微课与工作坊教育模式在炎症性肠病患者实施管饲家庭肠内营养中的研究

Study on micro-lecture and workshop education model in tube-fed home enteral nutrition support for inflammatory bowel disease patients

目的探讨微课与工作坊教育模式在炎症性肠病(IBD)患者实施家庭管饲肠内营养支持中的应用效果。方法将消化科自2018年1月至2019年12月间收治的符合纳入排除标准,接收治疗且出院后需留置营养管实施家庭肠内营养支持的IBD患者64例,按照随机数字表法随机分为对照组和研究组各32例,对照组采取常规口头宣教及示范教育,研究组进行微课与工作坊的教育模式,比较出院前1天两组患者肠内营养操作合格率和出院后1个月内患者肠内营养导管堵管率、意外拔管率、误吸率的差异,比较两组患者对护理工作的满意度。结果研究组患者实施肠内营养操作的合格率、患者对护理工作的满意度均较高,实施肠内营养并发症的发生率明显低于对照组,差异有统计学意义(P<0.05)。结论通过微课与工作坊教育模式的教育能显著提高IBD患者实施家庭肠内营养支持的掌握率,降低并发症发生,并提高生活质量,提高患者满意度。

Objective To explore the application effect of micro-lecture and workshop education model in tube-fed home enteral nutrition support for inflammatory bowel disease(IBD)patients.Methods From January 2018 to December 2019,64 IBD patients who were admitted to the Digestive Department of our hospital were included in the exclusion criteria.After receiving the treatment and leaving the hospital,they needed to keep nutrition tube for home enteral nutrition support.According to the random number table method,they were randomly divided into the control group and the experimental group,32 cases in each group.The control group adopted routine oral education and demonstration education,and the intervention group carried out micro-lecture and workshop education model,the difference of qualified rate of enteral nutrition operation between the two groups on the day before discharge and the rate of blocking,accidental extubation and aspiration of enteral nutrition catheter within one month after discharge was compared,and the satisfaction of the two groups on nursing work was compared.Result The qualified rate of enteral nutrition operation and the patients'satisfaction with nursing work were higher in the intervention group,and the incidence of complications of enteral nutrition was significantly lower than that in the control group(P<0.05).Conclusion The education of micro-lecture and workshop education model can significantly improve the mastering rate of IBD patients in implementing family enteral nutrition support,reduce the occurrence of complications,improve the quality of life,and improve the satisfaction of patients.