多媒体健康教育在内镜逆行胰胆管造影微创治疗患者中的应用

Application of multimedia health education in patients with endoscopic retrograde cholangio-pancreatography minimally invasive treatment

目的评价将移动护理工作站多媒体模块应用于内镜逆行胰胆管造影(ERCP)微创治疗患者术前健康宣教的效果.方法采用便利抽样法,选取2018年1-6月于首都医科大学附属北京朝阳医院消化内科住院符合纳入标准的患者100例,按随机数字表法分为试验组(44例)和对照组(56例),对照组通过口头讲授及发放宣教材料的传统教育方式,试验组在原有健康教育基础上采用移动护理平台多媒体进行集中授课,开放交流方式,比较两组患者健康教育后的知识掌握情况、满意度以及焦虑得分.结果试验组患者知识掌握程度得分(33.00±9.41)分,满意度得分(23.45±1.18)分,均高于对照组[(28.82±7.48)分和(17.61±1.95)分],差异均有统计学意义(P<0.05),试验组患者焦虑得分低于对照组,差异具有统计学意义(P<0.01).结论采用移动护理平台多媒体集中授课方式可提高对ERCP微创治疗患者健康教育的质量及患者满意度,缓解患者焦虑情绪.

Objective To evaluate the effect of mobile nursing workstation multimedia module applied to preoperative health education of patients with minimally invasive endoscopic retrograde cholangiopancreatography (ERCP). Methods By convenience sampling, 100 patients who met the inclusion criteria in-hospitalized in Department of Digestive Medicine, Beijing Chao-Yang Hospital, Capital Medical University from January to June of 2018 were selected and divided into the observation group (n=44) and control group (n=44) according to the random number table. Conventional education approach of oral teaching and distribution of teaching materials was adopted in the control group, besides of that the observation group received the intensive teaching approach through mobile nursing platform multimedia and open communication. The knowledge mastering status, satisfactory degree and anxiety scores were compared between the two groups after health education. Results In the observation group, the score of knowledge mastering status was (33.00±9.41), satisfactory degree was(23.45±1.18), both higher than the control group [(28.82±7.48),(17.61±1.95)] with statistical difference (P<0.05);the observation group achieved lower score in anxiety than the control group with statistical difference(P< 0.01). Conclusion The use of mobile nursing platform multimedia teaching method can improve the quality of health education for patients with minimally invasive ERCP treatment and patient satisfaction, alleviate the anxiety of patients.