微视频联合情境体验健康教育在腹腔镜胆总管切开取石术病人中的应用研究

目的探讨微视频联合情境体验健康教育对腹腔镜胆总管探查取石术病人心理应激反应及自我护理能力的影响。 方法选择腹腔镜胆总管探查取石术病人96例作为研究对象，根据手术时间分为观察组（n=52）和对照组（n=44）。对照组给予常规健康教育，观察组在对照组基础上联合微视频、情境体验健康教育。比较2组心理应激状态、自我护理能力。 结果干预前2组病人焦虑自评量表（SAS）、抑郁自评量表（SDS）评分差异均无统计学意义（P>0.05）；干预后2组病人SAS、SDS评分均明显低于干预前（P < 0.01），且观察组病人SAS、SDS评分明显低于对照组（P < 0.01）。干预前2组病人自我护理能力各维度评分差异均无统计学意义（P>0.05）；干预后2组病人自我护理能力各维度评分明显高于干预前（P < 0.01），且观察组病人健康知识水平、自我责任感、自我护理技能评分明显高于对照组（P < 0.01）。 结论微视频联合情境体验健康教育有助于缓解腹腔镜胆总管切开取石术病人的心理应激反应，从而促进自我护理能力的养成。

Application value of microvideo combined with situational experience health education in patients treated with laparoscopic common bile duct exploration

ObjectiveTo explore the effects of microvideo combined with situational experience health education on psychological stress response and self-care ability of patients treated with laparoscopic common bile duct exploration. MethodsNinety-six patients treated with laparoscopic choledocholithotomy were divided into the observation group(52 cases)and control group(44 cases)according to the operation time of patients.The control group was given the regular health education, and the observation group was given microvideo combined with situational experience education on the basis of the control group.The psychological stress state and self-care ability between two groups were compared. ResultsBefore intervention, there was no statistical significance in the scores of SAS and SDS between two groups(P>0.05).After intervention, the scores of SAS and SDS in two groups were significantly lower than those before intervention(P < 0.01), and the SAS and SDS scores in observation group were significantly lower than those in control group(P < 0.01).Before intervention, there was no statistical significance in the score of each dimension of self-care ability between two groups(P>0.05).After intervention, the scores of self-care ability in two groups were significantly higher than those before intervention(P < 0.01), and the scores of health knowledge, self-responsibility and self-care skills in observation group were significantly higher than those in control group(P < 0.01). ConclusionsThe microvideo combined with situational experience health education can alleviate the psychological stress response of patients treated with laparoscopic common bile duct exploration to promote the development of self-care ability.