Effects of video combined with action-oriented teaching on self-management and complications in patients with urinary calculus after indwelling tube
10.3760/cma.j.cn211501-20210208-00431
- VernacularTitle:视频联合行动导向教学法对泌尿结石留置输尿管支架患者自我管理能力和并发症的影响
- Author:
Ruili ZHANG
1
;
Yan ZHANG
;
Lianghua JIA
;
Qingqing DING
Author Information
1. 郑州大学第一附属医院泌尿外科尿动力中心，郑州 450052
- Keywords:
Video;
Action-oriented teaching;
Urinary calculus;
Double J tube;
Self-management
- From:
Chinese Journal of Practical Nursing
2022;38(5):379-384
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of video combined with action-oriented teaching on self-management skill and complications in patients with urinary calculus after indwelling tube, and to provide basis for improving the effect of clinical health education.Methods:A total of 100 patients with urinary calculus after indwelling double J tube from department of urological surgery of the First Affiliated Hospital of Zhengzhou University from March 2018 to October 2019 were divided into experimental group and control group, 45 cases in each group by ramdom digits table method. The patients in the control group recieved routine care and oral health education, the experimental group implemented video combined with action-oriented teaching. The levels of health self-management skill as well as complications were compared between the two groups.Results:After extubation, self-management behavioral scores, self-management cognitive scores, self-management environment scores and total scores in Adults Health Self-Management Skill Rating Scale were (54.26 ± 4.39), (57.22 ± 6.93), (39.91 ± 7.91), (151.39 ± 13.37) points, which were significantly higher than those in the control group (47.92 ± 6.96) , (52.69 ± 6.45), (34.63 ± 8.53), (135.24 ± 12.71) points, the difference were statistically significant ( t values were 2.64-6.04, all P<0.05). The total incidence of tube related complications was 39.1% (18/46) in the experimental group, which was significantly lower than that in the control group 61.2% (30/49). The incidence of lumbago, bladder irritation symptom and shematuria were 10.9% (5/46), 13.0% (6/46), 10.9% (5/46) in the experimental group, significantly lower than those in the control group 28.6% (14/49), 32.7% (16/49), 30.6%(15/49), the differences were statistically significant ( χ2 values were 4.63-5.56, all P<0.05). Conclusions:Video combined with action-oriented teaching can effectively improve self-management skill and reduce tube-related complications of patients with urinary calculi after indwelling double J tube.
