视频健康教育在胆道术后带T管出院患者的应用及效果

Application and Efficacy of Health Education Videos in Patients with T-tube Discharge

目的探讨视频健康教育在胆道术后带T管出院患者应用及效果。方法将清远市人民医院肝胆外科2015年6月至2016年8月留置T管并带管出院患者82例随机分为对照组与观察组,每组各41例,对照组患者采用传统的文字及语言宣教,观察组采用视频教育指导带T管出院自护相关知识,比较两组患者出院后管道相关并发症发生率及主动复查率。结果观察组患者管道移位或脱出、腹部不适及伤口皮肤刺激发生率显著低于对照组(P<0.05);观察组患者出院后主动复查率显著高于对照组(P<0.05)。结论视频健康教育在胆道术后带T管出院患者应用可有效降低院后管道相关并发症,提升主动复查率。

Objective To explore the application and efficacy of health education video in patients with T-tube discharge. Methods 82 patients were randomly divided into the control group and the observation group,with each group containing 41 cases. The patients in the control group were treated with traditional text and oral language education, while the observation group was used the video health education guidance with T- tube discharge self-care knowledge, and comparison of the incidence of complications related to the pipeline and the rate of active review was made between these two groups after discharge. Results The incidences of disloca- tion（2.4% vs 17.1% ） , abdominal discomfort（4.9% vs 2 4 . 4 % ） and wound skin irritation（0.0% vs 14. 6% ） in the observation group were significantly lower than those in the control group （P 〈0.05）. The active review rate （97.6% vs 70.1% ） after discharge in the observation group was significantly higher than the control group（P 〈 0.05）. Conclusion Video health education can effectively reduce postoperative hospital-related complications and increase the rate of active reexamination in patients with T-tube discharge after biliary surgery.