發(fā)布時(shí)間：2018-03-25 09:01

  本文選題：經(jīng)皮冠狀動(dòng)脈介入治療(PCI)　切入點(diǎn)：視頻宣教　出處：《石河子大學(xué)》2017年碩士論文

【摘要】：目的:比較應(yīng)用兩種視頻宣教方法進(jìn)行健康宣教,對(duì)經(jīng)皮冠狀動(dòng)脈介入治療(PCI)患者在冠心病相關(guān)知識(shí)掌握程度、焦慮程度、生活質(zhì)量和患者住院期間對(duì)護(hù)理滿意度等方面的影響,探討應(yīng)用移動(dòng)視頻宣教在經(jīng)皮冠狀動(dòng)脈介入治療患者健康教育中的效果。方法:選擇2016年3月～2016年10月期間在成都市某三甲醫(yī)院心血管內(nèi)科病區(qū)接受PCI治療的符合納入標(biāo)準(zhǔn)的住院冠心病患者120例。男52例、女68例,年齡46~74歲,平均66.09歲。門診在收治需要PCI治療的符合納入標(biāo)準(zhǔn)的患者時(shí),采用隨機(jī)分組對(duì)照研究方法,隨機(jī)收治于心內(nèi)一科和心內(nèi)二科。收治于心內(nèi)一科的60例患者為平板電腦組,收治于心內(nèi)二科的60例患者為臺(tái)式電腦組。護(hù)士在開(kāi)展常規(guī)健康宣教工作的基礎(chǔ)上,臺(tái)式電腦組:在護(hù)士站配置電腦顯示屏上滾動(dòng)播放專科護(hù)理健康教育內(nèi)容,在入院健康教育時(shí)介紹患者自行觀看;平板電腦組:采用平板電腦可觸屏選擇健康教育菜單播放健康教育內(nèi)容,護(hù)士在病房巡視期間指導(dǎo)患者自行播放。應(yīng)用冠心病相關(guān)知識(shí)問(wèn)卷、西雅圖心絞痛問(wèn)卷(SAQ)、狀態(tài)特質(zhì)焦慮量表(STAI)及醫(yī)院自制護(hù)理滿意度調(diào)查表對(duì)兩組患者在入院首日和出院當(dāng)日進(jìn)行調(diào)查,比較兩組患者的健康教育效果。采用SPSS19.0對(duì)研究資料進(jìn)行統(tǒng)計(jì)分析,計(jì)量資料采用?x±s,計(jì)數(shù)資料采用構(gòu)成比表示,計(jì)量資料的組間比較采用兩獨(dú)立樣本t檢驗(yàn),組內(nèi)比較采用配對(duì)t檢驗(yàn),計(jì)數(shù)資料的組間比較采用χ2檢驗(yàn),設(shè)檢驗(yàn)水準(zhǔn)α=0.05,以P0.05為差異有統(tǒng)計(jì)學(xué)意義。結(jié)果:平板電腦組與臺(tái)式電腦組患者在入院首日收集的一般基本資料、病程及合并疾病等項(xiàng)目方面,組間比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。入院首日兩組患者在冠心病相關(guān)知識(shí)、生活質(zhì)量、焦慮狀態(tài)差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。出院當(dāng)日對(duì)兩組患者健康教育效果的比較:(1)患者知識(shí)掌握程度方面,平板電腦組得分36.03±1.45,臺(tái)式電腦組得分32.83±1.37,差異有統(tǒng)計(jì)學(xué)意義(P0.05),平板電腦組得分高于臺(tái)式電腦組。平板電腦組在冠心病概念、危險(xiǎn)因素、誘發(fā)因素、臨床表現(xiàn)、檢查方法、治療方法、藥物知識(shí)及二級(jí)預(yù)防等八個(gè)維度組間比較差異有統(tǒng)計(jì)學(xué)意義(P0.05),平板電腦組的得分高于臺(tái)式電腦組。(2)兩組患者在生活質(zhì)量(SAQ)方面的比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05),平板電腦組的得分高于臺(tái)式電腦組。五個(gè)維度中治療滿意度及疾病認(rèn)知程度兩個(gè)維度差異有統(tǒng)計(jì)學(xué)意義(P0.05),平板電腦組的得分高于臺(tái)式電腦組。(3)兩組患者在焦慮程度方面比較,兩組患者差異有統(tǒng)計(jì)學(xué)意義(P0.05),平板電腦組的得分低于臺(tái)式電腦組。(4)兩組患者在護(hù)理滿意度方面比較,兩組患者差異有統(tǒng)計(jì)學(xué)意義(P0.05),平板電腦組的得分高于臺(tái)式電腦組。結(jié)論:相比較臺(tái)式電腦滾動(dòng)播放健康教育內(nèi)容,應(yīng)用平板電腦讓PCI患者自行觸屏選擇健康教育內(nèi)容,增強(qiáng)了患者參與自身健康管理的主動(dòng)性,患者可有針對(duì)性的彌補(bǔ)自身健康教育知識(shí)的不足,可更好的提高冠心病相關(guān)知識(shí)、促進(jìn)改善患者的生活質(zhì)量、降低患者焦慮程度及提高患者對(duì)護(hù)理服務(wù)的滿意度,值得在臨床推廣。
[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.

【學(xué)位授予單位】：石河子大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473.5

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