标准化视频宣教在全脑血管造影术围手术期患者中的应用研究

Application of standardized video education in perioperative patients with digital subtraction angiography

目的 探讨标准化视频宣教在全脑血管造影术(DSA)围手术期患者中的应用价值。方法 本研究为单盲实验研究。选取2022年2-7月于徐州医科大学附属医院神经内科就诊并接受DSA的100例患者为研究对象,应用随机数字表法将患者分为对照组和观察组,各50例,观察组采用标准化视频宣教,对照组采用常规宣教。观察并比较2组患者焦虑抑郁情绪、穿刺点相关并发症(皮下血肿、双下肢静脉血栓、腹膜后血肿)、患者满意度、依从性、睡眠质量及对手术的接受程度。结果 干预后观察组患者术后1 d医院焦虑抑郁量表得分低于对照组,差异有统计学意义(P<0.05),重复测量方差分析结果显示存在交互、组间、时间效应(P<0.05)。干预后观察组患者穿刺点并发症总发生率2.13%,低于对照组总发生率17.02%,2组比较差异有统计学意义(P<0.05)。干预后观察组患者纽卡斯尔护理满意度量表评分高于对照组,差异有统计学意义(P<0.05)。干预后观察组患者依从性及睡眠质量满意度均高于对照组,且再次行DSA的接受程度也高于对照组(P<0.05)。结论 在DSA前实施标准化视频宣教可减弱DSA围手术期患者焦虑抑郁情绪,保证患者的睡眠质量,预防术后并发症,提高患者依从性和护理满意度。

Objective To explore the application value of standardized video education in perioperative patients with digital subtraction angiography(DSA).Methods This study was a single-blind experimental study.A total of 100 patients who underwent DSA in the department of neurology of the Affiliated Hospital of Xuzhou Medical University from February 2022 to July 2022 were selected as the research objects.The patients were divided into the control group and the observation group by random number table method,with 50 cases in each group.The observation group received standardized video education,and the control group received routine education.The anxiety and depression,puncture point-related complications(subcutaneous hematoma,venous thrombosis of both lower limbs,and retroperitoneal hematoma),patient satisfaction,compliance,sleep quality,and acceptance of surgery were observed and compared between the two groups.Result After the intervention,the score of hospital anxiety and depression scale of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Repeated measurement analysis results of variance showed that there were interaction,inter-group,and time effects(P<0.05).After the intervention,the total incidence of puncture point complications in the observation group was 2.13%,which was lower than 17.02%in the control group,and the difference between the two groups was statistically significant(P<0.05).After the intervention,the score of Newcastle nursing satisfaction scale in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the compliance and sleep quality satisfaction of the observation group were higher than those of the control group,and the acceptance of global cerebral angiography again was also higher than that of the control group(P<0.05).Conclusion The implementation of standardized video education before DSA can weaken the anxiety and depression of perioperatire patients with digital subtraction angiography,ensure the sleep quality of patients,prevent postoperative complications,improve patient compliance and nursing satisfaction.