基于3D打印模型的健康宣教对胸腰椎结核患者的护理效果研究

目的探讨基于3D打印模型的健康宣教对胸腰椎结核患者卧床依从性、精神状态等健康结局的影响。方法采用随机数字法将2018年1-8月间杭州市红十字会医院骨科收治的104例胸腰椎结核患者分为2组,每组52例。对照组采用常规健康宣教进行护理干预,观察组加用3D打印模型辅助护理干预。2组均由住院开始护理至手术前1 d。于护理干预前后采用Morisky-Green测评表评价患者绝对卧床依从性,自制量表评价相关健康知识掌握程度,采用抑郁自评量表(SDS)及焦虑自评量表(SAS)问卷评价2组患者抑郁及焦虑情况,进而探讨基于3D打印模型的健康宣教对胸腰椎结核患者卧床依从性、精神状态等健康结局的影响。结果护理后,观察组绝对卧床依从性佳为96.15%,对照组绝对卧床依从性佳为67.31%,2组差异有统计学意义(P<0.05)。护理后,观察组健康知识总知晓率为98.08%,对照组健康知识总知晓率为73.08%,2组差异有统计学意义(P<0.05)。护理后,2组SDS、SAS评分均显著下降(均P<0.05),且观察组低于对照组(均P<0.05)。结论采用3D打印模型进行健康宣教可显著提高患者绝对卧床依从性,以及结核相关健康知识的知晓率,可稳定患者心理,有助于胸腰椎结核的后续治疗。

Effect of 3D printing model assisted health education on nursing in patients with thoracolumbar tuberculosis

Objective To investigate the effect of 3D printing model assisted Health education on improving bed compliance and Mental state in patients with thoracolumbar tuberculosis. Methods One hundred and four patients with thoracolumbar tuberculosis in our department from January 2018 to August 2018 were divided into two groups, 52 in each group. The control group was given routine health education in nursing intervention, and the observation group was added 3D printed model assisted nursing intervention. Both groups were nursed to the beginning of surgery. Before and after nursing, the Morisky-Green assessment form was used to evaluate the absolute bed compliance and related health knowledge. The depression self-rating scale (SDS) and the anxiety self-rating scale (SAS) questionnaire were used to evaluate the depression and anxiety of the two groups. So, to investigate the effect of 3D printing model assisted Health education on improving bed compliance and Mental state in patients with thoracolumbar tuberculosis. Results After nursing, the absolute bed compliance of the observation group was 96.15%, and the absolute bed compliance of the control group was 67.31%, the difference between the two groups was statistically significant (P<0.05). After the nursing, the total health knowledge awareness rate of the observation group was 98.08%, and the total health knowledge awareness rate of the control group was 73.08%, the difference between the two groups was statistically significant (P<0.05). After nursing, the SDS and SAS scores of the two groups were significantly decreased (P<0.05), and the observation group was significantly lower than the control group (P<0.05). Conclusion Bed rest is the basis for the treatment of thoracolumbar tuberculosis and the basic method of treatment. Using 3D printed model assisted in health education can significantly improve the absolute bed compliance and the awareness of tuberculosis-related health knowledge, stabilize the patient's psychology, and is helpful for the follow-up treatment.