广州医药 ›› 2025, Vol. 56 ›› Issue (7): 906-910.DOI: 10.20223/j.cnki.1000-8535.2025.07.007

• 论著 • 上一篇    下一篇

情景模拟式健康教育在SMILE手术中的应用分析

周晓佳, 李嘉懿, 王婷, 龙梦依, 蔡丽莲, 王英, 葛丹丹, 李娉, 宋靓雯   

  1. 中山大学中山眼科中心近视眼激光治疗科,眼病防治全国重点实验室,广东省眼科视觉科学重点实验室(广东广州 510060)
  • 收稿日期:2024-08-13 出版日期:2025-07-20 发布日期:2025-08-28
  • 通讯作者: 宋靓雯,E-mail:271842918@qq.com

Application analysis of scenario simulation based health education in small incision lenticule extraction

ZHOU Xiaojia, LI Jiayi, WANG Ting, LONG Mengyi, CAI Lilian, WANG Ying, GE Dandan, LI Ping, SONG Jingwen   

  1. Refractive Surgery Department,State Key Laboratory of Ophthalmology,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangdong Provincial Key Laboratory of Ophthalmology Visual Science,Guangzhou 510060,China
  • Received:2024-08-13 Online:2025-07-20 Published:2025-08-28

摘要: 目的 探讨情景模拟式健康教育对飞秒激光小切口角膜基质透镜取出手术(SMILE)患者的应用效果,提高手术患者术中的配合度。方法 随机选取2020年6月—12月于我院拟进行SMILE手术患者200例,随机分为观察组和对照组,各100例,其中对照组采用常规术前健康教育,观察组采用情景模拟宣教视频的方式实施术前健康教育。比较两组患者围术期依从性、焦虑自评量表(SAS)和SMILE手术知识知晓率。结果 观察组患者围术期依从性和SMILE手术围术期知识知晓率得分高于对照组、患者术前焦虑水平低于对照组,差异均有统计学意义(P<0.05)。结论 情景模拟式健康教育能有效提升SMILE手术患者围术期依从性,减轻患者手术紧张的情绪,提升患者SMILE手术围术期健康知识知晓率,提升就医体验及手术成功率。

关键词: 情景模拟宣教, 飞秒激光小切口角膜基质透镜取出手术

Abstract: Objective To explore the application effect of scenario simulation based health education on patients undergoing small incision lenticule extraction(SMILE),in order to improve the cooperation of surgical patients.Methods From June to December in 2020,200 patients who were scheduled to undergo SMILE in the hospital were randomly selected and divided into an observation group and a control group,with 100 patients in each group.The control group received routine preoperative health education,while the observation group received preoperative health education through scenario simulation educational videos.The perioperative adherence of patients,Self Rating Anxiety Scale(SAS),and SMILE surgical knowledge awareness rates were compared between patients of two groups.Results The observation group had higher scores in perioperative adherence of patients and perioperative knowledge awareness of SMILE surgery than the control group,and lower preoperative anxiety levels than the control group,with statistically significant differences(P<0.05).Conclusions Scenario simulation based health education can effectively improve the adherence of SMILE patients,alleviate their surgical anxiety,enhance their awareness of perioperative health knowledge,improve their medical experience,and increase the success rate of the surgery.

Key words: scenario simulation based health education, small incision lenticule extraction