyngeal carcinoma receiving radiotherapy. Methods Audio-visual development were produced based on relevant literature, professional demonstration, and digital video. A total of 84 patients with nasopharyngeal carcinoma were selected from Jinhua Hospital of Zhejiang University and divided into control group （n = 42） and intervention group （ n = 42） according to admission time. The patients of control group received usual one-to-one healthcare education. The patients of intervention group received audio-visual materials systematically for imitation excise with professional guidance. The compliance of rehabilitation exercise and patients＇ satisfaction on nursing service were compared between two groups. Results The scores Of compliance in the intervention group at 1 month after discharge and at 3 months after discharge ware higher than those of the control group （P 〈 0.05）. There was significant difference between the intervention group and the control group in patients＇ satisfaction （P 〈 0.01 ）. Conclusions Self-made audio-visual materials are intuitionistic, iconic, straightaway, imitable, receivable, and they can improve patients＇ compliance on rehabilitation exercise and satisfaction on nursing service effectively.