关键词: 肺疾病,慢性阻塞性, 视频微课, 对比研究

Abstract:

Objective To explore the role of video micro-lesson combined with teach-back health education model in preventing disability progression of patients with chronic obstructive pulmonary disease (COPD). Methods One hundred and seven COPD patients admitted to Jingshan People’s Hospital from May 2020 to January 2021 were selected as the research objects. Among them, 53 COPD patients admitted from May to October 2020 were intervened by routine health education mode as control group, while 54 COPD patients admitted from November 2020 to January 2021 were intervened by video micro-lessons combined with teach-back health education mode as observation group. The adult disability assessment tool (DATA Scale) was used to compare the disability scores of the two groups after discharge, including the ability of daily activities, mental state, perception and social participation. Self-made questionnaire was used to calculate the satisfaction of the two groups of patients with two types of health education methods. Results The score of daily activities in the observation group was 81.21±1.81, which was higher than that in the control group (75.13±2.82). The mental state score of the observation group was 1.07±0.14, which was lower than that of the control group (2.22±0.21). The score of perception and social participation of the observation group was (2.14±0.23), which was lower than that of the control group 4.52±0.32. The total score of the observation group was (78.60±2.10), which was higher than that of the control group (64.50±4.30), and the differences were statistically significant (t values were 14.351, 12.564, 11.954, 5.846, P values were 0.000, 0.031, 0.025 and 0.000, respectively). After intervention, the satisfaction of health education in the observation group was 87.0% (47/54), which was significantly higher than that in the control group (60.4% (32/53)) (χ²=4.526, P=0.033). Conclusion Video micro-lesson combined with teach-back health education model is an effective health education model, which plays a positive role in preventing the progress of COPD disability.

Key words: Pulmonary disease, chronic obstructive, Video Micro Lesson, Comparative study