微信联合回授法健康教育护理干预在医务人员健康体检人群功能性便秘中的应用效果
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摘要
目的探讨微信联合回授法健康教育护理干预在医务人员健康体检人群功能性便秘中的应用效果。方法选取2017年9月～2018年9月在我院接受健康体检的深圳市某区医务人员,经筛查符合罗马Ⅳ诊断标准的功能性便秘100例患者,对其实施微信联合回授法的健康教育护理干预,在干预前后分别进行临床症状评分比较和采用焦虑自评量表(SAS)、抑郁自评量表(SDS)进行心理状况评分比较。结果干预8周后,患者便秘6个方面的症状积分均明显低于干预前,临床症状明显改善,差异有统计学意义(P<0.05);患者的SAS、SDS评分均明显低于干预前,心理状况明显改善,差异有统计学意义(P<0.05)。结论微信联合回授法的健康教育护理干预,可明显改善医务人员健康体检人群功能性便秘患者的临床症状,同时改善其心理状况。
Objective To explores the application effect of Wechat combined teach-back health education nursing intervention on the detection of functional constipation in medical staff. Methods From September 2017 to September2018, 100 medical personnel were selected, they were inspected and diagnosed as functional constipation in our hospital. With the health education nursing intervention of Wechat joint teach-back method, the clinical symptom scores were compared before and after the intervention, and the psychological status scores were compared with the self-rating anxiety scale(SAS) and the self-rating depression Scale(SDS). Results After 8 weeks of intervention, the patient′s constipation symptom scores were lower than those before the intervention, the clinical symptoms were improved, and the differences were statistically significant(P<0.05). The SAS and SDS scores of the patients were lower than those before the intervention, the psychological statuses were improved, and the differences were statistically significant(P <0.05). Conclusion Wechat combined teach-back health education nursing intervention method can significantly improve the clinical symptoms and psychological statusof patients with functional constipation in medical staff.
Objective To explores the application effect of Wechat combined teach-back health education nursing intervention on the detection of functional constipation in medical staff. Methods From September 2017 to September2018, 100 medical personnel were selected, they were inspected and diagnosed as functional constipation in our hospital. With the health education nursing intervention of Wechat joint teach-back method, the clinical symptom scores were compared before and after the intervention, and the psychological status scores were compared with the self-rating anxiety scale(SAS) and the self-rating depression Scale(SDS). Results After 8 weeks of intervention, the patient′s constipation symptom scores were lower than those before the intervention, the clinical symptoms were improved, and the differences were statistically significant(P<0.05). The SAS and SDS scores of the patients were lower than those before the intervention, the psychological statuses were improved, and the differences were statistically significant(P <0.05). Conclusion Wechat combined teach-back health education nursing intervention method can significantly improve the clinical symptoms and psychological statusof patients with functional constipation in medical staff.
引文
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[3]中华医学会消化病学分会胃肠动力学组;中华医学会外科学分会结直肠肛门外科学组.中国慢性便秘诊治指南(2012年,武汉)[J].胃肠病学,2013,18(10):605-612.
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[5]方秀才,侯晓华译.罗马Ⅳ:功能性胃肠病(中文翻译版)[M].4版.北京:科学出版社,2016.
[6]朱芬芬,林征,林琳.功能性便秘患者生活质量的研究[J].中华消化杂志,2007,27(5):356-358.
[7]刘露.基于微信的多媒体健康教育联合回授法对院外肾移植受者服药依从性的干预研究[J].当代护士(上旬刊),2017,(9):157-159.
[8]袁春英,袁蕙芸.上海地区医务人员慢性便秘调查及其相关因素分析[J].胃肠病学,2015,20(8):467-471.
[9]张晓梅.某医院医务人员慢性便秘现状及相关因素调查分析[J].解放军预防医学杂志,2017,35(10):1249-1251.
[10]张艳.健康教育用于不良生活方式所致功能性便秘的临床价值[J].华西医学,2016,31(2):347-350.
[11]李娟,陈银芸,陈钢,等.生物反馈联合精神心理治疗对功能性便秘的临床疗效[J].中国现代医学杂志,2016,26(3):141-144.
[12]丁美红,彭蓓,伏亦伟,等.联合物理训练改善功能性便秘病人的疗效评价[J].护理研究,2015,29(25):3109-3112.
[13]来纯琴,张冉,林花.自我揉压天枢穴治疗社区慢性顽固性便秘患者的效果观察[J].护理学报,2011,18(13):51-53.
[14]Kornburger C,Gibson C,Sadowski S,et al.Using “teachback”to promote a safe transition from hospital to home:an evidencebased approach to improving the discharge process[J].J Pediatr Nurs,2013,28(3):282-291.
[15]王美峰,林琳,王燕,周丽荣,等.功能性便秘患者的综合性护理干预及效果[J].中华护理杂志,2010,45(7):585-587.
[16]方健,刘玉.功能性便秘患者的综合性护理干预[J].护理实践与研究,2013,13(19):35-37.
[17]朱华凤,张琦.基于微信平台的延续性护理用于卒中后便秘的临床体会[J].现代消化及介入诊疗,2017,22(6):873-875.
[18]钟燕平,赵菲,胡淑芬,等.视频教育结合回授法在提高老年高血压病患者健康素养和血压控制水平中的作用[J].现代临床护理,2018,17(2):40-45.
[2]Wald A.Constipation:pathophysiology and management[J].Curr Opin Gastroenterol,2015,31(1):45-49.
[3]中华医学会消化病学分会胃肠动力学组;中华医学会外科学分会结直肠肛门外科学组.中国慢性便秘诊治指南(2012年,武汉)[J].胃肠病学,2013,18(10):605-612.
[4]方秀才.罗马Ⅳ功能性肠病诊断标准的修改对我国的影响[J].胃肠病学和肝病学杂志,2017,26(5):481-483.
[5]方秀才,侯晓华译.罗马Ⅳ:功能性胃肠病(中文翻译版)[M].4版.北京:科学出版社,2016.
[6]朱芬芬,林征,林琳.功能性便秘患者生活质量的研究[J].中华消化杂志,2007,27(5):356-358.
[7]刘露.基于微信的多媒体健康教育联合回授法对院外肾移植受者服药依从性的干预研究[J].当代护士(上旬刊),2017,(9):157-159.
[8]袁春英,袁蕙芸.上海地区医务人员慢性便秘调查及其相关因素分析[J].胃肠病学,2015,20(8):467-471.
[9]张晓梅.某医院医务人员慢性便秘现状及相关因素调查分析[J].解放军预防医学杂志,2017,35(10):1249-1251.
[10]张艳.健康教育用于不良生活方式所致功能性便秘的临床价值[J].华西医学,2016,31(2):347-350.
[11]李娟,陈银芸,陈钢,等.生物反馈联合精神心理治疗对功能性便秘的临床疗效[J].中国现代医学杂志,2016,26(3):141-144.
[12]丁美红,彭蓓,伏亦伟,等.联合物理训练改善功能性便秘病人的疗效评价[J].护理研究,2015,29(25):3109-3112.
[13]来纯琴,张冉,林花.自我揉压天枢穴治疗社区慢性顽固性便秘患者的效果观察[J].护理学报,2011,18(13):51-53.
[14]Kornburger C,Gibson C,Sadowski S,et al.Using “teachback”to promote a safe transition from hospital to home:an evidencebased approach to improving the discharge process[J].J Pediatr Nurs,2013,28(3):282-291.
[15]王美峰,林琳,王燕,周丽荣,等.功能性便秘患者的综合性护理干预及效果[J].中华护理杂志,2010,45(7):585-587.
[16]方健,刘玉.功能性便秘患者的综合性护理干预[J].护理实践与研究,2013,13(19):35-37.
[17]朱华凤,张琦.基于微信平台的延续性护理用于卒中后便秘的临床体会[J].现代消化及介入诊疗,2017,22(6):873-875.
[18]钟燕平,赵菲,胡淑芬,等.视频教育结合回授法在提高老年高血压病患者健康素养和血压控制水平中的作用[J].现代临床护理,2018,17(2):40-45.