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论著

眼科患者荧光素眼底血管造影认知及健康教育需求分析

Investigation on fundus fluorescein angiography cognition and health education needs in ophthalmic patients

:44-50
 
目的 调查眼科患者对荧光素眼底血管造影认知情况及健康教育需求,为眼底造影医护人员实施高效、个性化健康教育提供依据。方法 采用自制眼底造影认知及健康教育需求问卷,对本院2021年6月—8月的123例眼底血管造影患者进行问卷调查,使用Spearman相关性分析、非参数秩和检验及多元线性逐步回归分析患者眼底血管造影认知的影响因素。结果 患者荧光素眼底血管造影认知得分为(33.77±8.09)分,其中,患者对于检查中的相关知识认知最低,相对得分为0.59;患者健康教育需求的得分为(43.95±7.63)分,其中,检查后的相关知识需求度最高,相对得分为0.77;不同年龄、文化程度、主要照顾者、眼造影检查次数及是否合并全身病的患者的认知水平差异有统计学意义(P<0.05)。多元线性逐步回归分析表明,眼造影检查史是患者眼底血管造影认知的独立影响因素。结论 眼科患者对荧光素眼底血管造影认知水平较低,健康教育需求高,医护人员应重视健康教育的实施,结合FFA操作流程及患者特点,制定标准化健康教育流程,探索有效的线上+线下的健康教育模式,以提高造影患者认知水平,保障患者安全。
Objective To investigate fundus fluorescein angiography(FFA)cognition and health education needs in ophthalmic patients,and to provide basis for efficient and personalized health education for FFA medical staff.Methods A self-made questionnaire was used in a survey of 123 patients from June to August 2021.The influencing factors of FFA cognition were analyzed by Spearman correlation analysis,non parametric rank sum test and multiple linear stepwise regression.Results The score of FFA cognition was(33.77 ± 8.09).Patients had the lowest cognition of relevant knowledge during the examination,with a relative score of 0.59.The score of patient's health education needs was(43.95 ± 7.63),while the score of relevant knowledge needs after examination was the highest,with a relative score of 0.77.There were significant differences in cognitive level among patients with different ages,educational levels,main caregivers,angiographic times,and complication of systemic diseases(P<0.05).Multiple linear stepwise regression analysis showed that the number of ocular angiography was an independent factor affecting the cognition of FFA.Conclusions Patients with FFA have low cognitive level and high demand for health education.Medical staff should pay attention to the implementation of health education,formulate a standardized health education process with the combination of operation process and patient characteristics,and explore an effective online-to-offline health education mode,so as to improve the cognitive level of angiography patients and ensure the safety of patients.
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