基于微视频的护理干预对急性胰腺炎患者疾病知晓、自我管理和遵医行为的影响

doi:10.20223/j.cnki.1000-8535.2025.01.018

摘要/Abstract

摘要： 目的探讨基于微视频的护理干预对急性胰腺炎患者疾病知晓、自我管理和遵医行为的影响。方法根据中心随机法将郑州大学第二附属医院2021年1月—2023年1月收治的88例急性胰腺炎患者作为研究对象,其中传统组44例给予常规干预,微视频组44例在传统组的基础上结合微视频的护理干预,比较两组患者疾病知晓情况、自我管理能力和遵医行为情况。结果干预2个月后,微视频组病例脱落3例,传统组病例脱落4例,两组疾病知晓各维度高于干预前,且微视频组高于传统组,其中疾病病因（t=3.151,P=0.003）、临床症状（t=7.165,P<0.001）、并发症（t=5.497,P<0.001）、如何预防疾病复发（t=8.195,P<0.001）;两组自我护理能力量表（ESCA）各维度评分高于干预前,且微视频组高于传统组,其中各维度评分结果为自我护理技能（t=2.787,P=0.007）、自我概念（t=2.272,P=0.026）、自护责任感（t=2.644,P=0.011）、健康知识水平（t=3.321,P=0.001）;两组遵医行为各维度评分高于干预前,且微视频组高于传统组,其中各维度评分结果为饮食依从性（t=6.271,P<0.001）、用药依从性（t=3.539,P=0.001）、锻炼依从性（t=4.469,P<0.001）、定期复查（t=2.764,P=0.007）。结论通过运用微视频的护理干预能够提高急性胰腺炎患者疾病知识的掌握,促进机体自我管理水平的恢复,进而提高遵医行为。

关键词: 微视频, 护理, 急性胰腺炎, 疾病知晓, 自我管理, 遵医行为

Abstract: Objective To explore the impact of micro video based nursing interventions on disease awareness,self-management and compliance behavior in patients with acute pancreatitis．Methods According to the central randomization method,88 patients with acute pancreatitis admitted to the Second Affiliated Hospital of Zhengzhou University from January 2021 to January 2023 were selected as the research subjects．Among them,44 patients in the traditional group received routine intervention,and 44 patients in the micro video group received nursing intervention combined with micro video on the basis of the traditional group．The disease awareness,self-management ability and compliance behavior of the two groups of patients were compared．Results After two months of intervention,three cases were dropped out in the micro video group and four cases were dropped out in the traditional group．The disease awareness in both groups was higher than that before intervention,and the micro video group was higher than the traditional group,including disease etiology（t=3.151,P=0.003）,clinical symptoms（t=7.165,P<0.001）,complications（t=5.497,P<0.001） and how to prevent disease recurrence（t=8.195,P<0.001）．The scores of ESCA in both groups were significantly higher than those before intervention,and the micro video group was higher than the traditional group in terms of self-care skills（t=2.787,P=0.007）,self-concept（t=2.272,P=0.026）,self-care responsibility（t=2.644,P=0.011） and health knowledge level（t=3.321,P=0.001）．The scores of all dimensions of compliance behavior in both groups were significantly higher than those before intervention,and the micro video group had higher scores than the traditional group in terms of dietary compliance（t=6.271,P<0.001）,medication compliance（t=3.539,P=0.001）,exercise compliance（t=4.469,P<0.001） and regular follow-up（t=2.764,P=0.001）．Conclusions The use of micro video nursing interventions can improve the mastery of disease knowledge in patients with acute pancreatitis,promote the recovery of the body's self-management level,and thereby improve medical compliance behavior．

Key words: nmicro videos, nurse, acute pancreatitis, disease awareness, self management, compliance behavior

董玲玲, 古小改, 郝娜, 梁青燕, 张丽. 基于微视频的护理干预对急性胰腺炎患者疾病知晓、自我管理和遵医行为的影响[J]. 广州医药, 2025, 56(1): 125-130.

DONG Lingling, GU Xiaogai, HAO Na, LIANG Qingyan, ZHANG Li. The impact of micro video based nursing interventions on disease awareness,self-management and compliance behavior in patients with acute pancreatitis[J]. Guangzhou Medical Journal, 2025, 56(1): 125-130.

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