收稿日期: 2023-07-14
网络出版日期: 2024-04-19
基金资助
国家社会科学基金项目(21BRK013)
Development of popular science works on catheter care for community-dwelling elderly with disabilities
目的 研制并评价社区居家失能老年人留置导尿管护理科普系列作品。方法 通过半结构化访谈、证据总结、专家会议明确社区居家失能老年人留置导尿管护理科普内容框架，在此基础上设计和制作科普作品。2023年5月5日—2023年6月5日，通过线上、线下相结合的方式试推广科普系列作品，采用问卷调查了解留置导尿管的社区居家失能老年人的家庭照顾者对科普系列作品的认可度及意见。结果 形成包含留置导尿管的日常护理、紧急情况的预防及处理、并发症的预防及处理3个方面的科普内容框架；最终研制出19页的科普漫画手册、时长为4 min 43 s的科普动画视频，以及包含4条剧情主线、20个剧情模块的科普互动视频。88名科普对象内容评价得分的均数为4.30分，设计评价得分的均数为4.48分，整体评价得分的均数为4.48分。结论 社区居家失能老年人留置导尿管护理科普系列作品研制方法科学，呈现形式多元化，注重用户友好性，科普对象对其认可度较高，可为其他医学与健康科普作品的研制提供参考。
唐煦萌 , 胡吉丽 , 赵庆华 . 社区居家失能老年人留置导尿管护理科普作品研制[J]. 中华护理教育, 2024 , 21(4) : 478 -485 . DOI: 10.3761/j.issn.1672-9234.2024.04.016
Objective To develop and evaluate of a series of popular science works for catheter care of community-dwelling elderly with disabilities. Methods Through semi-structured interviews and evidence summaries，the content of catheter care popular science works for community-dwelling elderly with disabilities was clarified. After that，the popular science works were designed and produced. From May 5，2023 to June 5，2023，the popular science works were promoted through a combination of online and offline channels. A community-dwelling elderly with disabilities satisfaction survey questionnaire on catheter care popular science works was used to understand their satisfaction and opinions on the popular science works. Results A framework for popular science content was established，encompassing three aspects——daily care of indwelling catheters，prevention and management of emergency situations，as well as prevention and treatment of complications. Finally，a popular science manual containing 19 pages，a popular science video with a duration of 4 minutes and 43 seconds，and a popular science interactive video containing 4 plot lines and 20 plot modules were developed. The average satisfaction score of content evaluation，design evaluation and overall evaluation score of the 88 popular science audience members were 4.30，4.48 and 4.48，respectively. Conclusion The method of developing popular science works for catheter care of community-dwelling elderly with disabilities is scientific. The popular science works have diversified forms，pay attention to user-friendliness，and are highly recognized by the subjects，which can provide reference for the development of other popular science works.
Key words： Disability; Aged; Indwelling catheterization; Nursing; Popular science
| [1] | Luo YN, Su BB, Zheng XY. Trends and challenges for popu-lation and health during population aging-China,2015-2050[J]. China CDC Wkly, 2021, 3(28):593-598. |
| [2] | Chen YT, Lin MH, Lai HY, et al. Potentially inappropriate urinary catheter indwelling among long-term care facilities residents[J]. J Eval Clin Pract, 2009, 15(4):592-594. |
| [3] | 党俊武. 老龄蓝皮书:中国城乡老年人生活状况调查报告(2018)[M]. 北京: 社会科学文献出版社, 2018. |
| [4] | Shih WY, Chang CC, Tsou MT, et al. Incidence and risk factors for urinary tract infection in an elder home care population in Taiwan:a retrospective cohort study[J]. Int J Environ Res Public Health, 2019, 16(4):566. |
| [5] | 张秋芬, 何苗, 孔令磷, 等. 咸宁市社区老年人居家照护需求及满足情况调查[J]. 护理研究, 2018, 32(5):809-812. |
| [5] | Zhang QF, He M, Kong LL, et al. Investigation on demand and satisfaction of home care of community elderly in Xianning city[J]. Chin Nurs Res, 2018, 32(5):809-812. |
| [6] | 傅玲玲, 谭秋生, 茅晓风. “主动健康”视域下医学科普的实践与思考[J]. 中华健康管理学杂志, 2022, 16(1):66-68. |
| [6] | Fu LL, Tan QS, Mao XF. Practice and thinking of medical science popularization from the perspective of “active health”[J]. Chin J Health Manag, 2022, 16(1):66-68. |
| [7] | National Institute for Health and Care Excellence. Healthcare-associated infections:prevention and control in primary and community care[EB/OL].(2017-02-15). https://www.nice.org.uk/guidance/cg139/resources/healthcareassociated-infections-preven-tion-and-control-in-primary-and-community-care-pdf-3510951876-7045. |
| [8] | Gould CV, Umscheid CA, Agarwal R K, et al. Guideline for prevention of catheter-associated urinary tract infections 2009[EB/OL].(2019-06-06). https://www.cdc.gov/infectioncontrol/pdf/guidelines/cauti-guidelines-H.pdf. |
| [9] | Geng V, Cobussen-Boekhorst H, Lurvink H, et al. Male external catheters in adults-urinary catheter management[EB/OL].[2023-06-15]. https://nurses.uroweb.org/guideline/male-external-catheters-in-adults-urinary-catheter-management/. |
| [10] | Geng V, Cobussen-Boekhorst H, Farrell J, et al. Catheterisation indwelling catheters in adults-urethral and suprapubic[EB/OL].[2023-06-15]. https://nurses.uroweb.org/guideline/cathete-risation-indwelling-catheters-in-adults-urethral-and-suprapubic/. |
| [11] | Schaeffer AJ. Placement and management of urinary bladder catheters in adults-UpToDate[EB/OL].[2023-02-21]. https://www.uptodate.com/contents/placement-and-management-of-urina-ry-bladder-catheters-in-adults. |
| [12] | Lauren D. Indwelling catheter:community care[EB/OL].(2020-11-01). http://ovidsp.dc1.ovid.g.yyttgd.top/ovid-new-a/ovidweb.cgi?&S=KPGFFPFIMCACIEKDKPKJEGPMBIILAA00&Complete+Reference=S.sh.66%7c1%7c1&Counter5=SS_view_found_com-plete%7cJBI746%7cjbi%7cjbidb%7cjbi&Counter5Data=JBI746%7cjbi%7cjbidb%7cjbi. |
| [13] | Jonathon BM. Indwelling catheters in adults:patient education[EB/OL].(2022-02-08). http://ovidsp.dc1.ovid.g.yyttgd.top/ovid-new-a/ovidweb.cgi?&S=KPGFFPFIMCACIEKDKPKJEGPMBIIL-AA00&Complete+Reference=S.sh.55%7c4%7c1&Counter5=SS_view_found_complete%7cJBI14576%7cjbi%7cjbidb%7cjbi&Counter5Data=JBI14576%7cjbi%7cjbidb%7cjbi. |
| [14] | Pamaiahgari P. Long-term catheter:management and care[EB/OL].(2022-03-18). http://ovidsp.dc1.ovid.g.yyttgd.top/ovid-new-a/ovidweb.cgi?&S=KPGFFPFIMCACIEKDKPKJEGPMBIILAA00&Complete+Reference=S.sh.76%7c7%7c1&Counter5=SS_view_found_complete%7cJBI24361%7cjbi%7cjbidb%7cjbi&Counter5Data=JBI24361%7cjbi%7cjbidb%7cjbi. |
| [15] | Aginga C. Urinary catheter care in the elderly:personal care workers[EB/OL].(2021-03-06). http://ovidsp.dc1.ovid.g.yyttgd.top/ovid-new-a/ovidweb.cgi?&S=KPGFFPFIMCACIEKDKPKJEG-PMBIILAA00&Complete+Refe-rence=S.sh.60%7c3%7c1&Coun-ter5=SS_view_found_complete%7cJBI16584%7cjbi%7cjbidb%7cjbi&Counter5Data=JBI16584%7cjbi%7cjbidb%7cjbi. |
| [16] | Laveena S. Urinary catheter:securement[EB/OL].(2021-04-16). http://ovidsp.dc1.ovid.g.yyttgd.top/ovid-new-a/ovidweb.cgi?&S=KPGFFPFIMCACIEKDKPKJEGPMBIILAA00&Complete+Reference=S.sh.81%7c5%7c1&Counter5=SS_view_found_complete%7cJBI10351%7cjbi%7cjbidb%7cjbi&Counter5Data=JBI10351%7cjbi%7cjbidb%7cjbi. |
| [17] | 李秀华, 吴欣娟, 蔡虻, 等. 导管相关感染防控最佳护理实践专家共识[M]. 北京: 人民卫生出版社, 2018. |
| [18] | Reid S, Brocksom J, Hamid R, et al. British Association of Urological Surgeons(BAUS) and Nurses(BAUN) consensus document:management of the complications of long-term indwelling catheters[J]. BJU Int, 2021, 128(6):667-677. |
| [19] | Wound,Ostomy and Continence Nurses Society. Care and management of patients with urinary catheters:a clinical resource guide[EB/OL].(2016-10-01). https://levityproducts.com/wp-content/uploads/2020/09/Care-and-Management-of-Patien-ts-w.-Catheters.pdf. |
| [20] | Cooper FP, Alexander CE, Sinha S, et al. Policies for replacing long-term indwelling urinary catheters in adults[J]. Cochrane Database Syst Rev, 2016, 7(7):CD011115. |
| [21] | 胡雁, 郝玉芳. 循证护理学[M]. 2版. 北京: 人民卫生出版社, 2018. |
| [22] | 中国健康科普联盟. 中国健康科普作品创作与传播专家共识(2018)[EB/OL].[2023-07-07]. https://baijiahao.baidu.com/s?id=1612008948114394879. |
| [23] | 中国科普作家协会. 科普视频评价指标体系:T/CSWA 001—2023[S/OL].(2023-10-26)[2024-01-08]. https://www.kpcswa.org.cn/uploads/soft/2311/TCSWA_001-2023.pdf. |
| [24] | 国家卫生计生委办公厅. 关于印发健康科普信息生成与传播指南(试行)的通知[EB/OL].(2015-7-22)[2023-07-07]. http://www.nhc.gov.cn/xcs/s3581/201508/5fe32b5a1a8243e2bd819f9ee-ebfd8b1.shtml. |
| [25] | 沙小杰. 4I理论视角下科普类短视频传播策略研究——以“无穷小亮的科普日常”为例[D]. 合肥: 安徽大学, 2022. |
| [25] | Sha XJ. Research on the communication strategy of popular science short video from the perspective of 4I Theory——taking “Infinitely Little Liang Popular Science Daily” as an example[D]. Hefei: Anhui University, 2022. |
| [26] | 智研咨询. 2018-2024年中国互联网漫画行业运营态势及发展趋势研究报告[EB/OL].[2023-06-14]. https://www.chyxx.com/research/201710/576138.html. |
| [27] | 曾文娟. 新媒体语境下医学科普漫画的现状与发展策略:以小大夫漫画、腾讯医典和混知健康为例[J]. 科普研究, 2022, 17(3):54-61. |
| [28] | 中国互联网络信息中心(CNNIC). 第52次《中国互联网络发展状况统计报告》[EB/OL].(2023-08-28)[2024-01-09]. https://www.cnnic.cn/n4/2023/0828/c88-10829.html. |
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