微视频联合行动导向教学法在尿路造口住院患者中的应用

doi:10.3761/j.issn.0254-1769.2020.10.015

中华护理杂志 ›› 2020, Vol. 55 ›› Issue (10): 1526-1530.DOI: 10.3761/j.issn.0254-1769.2020.10.015

微视频联合行动导向教学法在尿路造口住院患者中的应用

李金蓉(),傅桂芬(),蒙有轩,廖君娟,杨纯,潘洁妙

530021 南宁市广西壮族自治区人民医院泌尿外科

收稿日期:2019-10-17 出版日期:2020-10-15 发布日期:2020-09-27
通讯作者: 傅桂芬
作者简介:李金蓉：女,本科,主管护师,E-mail： zhongguilan1985@163.com
基金资助:
广西医药卫生自筹经费计划课题(Z20170391)

Application of micro-video combined with action-oriented teaching in hospitalized patients with urostomy

LI Jinrong(),FU Guifen(),MENG Youxuan,LIAO Junjuan,YANG Chun,PAN Jiemiao

Received:2019-10-17 Online:2020-10-15 Published:2020-09-27
Contact: Guifen FU

摘要/Abstract

摘要：

目的探讨微视频联合行动导向教学法在膀胱癌回肠膀胱术后尿路造口住院患者健康教育中的应用效果。方法选取广西壮族自治区某三级甲等医院泌尿外科2018年1月—12月因膀胱癌行回肠膀胱术患者86例,按住院时间先后分为试验组42例和对照组44例。试验组采用微视频联合行动导向教学法的健康教育方案,对照组采取常规健康教育方案。比较两组尿路造口自我护理能力、并发症发生率及健康教育满意度。结果试验组尿路造口自我护理能力为（14.18±3.92）分,明显高于对照组的（9.20±4.60）分;造口周围皮肤炎症发生率为2.4%（1/42）,明显低于对照组的18.2%（8/44）;健康教育满意度为（91.41±6.47）分,明显高于对照组的（85.25±11.71）分,以上数据比较,差异均有统计学意义（P<0.05）。结论应用微视频联合行动导向教学法实施健康教育能有效提高尿路造口住院患者的自我护理能力,减少造口相关并发症的发生。

关键词: 尿路造口, 微视频, 行动导向教学法, 自我护理能力

Abstract:

Objective To evaluate the effect of micro-video combined with action-oriented teaching on health education in patients with urostomy after ileal conduit urinary diversion. Methods A total of 86 patients with urostomy after ileal conduit urinary diversion from January to December 2018 in our hospital were enrolled. According to the hospitalization time,42 patients were selected in the experimental group and 44 patients in the control group. The patients in experimental group received the health education program of micro-video combined with action-oriented teaching and the patients in the control group received routine health education program. The self-care ability for urostomy,rate of complication and satisfaction of health education were compared between 2 groups. Results The score of self-care ability for urostomy in the experimental group was significantly higher than that in the control group（14.18±3.92 v.s. 9.2±4.6,P<0.05）. The incidence of skin inflammation around the stoma was 2.4%（1/42） in the experimental group,significantly lower than 18.2%（8/44）in the control group. The satisfaction of health education in the experimental group was significantly higher than that in control group（91.41±6.47 v.s. 85.25±11.71,P<0.05）. Conclusion The application of touch media combined with action-oriented teaching for health education can effectively improve self-care ability for urostomy in patients and reduce the incidence of stoma related complications.

Key words: Urostomy, Micro-Video, Action-Oriented Teaching, Self-Care Ability

李金蓉,傅桂芬,蒙有轩,廖君娟,杨纯,潘洁妙. 微视频联合行动导向教学法在尿路造口住院患者中的应用[J]. 中华护理杂志, 2020, 55(10): 1526-1530.

LI Jinrong,FU Guifen,MENG Youxuan,LIAO Junjuan,YANG Chun,PAN Jiemiao. Application of micro-video combined with action-oriented teaching in hospitalized patients with urostomy[J]. Chinese Journal of Nursing, 2020, 55(10): 1526-1530.

参考文献 12

[1]	曹洁, 张玲娟, 王彤彤, 等. 多元化健康教育在提升泌尿系造口病人自护能力中的应用研究[J]. 护理研究, 2016,30(12B):4437-4439.
	Cao J, Zhang LJ, Wang TT, et al. Application of diversified health education in improving the self-care ability of patients with urinary stoma[J]. Chin Nurs Res, 2016,30(12B):4437-4439.
[2]	Tal R, Cohen MM, Yossepowwitch O, et al. Anileal conduit:who takes care of the stone[J]. The Journal of Urology, 2012,187(5):1707-1712. DOI URL PMID
[3]	梁静, 李萍, 赵丽娟, 等. 路径化健康教育对尿路造口患者自我护理能力的影响[J]. 上海护理, 2018,18(10):51-54.
	Liang J, Li P, Zhao LJ, et al. Effect of pathway-based health education on self-care ability of patients with urostomy[J]. Shanghai Nurs, 2008,18(10):51-54.
[4]	廖君娟, 蒙有轩, 李金蓉, 等. 健康教育对尿路造口患者生活质量、健康信念及健康行为的影响[J]. 中国健康教育, 2017,33(8):749-751,755.
	Liao JJ, Meng YX, Li JR, et al. Effects of health education on quality of life,health beliefs and health behaviors of patients with urostomy[J]. Chin Health Edu, 2017,33(8):749-751,755.
[5]	龚娟, 卢童, 费书晴, 等. 网络延续护理在腹腔镜下膀胱癌根治术后患者中的应用[J]. 现代泌尿生殖肿瘤杂志, 2016,8(5):298-299.
	Gong J, Lu T, Fei SQ, et al. Application of network continuation nursing in patients after laparoscopic radical resection of bladder cancer[J]. J Contemp Urolo Reproduct Oncol, 2016,8(5):298-299.
[6]	李华伟, 董海静, 戴梓宁, 等. 行动导向教学法在永久性膀胱造瘘患者健康教育中的应用[J]. 中华护理杂志, 2015,50(4):408-410.
	Li HW, Dong HJ, Dai ZN, et al. Application of action-oriented teaching method in health education for patients with permanent bladder ostomy[J]. Chin J Nurs, 2015,50(4):408-410.
[7]	乔够梅, 张晓丽, 王养民, 等. 尿路造口患者健康教育评价标准的构建[J]. 中华护理杂志, 2014,49(9):1058-1061.
	Qiao GM, Zhang XL, Wang YM, et al. Construction of health education evaluation criteria for urostomy patients[J]. Chin J Nurs, 2014,49(9):1058-1061.
[8]	傅素靓. 膀胱癌回肠膀胱造口术后患者出院前自我护理能力及影响因素的研究[D]. 杭州:浙江大学, 2014.
	Fu SL. Study on self-care ability of patients after ileum cystostomy with bladder cancer and its influencing factors before discharge[D]. Hangzhou:Zhejiang University, 2014.
[9]	范志红, 赵咏梅, 施凌. 住院期间健康教育工具的应用对患者接受程度和效果的影响[J]. 护士进修杂志, 2018,33(6):543-545.
	Fan ZH, Zhao YM, Shi L. The influence of the application of health education tools on the acceptance degree and effect of patients during hospitalization[J]. J Nurses Training, 2015,33(6):543-545.
[10]	罗静, 曹影婕, 眭文洁, 等. 微视频联合情境体验健康教育方案在空肠造瘘带管出院患者中的应用[J]. 中华护理杂志, 2018,53(12):1478-1481.
	Luo J, Cao YJ, Sui WJ, et al. Application of micro-video combined with situational experience health education program in discharged patients with jejunal fistula[J]. Chin J Nurs, 2018,53(12):1478-1481.
[11]	Guo Q, Cann B, Mcclement S, et al. Keep in Touch(KIT):feasibility of using internet-based communication and information technology in palliative care[J]. BMC Palliative Care, 2017,16(1):29. DOI URL PMID
[12]	宋萍, 黎一页, 王小荣, 等. 利用新媒体对人工关节置换术后患者进行康复健康教育的效果[J/OL]. 中国健康教育, 2019(5):460-463,473.
	Song P, Li YY, Wang XR, et al. Effect of rehabilitation and health education for patients after artificial joint replacement using new media[J/OL]. Chin J Health Education, 2019(5):460-463,473.

微视频联合行动导向教学法在尿路造口住院患者中的应用

Application of micro-video combined with action-oriented teaching in hospitalized patients with urostomy

RichHTML

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献 12

相关文章 3

编辑推荐

Metrics

[1]	李加敏,庞冬,路潜,丁炎明,黄燕波,车新艳,张剑锋. 尿路造口周围刺激性皮炎患者的循证护理实践[J]. 中华护理杂志, 2020, 55(11): 1624-1629.
[2]	俞申妹, 冯佳, 张秋霞, 邵翠梅, 俞秀玲, 金静芬. 六步爱心沟通法微视频教材在新入职护士沟通能力培训中的应用[J]. 中华护理杂志, 2019, 54(11): 1697-1700.
[3]	古玮娜张凌芳张冬红. 保护性约束微视频在精神科低年资护士技能培训中的应用[J]. 中华护理杂志, 2018, 53(4): 477-481.