HIỆU QUẢ CỦA GIÁO DỤC SỨC KHỎE BẰNG VIDEO CHO THÂN NHÂN NGƯỜI BỆNH CÓ HẬU MÔN NHÂN TẠO TẠI BỆNH VIỆN CHỢ RẪY

Abstract

Objective: To evaluate the effectiveness of a video-based health education program on the knowledge and practice of ostomy care among caregivers of patients with ostomy. Subjects and Methods: A quasi-experimental study was conducted on 67 caregivers of patients with ostomy at the Department of Gastrointestinal Surgery, Cho Ray Hospital, from September 2024 to June 2025. Knowledge and practice were assessed before the intervention, immediately after, and two weeks post-intervention using a self-administered questionnaire and an ostomy care checklist. Descriptive statistics (frequency, percentage, mean, standard deviation) and McNemar’s chi-square test were applied with Stata 17.0 to analyze changes in the proportion of correct knowledge and practice in ostomy care. Results: The study revealed a considerable knowledge deficit among caregivers regarding ostomy care, monitoring, complication management, and nutrition. The proportion of caregivers with adequate knowledge increased from 1.5% pre-intervention to 85.1% post-intervention. The proportion demonstrating good practice rose from 25.4% immediately after the intervention to 98.5% at two weeks. The mean knowledge score significantly improved from 5.8 ± 2.87 pre-intervention to 15.9 ± 2.08 post-intervention. Similarly, the mean practice score increased from 12.3 ± 1.95 immediately after the intervention to 16.0 ± 1.22 at two weeks. Conclusion: Video-based health education substantially improved caregivers’ knowledge and practice in ostomy care, highlighting its feasibility and effectiveness in clinical settings. Assessing the effectiveness of such programs contributes to enhancing postoperative care quality and improving the quality of life of patients with ostomy