基于微视频健康教育在前列腺癌根治术后留置尿管患者护理中的初步观察

doi:10.3969/j.issn.1009-976X.2020.05.029

岭南现代临床外科 ›› 2020, Vol. 20 ›› Issue (05): 677-680.DOI: 10.3969/j.issn.1009-976X.2020.05.029

基于微视频健康教育在前列腺癌根治术后留置尿管患者护理中的初步观察

袁红, 胡小芳, 陈业辉, 李淑霞

广州市第一人民医院泌尿外科,广州 510180

通讯作者: 袁红,Email：417955662@qq.com

Application of health education based on micro-video in nursing of patients undergoing catheter indwelling after laparoscopic radical prostatectomy

YUAN Hong, HU Xiao-fang, CHEN Ye-hui, LI Shu-xia

Department of Urology, Guangzhou First People's Hospital, Guangzhou 510080, China

Received:2020-01-06 Online:2020-10-20 Published:2020-10-20
Supported by:
广东省自然科学基金项目（2018A030313668）

摘要/Abstract

摘要： 目的研究基于微视频健康教育在前列腺癌根治术后后留置尿管患者护理中的应用效果。方法随机数表法将本院2017年1月~2019年12月诊治的60例在前列腺癌根治术后留置尿管患者分为对照组与研究组,各30例,前者给予常规健康教育,后者在其基础上给予基于微视频健康教育。比较两组患者并发症情况、干预前后自我效能感以及自护能力,并评估干预后患者生活质量。结果研究组患者并发症总发生率为6.67%,明显低于对照组的26.67%（P<0.05）;干预前两组患者自我效能感量表（GSES）以及自护能力评分比较无明显差异（P>0.05）,干预后研究组各项评分均明显高于对照组（P<0.05）;研究组生活质量各项评分均明显高于对照组,差异有统计学意义（P<0.05）。结论基于微视频的健康教育应用于LRP后留置尿管患者的护理中,有利于提高其自我效能感以及自护能力,防治并发症,从而提高生活质量。

关键词: 健康教育, 前列腺癌根治术, 微视频, 留置尿管

Abstract: Objective To study application effect of health education based on micro-video in nursing of patients undergoing catheter indwelling after laparoscopic radical prostatectomy （LRP）. Methods Sixty patients undergoing catheter indwelling after LRP who were diagnosed and treated in the hospital from January 2017 to December 2019 were divided into control group and study group by random number table method, 30 cases in each group. The former was given routine health education, while the latter was additionally given health education based on micro-video. The complications, self-efficacy and self-care ability before and after intervention were compared between the two groups. The quality of life in patients after intervention was evaluated. Results The total incidence of complications in study group was significantly lower than that in control group （6.67% vs 26.67%）（P<0.05）. Before intervention, there were no significant differences in scores of General Self Efficacy Scale （GSES） and self-care ability between the two groups （P>0.05）. After intervention, all scores of study group were significantly higher than those of control group （P<0.05）. The scores of quality of life in study group were significantly higher than those in control group （P<0.05）. Conclusion The application of health education based on micro-video in nursing of patients undergoing catheter indwelling after LRP is to beneficial to improve their self-efficacy and self-care ability, prevent complications, thus improving quality of life.

Key words: micro-video, health education, radical prostatectomy, catheter indwelling

中图分类号:

R473.6

袁红, 胡小芳, 陈业辉, 李淑霞. 基于微视频健康教育在前列腺癌根治术后留置尿管患者护理中的初步观察[J]. 岭南现代临床外科, 2020, 20(05): 677-680.

YUAN Hong, HU Xiao-fang, CHEN Ye-hui, LI Shu-xia. Application of health education based on micro-video in nursing of patients undergoing catheter indwelling after laparoscopic radical prostatectomy[J]. Lingnan Modern Clinics in Surgery, 2020, 20(05): 677-680.

参考文献

[1] Evans A, Pheby D, Painter D, Feneley R. The costs of long-term catheterization in the community [J]. Br J Community Nurs, 2000, 5(10): 477-8, 480, 482, 484-488.
[2] Reuvers S, Zonneveld W, Meiland-van Bakel M, et al. Indwelling Urinary Catheter-Related Problems After Laparoscopic Radical Prostatectomy[J]. J Wound Ostomy Continence Nurs, 2016, 43(4): 420-424.
[3] Lepor H. Practical considerations in radical retropubic prostatectomy [J]. Urol Clin North Am, 2003, 30(2) (2): 363-368.
[4] Tauzin-Fin P, Sesay M, Svartz L, et al.Sublingual oxybutynin reduces postoperative pain related to indwelling bladder catheter after radical retropubic prostatectomy[J]. Br J Anaesth, 2007, 99(4): 572-575.
[5] Drinka PJ.Complications of chronic indwelling urinary catheters[J]. J Am Med Dir Assoc, 2006, 7(6): 388-392.
[6] Wilde MH, Brasch J, Getliffe K, et al.Study on the use of long-term urinary catheters in community-dwelling individuals[J]. J Wound Ostomy Continence Nurs. 2010, 37(3): 301-310.
[7] Hollingsworth JM, Rogers MA, Krein SL, et al.Determining the noninfectious complications of indwelling urethral catheters: a systematic review and meta-analysis[J]. Ann Intern Med, 2013, 159(6): 401-410.
[8] 姜峰, 杨硕, 姜楠楠, 等. 微视频结合标准化教学在临床实践技能教学中的应用[J]. 中国继续医学教育, 2019, 11(4): 35-37.
[9] Weber BA, Roberts BL, Yarandi H, et al.Dyadic support and quality-of-life after radical prostatectomy[J]. J Mens Health Gend, 2007, 4(2): 156-164.
[10] Lin HY, Lai HL, Chen CI, Huang CY.Depression and Health-Related Quality of Life and Their Association With Resourcefulness in Survivors of Prostate Cancer[J]. Arch Psychiatr Nurs, 2017, 31(4):407-413.
[11] Kawaguchi K, Kawazoe H, Sakurai T, et al.Effect of general self-efficacy on promoting health-related quality of life during recovery from radical prostatectomy: a 1-year prospective study[J]. Int J Clin Oncol, 2020. doi: 10.1007/s10147-020-01765-z.[Epub ahead of print]
[12] 薄陆敏, 杨俊驰, 陈洁, 等. 基于微视频的翻转课堂教学模式在研究生内镜诊断教学中的应用初探[J]. 中华消化内镜杂志, 2016, 33(11): 800-801.
[13] 郭蔚玲. 短视频健康教育在早期女性类风湿性关节炎患者中的应用[J]. 中国健康教育, 2018, 34(10): 89-93.
[14] 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): 72-75.

基于微视频健康教育在前列腺癌根治术后留置尿管患者护理中的初步观察

Application of health education based on micro-video in nursing of patients undergoing catheter indwelling after laparoscopic radical prostatectomy

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