教育干预对肝移植后理解健康建议的影响。
Impact of educational intervention on understanding health recommendations after liver transplantation.
机构信息
Universidade Federal de Minas Gerais, Hospital das Clínicas. Belo Horizonte, Minas Gerais, Brazil.
Universidade Federal de Minas Gerais, Programa de Pós-Graduação em Cirurgia e Oftalmologia. Belo Horizonte, Minas Gerais, Brazil.
出版信息
Rev Bras Enferm. 2024 Jul 29;77(3):e20230132. doi: 10.1590/0034-7167-2023-0132. eCollection 2024.
OBJECTIVES
to evaluate the impact of educational intervention on understanding health recommendations after liver transplantation.
METHODS
randomized and prospective clinical trial, with 68 liver transplant recipients in two institutions. The level of understanding was assessed using a statement agreement scale and the understanding score was classified. Chi-square test was used to compare groups.
RESULTS
the level of understanding was reasonable in 77.9% of patients, 73.5% in the Control Group and 82.3% in the Intervention Group (p=0.399). For topics covered after educational action, there were more than 80% correct answers regarding nutrition, frequent hydration, usage and function of immunosuppressants. However, there were less than 10% correct answers regarding hand hygiene, contact with animals and crowds of people. The use of the patient's audio, visual and tactile resources led to improved understanding of skin care (p=0.014).
CONCLUSIONS
the level of understanding acquired regarding health recommendations was only reasonable.
目的
评估教育干预对肝移植后理解健康建议的影响。
方法
这是一项随机和前瞻性临床试验，共有来自两个机构的 68 名肝移植受者参与。采用陈述同意量表评估理解程度，并对理解得分进行分类。使用卡方检验比较组间差异。
结果
77.9%的患者理解水平尚可，对照组为 73.5%，干预组为 82.3%（p=0.399）。对于教育干预后涉及的主题，在营养、频繁补水、免疫抑制剂的使用和功能方面，有超过 80%的患者回答正确；但在手卫生、接触动物和人群方面，正确回答率不到 10%。利用患者的视听和触觉资源有助于提高对皮肤护理的理解（p=0.014）。
结论
患者对健康建议的理解程度仅为尚可。
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