Zhongguo cuzhong zazhi (Dec 2023)

个体化可视化健康教育方案的构建及应用 Construction and Application of Individualized Visual Health Education Program

  • 武美茹，陈义彤，苗亚杰，刘星池，龚浠平

DOI
https://doi.org/10.3969/j.issn.1673-5765.2023.12.016
Journal volume & issue
Vol. 18, no. 12
pp. 1460 – 1464

Abstract

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目的 构建个体化可视化健康教育方案，并探究其在缺血性卒中患者中的应用效果。 方法 采用便利抽样法，前瞻性纳入2020年8年—2022年12月在首都医科大学附属北京天坛医院血管神经病学科2病区住院的缺血性卒中患者为研究对象，采用基于医院信息系统制订的个体化可视化健康教育形式，分析健康教育视频使用频率，患者服用降压药、降糖药、抗血小板聚集药物或降脂药物的用药依从性、患者满意度及护士满意度。 结果 共纳入1569例患者，干预期间无患者死亡。自2020年8月个体化可视化健康教育方案实施以来，患者观看最多健康教育视频的维度为饮食康复宣教，人均观看频率为（2.30±1.15）次/日，患者干预前后8条目用药依从性量表评分差异有统计学意义[（6.30±1.30）分 vs.（4.80±1.17）分，t=39.96，P<0.0001]，患者非常满意率为95.8%（1503/1569），护士的非常满意率为94.1%（16/17）。 结论 个体化可视化健康教育方案有利于提高患者的用药依从性，并且可提高患者及护士满意度。 Abstract: Objective To construct individualized visual health education program and explore its application effect in patients with ischemic stroke. Methods Patients with ischemic stroke admitted to Ward 2 of Department of Vascular Neurology, Beijing Tiantan Hospital, Capital Medical University from August 2020 to December 2022 were prospectively included as subjects by convenience sampling method. The personalized visual health education form based on hospital information system was adopted to analyze the frequency of use of health education videos, compliance of patients taking antihypertensive, hypoglycemic, antiplatelet aggregation, or lipid-lowering drugs, patient satisfaction and nurse satisfaction. Results A total of 1569 patients were included, and no patient died during the intervention period. Since the implementation of the individualized visual health education program in August 2020, the dimension of health education videos watched most was diet rehabilitation education, the average viewing frequency was (2.30±1.15) times/day, and the difference in the scores of 8-item Morisky edication adherence scale before and after intervention was statistically significant [(6.30±1.30) points vs. (4.80±1.17) points, t=39.96, P<0.0001]. The very satisfaction rate of patients was 95.8% (1503/1569), and that of nurses was 94.1% (16/17). Conclusions Individualized visual health education program is beneficial to improve the medication compliance of patients, and can improve the satisfaction of patients and nurses.

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