数字化交互式视频宣教在胸腔镜肺结节切除患者术前宣教中的临床应用分析

Analysis of Clinical Application of Digital Interactive Video Education in Preoperative Education of Patients with Thoracoscopic Pulmonary Nodule Resection

摘要: 目的：观察数字化交互式视频宣教在胸腔镜肺结节切除术患者宣教中的临床应用效果。方法：选取2023年5月1日~2024年4月30日在我院胸外科行胸腔镜肺结节切除术的60例住院患者，采用随机数字法随机分为对照组和试验组。对照组应用传统健康宣教模式，试验组在传统宣教的基础上应用数字化交互式视频多媒体宣教模式进行干预。观察2组患者在手术前1 d和手术当日计算机自适应评分、阿姆斯特丹术前焦虑和信息评分(APAIS)、基础生理指标及满意度的变化。结果：与干预前比较，干预后宣教内容、建立术前准备、术后配合相关知识评分均增加(P < 0.05)，且干预后，试验组各项评分明显高于对照组(P < 0.05)。与干预前比较，干预后与麻醉相关的焦虑、与手术相关的焦虑、信息需求评分均降低(P < 0.05)，且干预后，试验组各项评分明显低于对照组(P < 0.05)。与干预前比较，干预后收缩压、舒张压、心率均降低(P < 0.05)，且干预后，试验组各指标明显低于对照组(P < 0.05)。干预后试验组满意度为93.33%，对照组满意度为73.33%，差异有统计学意义(P < 0.05)。结论：数字化交互式视频宣教能提高胸腔镜肺结节切除术患者的计算机自适应评分、降低阿姆斯特丹术前焦虑和信息评分(APAIS)、降低基础生理指标及提高满意度，值得临床推广借鉴。

Abstract: Objective: To observe the clinical application effect of digital interactive video education in the education of patients with thoracoscopic pulmonary nodule resection. Methods: A total of 60 patients who underwent thoracoscopic pulmonary nodule resection in the Department of Thoracic Surgery of our hospital from May 1, 2023 to April 30, 2024 were selected and randomly divided into control group and experimental group by random number method. The control group applied traditional health education mode, and the experimental group applied digital interactive video multimedia education mode on the basis of traditional education. The changes in computer adaptive score, Amsterdam Preoperative Anxiety and Information Score (APAIS), basic physiological indicators and satisfaction were compared between 1 day before surgery and the day of surgery in 2 groups. Results: Compared with before intervention, scores of education content, preoperative preparation and postoperative cooperation were increased after intervention (P < 0.05), and scores of experimental group were significantly higher than those of control group after intervention (P < 0.05). Compared with before intervention, scores of anesthesia-related anxiety, surgery-related anxiety and information need were all decreased after intervention (P < 0.05), and scores in the experimental group were significantly lower than those in the control group after intervention (P < 0.05). Compared with before intervention, the systolic blood pressure, diastolic blood pressure and heart rate were all decreased after intervention (P < 0.05), and after intervention, all indexes in the experimental group were significantly lower than those in the control group (P < 0.05). After intervention, the satisfaction of experimental group was 93.33%, and that of control group was 73.33%; the difference was statistically significant (P < 0.05). Conclusion: Digital interactive video education can improve the computer adaptive score of thoracoscopic pulmonary nodule resection patients, reduce Amsterdam Preoperative Anxiety and Information Score (APAIS), reduce basic physiological indicators and improve satisfaction, which is worthy of clinical promotion.