基于多媒体视频教程的健康教育在语言区脑胶质瘤患者唤醒麻醉下的应用

摘要/Abstract

摘要： 目的探究与分析基于多媒体视频教程的健康教育在语言区脑胶质瘤患者唤醒麻醉下的应用。方法选取2010年9月—2022年9月哈尔滨医科大学附属第一医院收治的108例接受手术治疗语言区脑胶质瘤患者作为研究对象,按照入院就诊时间顺序分为对照组（2019年9月—2020年9月）,56例,给予常规术前干预与健康教育;观察组（2020年10月—2021年9月）,52例,在对照组基础上给予基于多媒体视频教程的健康教育,比较两组患者对语言区脑胶质瘤知识掌握情况、围术期临床指标、术中唤醒期并发症发生情况、日常生活能力评分以及生活质量评分。结果两组健康教育后与健康教育前相比,患者对疾病围术期知识掌握分数较高,观察组健康教育后与对照组健康教育后比较,观察组对疾病围术期知识掌握分数较高,差异有统计学意义（P<0.05）。观察组与对照组比较,住院时间较短、术中唤醒期并发症发生率较低,差异有统计学意义（P<0.05）。两组手术时间、暴露肿瘤所用时间、术中出血量、肿瘤切除程度比较,差异无统计学意义（P>0.05）。两组术后3个月与入院当日ADL评分比较,术后3个月生活质量评分较高。观察组术后3个月与对照组术后3个月ADL评分比较,观察组生活质量评分较高,差异有统计学意义（P<0.05）。结论基于多媒体视频教程的健康教育,应用到语言区脑胶质瘤患者唤醒麻醉下,不仅可提高患者对疾病围术期健康知识掌握程度,缩短了术后住院时间,降低术中唤醒期相关并发症,同时还可促进提高患者的日常生活能力以及生活质量。

关键词: 多媒体视频教程, 健康教育, 语言区, 脑胶质瘤, 唤醒麻醉

Abstract: Objective To explore and analyze the application of health education based on multimedia video tutorials under wake-up anesthesia in patients with glioma in the language area. Methods A total of 108 patients with brain gliomas in the language area who were treated in First Affiliated Hospital of Harbin Medical University from September 2020 to September 2022 were selected as the research subjects, and divided into the control group (September 2019 to 2020) according to the time of admission and treatment. September), 56 cases, given routine preoperative intervention and health education, observation group (October 2020 to September 2021),52 cases, given health education based on multimedia video tutorials on the basis of control group , and compared the two groups of patients' knowledge of language area glioma, perioperative clinical indicators, intraoperative wake-up complications, daily living ability scores and quality of life scores. Results Compared with before health education, the patients in the two groups had higher scores on the perioperative knowledge of the disease. Compared with the control group, the patients in the observation group had higher scores on the perioperative knowledge of the disease after health education. The difference was statistically significant (P<0.05). Compared with the control group, the observation group had a shorter hospital stay and a lower incidence of complications during the wake-up period, and the difference was statistically significant (P<0.05). There was no significant difference in operation time, tumor exposure time, intraoperative blood loss, and tumor resection degree between the two groups (P>0.05). Compared with preoperative, the two groups had higher ADL scores and higher quality of life scores, and the observation group had higher ADL scores and higher quality of life scores than the control group after surgery, and the differences were statistically significant (P<0.05). Conclusion The application of health education based on multimedia video tutorials to patients with glioma in the language area under wake-up anesthesia can not only improve the patient's mastery of health knowledge during the perioperative period of the disease, shorten the postoperative hospital stay, and reduce the complications related to the wake-up period during the operation. It also promotes the improvement of patients' ability of daily living and quality of life.

Key words: multimedia video tutorial, health education, language area, glioma, wake-up anesthesia

中图分类号:

R473.74

丁婧. 基于多媒体视频教程的健康教育在语言区脑胶质瘤患者唤醒麻醉下的应用[J]. 中华养生保健, 2023, 41(22): 105-108.

DING Jing. Application of Health Education Based on Multimedia Video Tutorials under Wake-Up Anesthesia in Patients with Glioma in Language Area[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(22): 105-108.

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