摘要
目的探讨基于"精准宣教"的个性化快速康复外科配合家庭"O2O"宣教模式在老年结直肠癌患者围手术期的应用。方法选择2017年3月-2018年3月的老年结直肠癌手术患者58例,并将患者随机分为对照组和观察组,对照组采用常规宣教,观察组采用个性化快速康复外科配合家庭"O2O"宣教。比较两组患者一般自我效能、相关知识缺失率、各项术后恢复指标、负性情绪、满意度情况、并发症发生率。结果观察组在一般自我效能优于对照组,差异有统计学意义(P<0. 05);在8项知识缺失率比较中,观察组除"手术形式知识"外,其余各项均优于对照组,差异有统计学意义(P <0. 05);各项术后恢复指标(首次肛门排气以及排便时间、胃管拔除时间、尿管拔除时间、引流管拔除时间、首次进食时间、伤口拆线时间、首次下地时间、术后住院时间),除拆线时间外,其余各项均优于对照组,差异有统计学意义(P <0. 05);在出院前1 d比较HAMD、HAMA、满意度,观察组均优于对照组,差异有统计学意义;在并发症发生率上,观察组同样优于对照组(P <0.05)。结论基于"精准宣教"的个性化快速康复外科配合家庭"O2O"宣教模式,能提高患者的一般自我效能,弥补相关知识的缺失,使病人能够对疾病有正确认识、有效控制疾病,并提高生活质量;且在加快康复速度的同时,也能降低并发症的发生率,促进卫生资源的有效利用,值得继续研究。
Objective To explore the application of Personalized FST Combined with Family"O2O"Education Model in Perioperative Period of Elderly Patients with Colorectal Cancer Based on"precise propaganda and education".Methods Fifty-eight elderly patients undergoing colorectal cancer surgery from March 2017 to March 2018 were randomly divided into the control group and the observation group.The control group was given routine education.The observation group was given personalized FST combined with family"O2O"education.The general self-efficacy,related knowledge loss rate,postoperative recovery index,negative emotion,satisfaction and complication rate were compared between the two groups.Results The general self-efficacy of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05)[adjusting sentence patterns,not fluent].In the comparison of 8 knowledge loss rates,the observation group was superior to the control group in all aspects except"knowledge of operation forms".The difference was statistically significant(P<0.05);after each operation.Indicators of recovery(first anal exhaust and defecation time,gastric tube removal time,urethral catheter removal time,drainage tube removal time,first feeding time,wound removal time,first landing time,post-operative hospital stay)were better than those of the control group except for the removal time,the difference was statistically significant(P<0.05)Compared with HAMD,HAMA and satisfaction degree one day before discharge,the observation group was superior to the control group,the difference was statistically significant;in the incidence of complications,the observation group was also superior to the control group(P<0.05).Conclusion Personalized FST based on"precise education"combined with family"O2O"education mode can improve patients'general self-efficacy,make up for the lack of relevant knowledge,enable patients to have a correct understanding of the disease,effective control of the disease,and improve the quality of life;It can also reduce the incidence of complications and promote the effective use of health resources,which is worthy of further study.
作者
王玲
杨晓莹
WANG Ling;YANG Xiao-ying(The Affiliated Hospital of Southwest Medical University Lu zhou,Si Chuan 646000)
出处
《消化肿瘤杂志（电子版）》
2018年第4期242-247,共6页
Journal of Digestive Oncology(Electronic Version)
基金
四川省科技厅专项资金课题(16SZ0062)
