BCW理论辅助健康教育在眼科患者手术室护理过程中的作用

Role of BCW theory assisted health education in the process of operating room care for ophthalmic patients

目的研究行为改变模式(BCW)辅助健康教育在眼科患者手术室护理过程中的作用效果。方法选取2020年2月至2021年3月于大连医科大学附属第二医院眼科进行手术治疗的100例患者(100眼)作为研究对象,采用电脑随机数字表法将其分为观察组(50例患者,50眼)和对照组(50例患者,50眼)。观察组患者采用实施BCW理论辅助健康教育进行护理干预,对照组患者采用实施传统眼科手术护理进行干预。比较两组患者护理前后的疾病知晓及掌握情况、视力情况、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分;比较两组患者的住院时间及护理总满意度。结果观察组患者护理后的疾病知识、检查指导、病情观察、日常保健评分及总分均高于对照组,差异有统计学意义(P<0.05)。观察组患者的住院时间短于对照组,差异有统计学意义(P<0.05)。观察组患者护理后的视力水平高于对照组,差异有统计学意义(P<0.05)。两组患者护理后的SAS及SDS评分均低于护理前,且观察组患者护理后的SAS及SDS评分低于对照组,差异有统计学意义(P<0.05)。观察组患者的护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论BCW理论辅助健康教育应用于眼科患者手术室护理过程后,可以有效提高患者对眼部疾病的认知和掌握情况,缩短住院时间,提高护理满意度及视力,改善负面情绪,值得推广。

Objective To study the effect of behavior change wheel(BCW)assisted health education in the process of operating room care for ophthalmic patients.Methods A total of 100 patients(100 eyes)who underwent surgical treatment in the Department of Ophthalmology of the Second Affiliated Hospital of Dalian Medical University from February 2020 to March 2021 were selected as the research subjects.They were divided into observation group(50 patients,50 eyes)and control group(50 patients,50 eyes)by computer random number table method.Patients in the observation group were carried out BCW theory assisted health education nursing intervention,patients in the control group were carried out traditional eye surgery nursing intervention.The awareness and mastery of disease,visual acuity,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores were compared between the two groups before and after nursing.The length of stay and total satisfaction of nursing were compared between the two groups.Results The disease knowledge,examination guidance,disease observation,daily health care scores and total score of observation group were higher than those of control group after nursing,the differences were statistically significant(P<0.05).The length of hospitalization in observation group was shorter than that in control group,and the difference was statistically significant(P<0.05).The visual acuity level of observation group was higher than control group after nursing,the difference was statistically significant(P<0.05).The SAS and SDS scores of two groups after nursing were lower than those before nursing,and SAS and SDS scores of observation group after nursing were lower than those in control group,the differences were statistically significant(P<0.05).The total nursing satisfaction of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion After BCW theory assisted health education is applied in the operating room nursing process of ophthalmic patients,it can effectively improve patients'cognition and grasp of eye diseases,shorten the length of hospital stay,improve nursing satisfaction and vision,and improve negative emotions,which is worth promoting.