两种视频宣教方法对PCI住院患者健康教育效果的比较研究

发布时间：2018-03-25 09:01

本文选题：经皮冠状动脉介入治疗(PCI)　切入点：视频宣教　出处：《石河子大学》2017年硕士论文

【摘要】：目的:比较应用两种视频宣教方法进行健康宣教,对经皮冠状动脉介入治疗(PCI)患者在冠心病相关知识掌握程度、焦虑程度、生活质量和患者住院期间对护理满意度等方面的影响,探讨应用移动视频宣教在经皮冠状动脉介入治疗患者健康教育中的效果。方法:选择2016年3月～2016年10月期间在成都市某三甲医院心血管内科病区接受PCI治疗的符合纳入标准的住院冠心病患者120例。男52例、女68例,年龄46~74岁,平均66.09岁。门诊在收治需要PCI治疗的符合纳入标准的患者时,采用随机分组对照研究方法,随机收治于心内一科和心内二科。收治于心内一科的60例患者为平板电脑组,收治于心内二科的60例患者为台式电脑组。护士在开展常规健康宣教工作的基础上,台式电脑组:在护士站配置电脑显示屏上滚动播放专科护理健康教育内容,在入院健康教育时介绍患者自行观看;平板电脑组:采用平板电脑可触屏选择健康教育菜单播放健康教育内容,护士在病房巡视期间指导患者自行播放。应用冠心病相关知识问卷、西雅图心绞痛问卷(SAQ)、状态特质焦虑量表(STAI)及医院自制护理满意度调查表对两组患者在入院首日和出院当日进行调查,比较两组患者的健康教育效果。采用SPSS19.0对研究资料进行统计分析,计量资料采用?x±s,计数资料采用构成比表示,计量资料的组间比较采用两独立样本t检验,组内比较采用配对t检验,计数资料的组间比较采用χ2检验,设检验水准α=0.05,以P0.05为差异有统计学意义。结果:平板电脑组与台式电脑组患者在入院首日收集的一般基本资料、病程及合并疾病等项目方面,组间比较差异无统计学意义(P0.05)。入院首日两组患者在冠心病相关知识、生活质量、焦虑状态差异均无统计学意义(P0.05)。出院当日对两组患者健康教育效果的比较:(1)患者知识掌握程度方面,平板电脑组得分36.03±1.45,台式电脑组得分32.83±1.37,差异有统计学意义(P0.05),平板电脑组得分高于台式电脑组。平板电脑组在冠心病概念、危险因素、诱发因素、临床表现、检查方法、治疗方法、药物知识及二级预防等八个维度组间比较差异有统计学意义(P0.05),平板电脑组的得分高于台式电脑组。(2)两组患者在生活质量(SAQ)方面的比较,差异有统计学意义(P0.05),平板电脑组的得分高于台式电脑组。五个维度中治疗满意度及疾病认知程度两个维度差异有统计学意义(P0.05),平板电脑组的得分高于台式电脑组。(3)两组患者在焦虑程度方面比较,两组患者差异有统计学意义(P0.05),平板电脑组的得分低于台式电脑组。(4)两组患者在护理满意度方面比较,两组患者差异有统计学意义(P0.05),平板电脑组的得分高于台式电脑组。结论:相比较台式电脑滚动播放健康教育内容,应用平板电脑让PCI患者自行触屏选择健康教育内容,增强了患者参与自身健康管理的主动性,患者可有针对性的弥补自身健康教育知识的不足,可更好的提高冠心病相关知识、促进改善患者的生活质量、降低患者焦虑程度及提高患者对护理服务的满意度,值得在临床推广。
[Abstract]:Objective: To compare the application of two kinds of video education method of health education on percutaneous coronary intervention (PCI) in patients with coronary heart disease related knowledge, anxiety, quality of life of patients during hospitalization and effect of nursing satisfaction and other aspects, to explore the application of mobile video education on percutaneous coronary intervention in patients with health education in effect. Methods: from March 2016 to October 2016 during PCI therapy in cardiovascular department of internal medicine in a hospital of Chengdu in accordance with the inclusion criteria in hospitalized patients with coronary artery disease in 120 cases. 52 cases were male, 68 were female, aged 46~74 years old, average 66.09 years old. PCI treatment clinic patients who met the inclusion criteria were used in. A randomized control study method, were treated in the Department of heart and heart in two families. 60 cases admitted to Department of heart patients for the tablet computer group, admitted to the heart of two families Of the 60 patients with desktop computer group. The nurses in the basis of routine health education work on the desktop computer group: scrolling in the nursing station nursing health education specialist content configuration on the computer screen, in the hospital health education to introduce patients to watch; tablet computer group: the touch screen tablet computer can select menu to play the content of health education health education, guide the patients to play nurse during inspections in the ward. Application of coronary heart disease related knowledge questionnaire, Seattle Angina Questionnaire (SAQ), State Trait Anxiety Scale (STAI) and hospital homemade nursing satisfaction questionnaire of two groups of patients in the first day of admission and the day of discharge were investigated, compared two groups of patients with the effect of health education. Using SPSS19.0 to study data for statistical analysis, measurement data using the? X + s, count data using the constituent ratio, measurement data between groups were compared by only two Independent samples t test, were compared with paired t test, count data were compared by 2 test, set up a =0.05 level test in P0.05, the difference was statistically significant. Results: the basic information flat computer group and desktop computer group were collected in the hospital on the first day of the project, course of disease and complications, there was no significant difference between groups (P0.05). The quality of life of the first day of admission in two groups of patients with coronary heart disease related knowledge, anxiety, there were no significant differences (P0.05). The effect of health education were compared between the two groups were: (1) the degree of mastering the knowledge of patients, the tablet computer group scored 36.03. 1.45, the desktop computer group scored 32.83 + 1.37, the difference was statistically significant (P0.05), tablet computer group scored higher than the desktop computer. The tablet computer group in the concept of risk factors, coronary heart disease, predisposing factor, clinical manifestation, examination, treatment The method of treatment, there was statistical significance of drug knowledge and two grade prevention eight dimensions of difference between the two groups (P0.05), tablet computer group scored higher than the desktop computer group. (2) the two groups of patients in the quality of life (SAQ) of the comparison, the difference was statistically significant (P0.05), tablet computer group scored higher than the a desktop computer group. In the five dimensions of the two dimensions of cognitive differences in treatment satisfaction and disease severity was statistically significant (P0.05), tablet computer group scored higher than the desktop computer group. (3) were compared between the two groups in the degree of anxiety, there were significant differences between the two groups (P0.05), tablet computer group was lower than that of a desktop computer group. (4) compared two groups of patients in nursing satisfaction, there were significant differences between the two groups (P0.05), tablet computer group scored higher than the desktop computer group. Conclusion: compared to desktop computer scrolling to the content of health education, application Let the computer to plate touch screen choose the content of health education of PCI patients, enhance the patients initiative to participate in their own health management, the patients can be targeted to make up for their lack of knowledge of health education, improve the coronary heart disease related knowledge can be better, improve the quality of life of patients, reduce patient anxiety and improve patient satisfaction with nursing service and it is worthy of clinical application.

【学位授予单位】：石河子大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.5

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