【摘要】 目的 探讨回授法结合视频的健康教育在系统性红斑狼疮（SLE）患者行肾穿刺活检术中的应用效果。方法 选取2018年10月—2020年10月安徽省某三甲医院风湿免疫科收治的行肾穿刺活检术的SLE患者85例为研究对象，按照组间基线资料可比的原则分为对照组43例和观察组42例。对照组实施常规的肾穿刺活检术健康教育，观察组在对照组基础上采用回授法结合视频宣教进行健康教育。比较健康教育前后两组患者肾穿刺术相关知识掌握程度。采用焦虑自评量表（SAS），匹兹堡睡眠质量指数量表（PSQI）评估干预效果。比较两组患者术后并发症的发生率。结果 健康教育干预后，观察组患者健康教育后相关知识掌握程度优于对照组，差异有统计学意义（P<0.05）；观察组干预前后SAS和PSQI评分差值均高于对照组，差异有统计学意义（P<0.05）；观察组总并发症的发生率低于对照组，差异有统计学意义（P<0.05）。结论 回授法结合视频宣教能提高SLE患者肾穿刺活检术相关知识掌握程度，有效改善患者的负性情绪及睡眠质量，减少术后并发症。更多还原

【Abstract】 Objective To explore the application effect of feedback method combined with video health education in renal puncture biopsy in patients with systemic lupus erythematosus(SLE). Methods A total of 85 patients with SLE who underwent renal aspiration biopsy admitted to the rheumatology and immunology department of a Class Ⅲ Grade A hospital in Anhui Province from October 2018 to October 2020 were selected as the study objects, they were divided into control group(43 cases) and observation group(42 cases) according to the principle of comparable baseline data between groups. The control group received routine renal puncture biopsy health education, and the observation group received health education based on the control group with feedback method combined with video education. The knowledge of renal puncture was compared between the two groups before and after health education. Self-rating Anxiety Scale(SAS) and Pittsburgh Sleep Quality Index Scale(PSQI) were used to evaluate the effect of intervention. The incidence of postoperative complications was compared between the two groups. Results After health education intervention, the observation group was better than the control group, the difference was statistically significant(P<0.05). The difference of SAS and PSQI scores in the observation group was higher than that in the control group before and after intervention, and the difference was statistically significant(P<0.05). The incidence of total complications in the observation group was lower than that in the control group, the difference was statistically significant(P<0.05). Conclusion The combination of feedback and video education can improve the knowledge of renal aspiration biopsy in SLE patients, effectively improve the negative emotions and sleep quality of patients, and reduce postoperative complications.更多还原