Analysis on health educational need of patients undergoing endobronchial ultrasound-guided transbronchial needle aspiration examination and its influencing factors / 医学研究生学报

ABSTRACT

ObjectiveEndobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) examination is a new bronchoscopy for early diagnosis and staging assessment of lung cancer, however it often makes patients scared and worried because of penetration and irritation brought by the operation. The article aimed to investigate the health education need of patients and analyze its influencing factors in order to provide evidence for pointed health education and successful examination.MethodsA self-designed questionnaire was used to investigate 100 patients with EBUS-TBNA at Thoracic Surgery Department in our hospital, from December 2016 to August 2017. Data were analyzed by SPSS 20.0 software.ResultsThe average score of health education need for patients undergoing EBUS-TBNA examination was (68.83±9.80). Single factor analysis showed there were differences in the scores of patients' ages, jobs, educational levels and medical insurance payment methods(P<0.05). Multiple linear regression analysis showed the influencing factors included educational level, age and medical insurance payment method, which could explain the mutation value 0.189. The average score of health education need was (13.84±1.30), including listening to professional explanation (4.64±0.58), watching operation video(4.61±0.53) and reading education brochures(4.59±0.60).ConclusionPatients have high health education need for EBUS-TBNA examinations and clinical staff should provide normalized health education pathway based on the patients' needs and improve the satisfaction of examination.