日间直肠外科手术患者的外科期间健康教育:基于证据的实践改变
1Department of Nursing, Beijing Tiantan Hospital, Capital Medical University, Beijing, China; Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
概括
对直肠外科手术患者的基于证据的教育计划改善了健康知识和满意度. 这项质量改进项目在患者对直肠疾病的理解方面取得了显著的改进.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 外科教育的外科教育
- 直肠疾病管理管理
背景情况:
- 术后健康教育对于接受直肠外科手术的患者至关重要.
- 提高患者知识可以改善手术结果和满意度.
- 需要一个结构化的,基于证据的方法来优化患者教育.
研究的目的:
- 为白天直肠外科手术患者开发和实施基于证据的外科期间健康教育计划.
- 提高患者关于直肠疾病的知识分数.
- 评估该计划对护士实践,患者知识,满意度和并发症率的影响.
主要方法:
- 一个使用Joanna Briggs研究所基于证据的实践模型的质量改进项目.
- 根据最好的可用证据制定17个审计标准.
- 基线和实施后数据的比较,包括审计标准的执行,患者知识得分,满意度和并发症发生率.
主要成果:
- 在17个审计指标中的12个审计指标的执行率有统计学上显著的改善 (P < .05).
- 患者知识得分从基线的63.67 ± 12.31显著增加到实施后的74.14 ± 14.40 (P = .004).
- 患者报告了更高的推手术的可能性 (P = .036);满意度或并发症没有显著变化.
结论:
- 基于证据的教育计划对护士行为产生了积极的影响,并增强了患者的健康知识.
- 该计划有助于改善患者的整体医疗体验.
- 建议对持续的效益进行持续的质量监督和审计.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
38
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
38
01:29Appendicitis-II: Diagnostic Studies and Management
54
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
54
01:25Assessment of the Rectum and Anus
128
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
128
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
48
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
48
01:25Endoscopic Procedures II: Colonoscopy
41
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
41
01:21Inflammatory Bowel Disease V: Surgical Management
77
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
77