[1]夏 維,黃春求,吳秀娟,等.基于“護+”APP的上門護理服務在肝膽外科T管出院患者中的應用[J].醫學信息,2019,(22):177-180.[doi:10.3969/j.issn.1006-1959.2019.22.063]
 XIA Wei,HUANG Chun-qiu,WU Xiu-juan,et al.Application of Home Care Service Based on "Nursing +" APP in Patients with Hepatic and Biliary Surgery T-tube Discharge[J].Medical Information,2019,(22):177-180.[doi:10.3969/j.issn.1006-1959.2019.22.063]
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基于“護+”APP的上門護理服務在肝膽外科T管出院患者中的應用()
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醫學信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期數:
2019年22期
頁碼:
177-180
欄目:
護理研究
出版日期:
2019-11-15

文章信息/Info

Title:
Application of Home Care Service Based on "Nursing +" APP in Patients with Hepatic and Biliary Surgery T-tube Discharge
文章編號:
1006-1959(2019)22-0177-04
作者:
夏 維黃春求吳秀娟戴 婷張紅輝
(湖南省人民醫院肝膽四病室,湖南 長沙 410005)
Author(s):
XIA WeiHUANG Chun-qiuWU Xiu-juanDAI TingZHANG Hong-hui
(Department of Hepatobiliary Disease,Subject Four,Hunan Provincial People's Hospital, Changsha410005,Hunan,China)
關鍵詞:
“護+”APP上門護理服務肝膽外科
Keywords:
"Nursing +" APPOn-site nursing serviceHepatobiliary surgery
分類號:
R473
DOI:
10.3969/j.issn.1006-1959.2019.22.063
文獻標志碼:
A
摘要:
目的 探討基于“護+”APP的上門護理服務在肝膽外科T管出院患者中的應用效果。方法 于2017年11月~2018年10月在我院肝膽外科手術治療后帶管出院并接受“護+”APP上門護理服務的長沙市區患者中隨機選取62例納入實驗組,同時從帶管出院未接受“護+”APP的上門護理服務的長沙市區患者中隨機選取62例納入對照組。對照組接受常規的出院指導,實驗組在對照組基礎上接受“護+”APP的上門延續護理服務。比較兩組患者并發癥發生情況(發熱、管道堵塞、管道脫落、膽道出血)、感染發生率、護理知識掌握程度、焦慮評分及生活質量。結果 實驗組并發癥發生率為3.23%,感染發生率為1.61%,低于對照組的19.35%、12.90%,差異有統計學意義(P<0.05);實驗組焦慮評分低于對照組,差異有統計學意義(P<0.05);實驗組生理功能、癥狀學、社會活動與日常生活能力、精神狀態以及治療評價得分均高于對照組,差異有統計學意義(P<0.05);實驗組患者護理知識掌握程度高于對照組(96.77% vs 75.81%),差異有統計學意義(P<0.05)。結論 “護+”APP的上門護理服務的建立對于促進肝膽外科術后帶管出院患者的康復有著明顯的效果,能夠降低患者并發癥及感染發生率,改善患者焦慮等不良情緒,提高患者生活質量,提高患者對護理知識的掌握程度,進而改善患者預后。
Abstract:
Objective To explore the application effect of on-site nursing service based on "Nursing +" APP in patients with T-tube discharge from hepatobiliary surgery. Methods From November 2017 to October 2018, 62 patients in Changsha City who were discharged from the hospital after undergoing hepatobiliary surgery and received "Nursing +" APP on-site nursing services were randomly selected from the experimental group. Among the patients in Changsha who were discharged from the hospital who did not receive the "Nursing +" APP home care service, 62 patients were randomly selected into the control group. The control group received routine discharge guidance, and the experimental group received the on-site continuation care service of "Nursing+" APP on the basis of the control group. Complications (fever, tube blockage, tube detachment, biliary tract hemorrhage), incidence of infection, knowledge of nursing knowledge, anxiety score, and quality of life were compared between the two groups. Results The incidence of complications in the experimental group was 3.23%, and the incidence of infection was 1.61%, which was lower than 19.35% and 12.90% of the control group,the difference was statistically significant (P<0.05). The anxiety score of the experimental group was lower than that of the control group,the difference was statistically significant (P<0.05). The physiological function, symptomology, social activities and daily living ability, mental state and treatment evaluation scores of the experimental group were higher than the control group, the difference was statistically significant (P<0.05); The mastery of nursing knowledge in the group was higher than that in the control group (96.77% vs 75.81%),the difference was statistically significant (P<0.05). Conclusion The establishment of "Nursing+" APP on-site nursing service has obvious effects on promoting the rehabilitation of patients discharged from the hospital after hepatobiliary surgery. It can reduce the incidence of complications and infections, improve the anxiety of patients and improve their lives quality, improve the patient's mastery of nursing knowledge, and thus improve patient prognosis.

參考文獻/References:

[1]戴巧艷,丁麗霞,李尚琴.階段性電話隨訪在留置T管出院患者自我護理教育中的應用[J].中南醫學科學雜志,2014,20(4):419-421. [2]盛瑤雪,鄒志輝,付亭亭,等.移動健康教育平臺在帶T管出院患者居家護理中的應用[J].解放軍護理雜志,2018,35(3):79-82. [3]段雨彤,呂仙榮,張青.微信隨訪在攜T管引流出院患者延續護理中的應用[J].中國婦幼健康研究,2016,27(2):20-21. [4]Carello G,Lanzarone E.A cardinality-constrained robust model for the assignment problem in Home Care services[J].European Journal of Operational Research,2014,236(2):748-762. [5]梁鳳英,李秀芬,謝曉紅,等.應用手機APP實施帶管道出院病人的延續護理[J].全科護理,2018,16(8):1012-1013. [6]王敬齋,張樹榮.Zung焦慮抑郁自評量表對消化內科門診患者焦慮抑郁的測評[J].臨床消化病雜志,2016,28(3):150-153. [7]李曉娟,李惠玲.延續護理在攜T管出院患者中實施效果的評價[J].中華現代護理雜志,2014,20(1):15-17. [8]熊真真,袁麗,賀莉,等.多學科護理團隊在提高非內分泌科護士血糖管理知識中的作用[J].現代臨床護理,2015,14(7):66-69. [9]雷鋮,陳晨,石鎂虹,等.基于微信平臺的延續護理在院外患者中的應用現狀[J].護士進修雜志,2017,32(2):117-120. [10]權利.基于微信的延續護理在普外科帶T管出院患者中的應用[J].中國藥物與臨床,2017,17(6):938-939. [11]王亞亞,戴明輝,萬巧琴,等.攜帶管路出院患者延續護理服務需求調查分析[J].中國護理管理,2013,13(10):31-33. [12]馬俊,胡三蓮,張琦,等.延續護理在胰瘺帶管出院患者中的應用[J].解放軍護理雜志,2014,31(7):38-40. [13]劉巧慧,曹英娟,付玲玲,等.互聯網+延伸護理模式在骨科患者出院康復中的應用研究[J].中國實用護理雜志,2016,32(32):2506-2509. [14]謝朵朵,徐錦江.乳腺癌患者延續護理的APP平臺的構建[J].北京醫學,2017,39(1):113-114. [15]常紅,喬雨晨,孟茜,等.基于APP的腦卒中患者健康延續服務體系構建[J].中國護理管理,2016,16(9):1269-1272.

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