摘要
目的探讨基于移动APP微视频联合Teach-back的健康教育在女性不孕症患者中的应用效果。方法选取2020年5月—2021年4月在南昌市4所三级医院妇产科住院的250例女性不孕症患者为研究对象,按照组间基本资料具有可比性的原则分为观察组和对照组,每组125例,后因怀孕、搬家等原因,对照组脱落4例,最终入选121例;观察组脱落2例,最终入选123例。对照组实施常规护理及出院后随访,观察组在对照组基础上采用移动APP微视频联合Teach-back的健康教育方案。比较两组患者干预前后病耻感、生育生活质量、家庭亲密度和适应性水平。结果干预后,观察组病耻感总分低于对照组,差异有统计学意义(P<0.05);干预后,观察组生育生活质量评分高于对照组,差异有统计学意义(P<0.05);干预后,观察组理想亲密度、实际亲密度评分高于对照组,观察组亲密度不满意程度评分低于对照组,差异均有统计学意义(P<0.05);干预后,观察组理想适应性、实际适应性评分高于对照组,观察组适应性不满意程度评分低于对照组,差异均有统计学意义(P<0.05)。结论基于移动APP微视频联合Teach-back的健康教育能降低女性不孕症患者病耻感水平,提高患者生育生活质量、家庭亲密度和适应性,有利于患者积极应对疾病,对患者获取良好的疾病预后具有积极作用。
Objective To explore the application effect of health education based on mobile APP micro-video combined with Teach-back in female infertility patients.Methods To select 250 female infertility patients who were hospitalized in the obstetrics and gynecology department of 4 tertiary hospitals in Nanchang from May 2020 to April 2021 as the study objects.According to the principle of comparability of basic data between groups,they were divided into an observation group and a control group,with 125 cases in each group.Later,due to pregnancy,moving and other reasons,4 cases in the control group dropped out,and 121 cases were finally selected;2 cases in the observation group dropped out,and 123 cases were finally selected.The control group was given routine nursing care and follow-up after discharge,and the observation group was given the health education program of mobile APP micro-video combined with Teach-back on the basis of the control group.The stigma,reproductive life quality,family intimacy and adaptability were compared between the two groups before and after the intervention.Results After the intervention,the total score of stigma in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After the intervention,the score of reproductive life quality in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After the intervention,the scores of ideal intimacy and actual intimacy in the observation group were higher than those in the control group,and the scores of dissatisfaction with intimacy in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the ideal adaptability and actual adaptability scores of the observation group were higher than those of the control group,and the adaptability dissatisfaction score of the observation group was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Health education based on mobile APP micro-video combined with Teach-back can reduce the stigma level of female infertility patients,improve the quality of reproductive life,family intimacy and adaptability of patients,which was beneficial for patients to actively cope with the disease,and had a positive effect on the patient’s good prognosis of the disease.
作者
翁金华
廖浩
陈小凤
王月琴
王慧君
谢美金
涂娜娜
WENG Jinhua;LIAO Hao;CHEN Xiaofeng;WANG Yueqin;WANG Huijun;XIE Meijin;TU Nana(The 908 Hospital of Joint Service Support Force of Chinese People's Liberation Army,Nanchang,330000,China)
出处
《护理实践与研究》
2022年第12期1748-1752,共5页
Nursing Practice and Research
基金
江西省卫生健康委科技计划项目(编号:20201121)。
关键词
微视频
健康教育
不孕症
病耻感
生育生活质量
家庭亲密度
Micro-video
Health education
Infertility
Stigma
Reproductive life quality
Family intimacy
