工作坊宣教模式对感染性胰腺坏死清创引流术后患者出院指导质量的影响

Effect of workshop teaching mode on quality of discharge guidance in patients with infected pancreatic necrosis after necrosectomy

目的评价工作坊宣教模式对感染性胰腺坏死清创引流术后患者出院指导质量的影响.方法采用方便抽样方法,选取2018年5-12月北京市某三级甲等综合医院的82例感染性胰腺坏死清创引流术后患者,分为对照组(40例)与干预组(42例).对照组采用常规出院宣教方式,干预组采用工作坊宣教模式进行宣教.使用一般资料调查问卷及出院指导质量量表收集资料并测评,比较并分析两组患者的出院指导质量得分差异.结果干预组的出院指导质量总分为(157.80±13.05)分,高于对照组的(148.05±17.85)分,差异有统计学意义(P<0.05).干预组的获得内容、讲授技巧和效果评价得分高于对照组,差异有统计学意义(P<0.05).进一步分析显示,其主要差异集中于清创引流术后患者自我照顾信息的获得、照顾者信息的获得、护士检查及示范、信息的一致性等方面,干预组均有所提高(P<0.05).结论工作坊宣教模式应用于感染性胰腺坏死清创引流术后患者,能有效提高患者的出院指导质量.

Objective To evaluate the effect of workshop teaching mode on quality of discharge guidance in patients with infected pancreatic necrosis after necrosectomy. Methods Totally 82 patients with infective pancreatic necrosis after necrosectomy in a tertiary general hospital in Beijing were selected by convenient sampling method from May to December 2018. The patients were divided into control group (40 cases) and intervention group(42 cases). The control group received the routine discharge guidance, while the intervention group received the workshop teaching mode discharge guidance. General Information Questionnaire and the Quality of Discharge Teaching Scale(QDTS) were adopted to evaluate quality of discharge guidance and compare the difference between two groups. Results There was a statistically significant difference between the control group and the intervention group in the total score of QDTS (P<0.05), while the score of intervention group(157.80±13.05) was significantly higher than the control group (148.05±17.85). The scores of received content, teaching skill and effect evaluation in the intervention group were higher than the control group (P< 0.05). Further analysis showed that the main differences were concentrated in patients' acquisition of self-care information, caregivers' acquisition of nursing information, consistency of information, and nurses' examination and demonstration. In these sections,The scores of intervention group were higher (P< 0.05). Conclusions The workshop teaching mode applied to patients with infected pancreatic necrosis after necrosectomy can effectively improve the quality of discharge guidance.