视频宣教结合回授法对肠造瘘病人自护能力及生活质量的影响

Influence of video education combined with teach-back on self-care ability and quality of life of patients with enterostomy

[目的]探讨视频宣教结合回授法对肠造瘘病人自我护理能力及生活质量的影响。[方法]选取2016年1月—2016年12月在我科行肠造瘘的病人23例为对照组,2017年2月—2017年11月在我科行肠造瘘的病人25例为观察组。两组病人在住院期间均实施直肠癌根治手术护理常规和健康宣教,观察组在对照组常规健康宣教基础上采用视频宣教结合回授法进行健康宣教。由责任护士分别在病人造口开放前、病人出院当天发放自我护理能力测量表、生活质量测量表、满意度调查表进行评估。[结果]观察组病人出院时自我护理能力、生活质量、满意度明显高于对照组(P<0.05)。[结论]视频宣教结合回授法健康教育是一种有效的健康宣教方法,提高了肠造瘘病人自我护理能力、生活质量及满意度。

Objective:To explore the influence of video education combined with teach-back on self-nursing ability and quality of life of enterostomy patients.Methods:From January 2016 to December 2016,23 patients with enterostomy in our department were selected as control group,and 25 patients with enterostomy in our department from February 2017 to November 2017 were selected as observation group.The patients in both groups were given routine nursing care and health education during rectal cancer radical operation.The patients in observation group adopted video education combined with health education on the basis of routine health education in the control group.The self-care ability scale,quality of life scale and satisfaction scale were issued by the responsible nurses on the day of discharge before the opening of the patient undefineds opening.Results:The self-nursing ability,quality of life and satisfaction were significantly higher in the observation group than those in the control group(P<0.05).Conclusion:The combination of video education and teach-back health education was an effective method,which could improve the self-care ability,quality of life and satisfaction of enterostomy patients.