| 华珏,张雯琦,徐黎虹.多媒体健康教育联合ERAS干预对早期胃癌患者的影响[J].上海护理,2022,22(S1): |
| 多媒体健康教育联合ERAS干预对早期胃癌患者的影响 |
| Effects of multimedia health education combined with ERAS intervention on health knowledge, physical and mental health, and complications of patients with early gastric cancer |
| DOI： |
| 中文关键词: 胃癌 多模式健康教育 加速康复外科 粘膜下剥离 |
| 英文关键词:Gastric cancer Multimedia health education Enhanced recovery after surgery Submucosal dissection |
| 基金项目: |
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| 中文摘要: |
| 摘要：目的 分析多模式健康教育在早期胃癌患者加速康复外科（ERAS）干预中对健康知识掌握情况、身心健康及并发症的影响。方法 选择2018年1月～2020年12月于我院接受内镜黏膜下剥离术（ESD）的80例早期胃癌患者为研究对象。根据入院时间先后分为对照组（n＝40，2018年1月～2019年6月入院，常规健康教育联合ERAS干预）、观察组（n＝40，2019年7月～2020年12月入院，多模式健康教育联合ERAS干预），比较两组健康知识掌握情况、身心健康、并发症、护理满意度、生活质量、肛门首次通气时间、首次下床时间、住院时间以及术后疼痛视觉模拟评分（VAS）。结果 干预后，观察组健康教育知识掌握率为95.00%，显著高于对照组的77.50%（P<0.05）；观察组90项症状清单（SCL-90）评分显著低于对照组，而健康调查简表（SF-36）评分显著高于对照组（P<0.05）；观察组术后3 d并发症总发生率为5.00%，对照组为12.50%，两组比较无统计学意义（P＞0.05）；干预后，观察组护理满意率为97.50%，显著高于对照组的80.00%（P<0.05）；出院30 d后，观察组生活质量各项评分显著高于对照组（P<0.05）。观察组肛门首次通气时间、首次下床时间、住院时间显著低于对照组（P<0.05）；术后1 d，两组VAS评分对比无统计学差异（P＞0.05），术后5 d，两组VAS评分均显著减少，观察组VAS评分显著低于对照组（P<0.05）。结论 多模式健康教育可有效促进早期胃癌ESD患者的ERAS效率，同时提升健康教育知识掌握程度，改善不良情绪和生活质量，减少并发症，提高护理满意度，促进患者康复，值得在临床上进行推广。 |
| 英文摘要: |
| Abstract: Objective To analyze the effects of multimodal health education in the intervention of accelerated rehabilitation surgery (ERAS) for patients with early gastric cancer on the mastery of health knowledge, physical and mental health and complications. Methods Eighty patients with early gastric cancer who underwent endoscopic submucosal dissection (ESD) in the hospital were selected as research subjects between January 2018 and December 2020. According to the order of admission, patients enrolled were divided into control group (40 patients admitted between January 2018 and June 2019, routine health education combined with ERAS intervention) and observation group (40 patients admitted between July 2019 and December 2020, multimodal health education intervention combined with ERAS intervention). Acquisition of health knowledge, physical and mental health, complications, nursing satisfaction, quality of life, first anal ventilation time, first getting out of bed time, hospital stay and visual analogue scale (VAS) scores after operation were compared between the two groups. Results After intervention, the acquisition rate of health knowledge in the observation group (95.00%) was significantly higher than that in the control group (77.50%) (P<0.05). The Symptom Checklist-90 (SCL-90) scores of observation group were significantly lower than those of the control group, and the MOS 36-item short-form health survey (SF-36) scores were significantly higher than those of the control group (P<0.05). The total incidence rates of complications in the observation group and the control group at 3 days after operation were 5.00% and 12.50%, respectively (P>0.05). After intervention, the nursing satisfaction rate in observation group (97.50%) was significantly higher than that in the control group (80.00%) (P<0.05). The observation group had significantly higher quality of life scores than the control group on day 30 after discharge from the hospital (P<0.05). The first anal ventilation time, first getting out of bed time, and hospital stay in the observation group were significantly lower than those of the control group (P<0.05). 1 day after operation, there was no significant difference in VAS scores between the two groups (P>0.05), 5 days after operation, two The VAS scores of the group were significantly reduced, but there was no significant difference between the two groups (P>0.05). Conclusion Multimodal health education can effectively promote the efficiency of ERAS in early gastric cancer patients undergoing ESD, and at the same time improve the knowledge of health education, improve bad mood and quality of life, reduce complications, improve nursing satisfaction and promote patients' rehabilitation.so it’s worthy of clinical promotion. |
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