结肠造口患者出院早期电话干预延续护理模式之构建  

Model construction of telephone intervention transitional care among early discharged colostomy patients

作　　者：张俊娥[1] 郑美春[2] 黄金月[3] 

机构地区：[1]中山大学护理学院,广州市510089 [2]中山大学附属肿瘤医院 [3]香港理工大学

出　　处：《中国护理管理》2011年第8期31-35,共5页Chinese Nursing Management

基　　金：广东省科技计划项目基金资助(2008B030301097)

摘　　要：目的:阐述结肠造口患者出院早期电话干预延续护理模式的构建。方法:对7家三级甲等医院的59名出院早期的结肠造口患者进行出院后1个月内的2～3次电话干预。由造口护士记录电话干预的具体时间、每次电话干预持续时间,59名患者出院后1个月和3个月分别自评电话干预的效果。结果:3次电话的通话时间分别为(9.23±4.94)min、(8.15±4.93)min和(6.87±4.40)min,平均时间为(8.50±4.92)min;通3次电话的时间距离患者出院的天数分别为(8.71±4.72)天、(19.85±6.07)天和(29.65±4.45)天。59名患者出院后1个月和3个月对延续护理服务表示非常满意和满意的分别占98.11%和96.30%;认为造口护士的支持很大和大的分别占96.23%和94.44%。结论:电话干预是一种有效的出院后延续护理的方法。在具体的实施过程中必须满足一定的条件,同时应采取相应的措施以保证电话干预的剂量和效果,对进行电话干预的护士应进行必要的培训,从而使电话干预的效益最大化。Objective： To describe the model construction of telephone intervention transitional care among early discharged colostomy patients. Methods： Fifty-nine patients who had undergone colostomy operation from 7 Third-Grade Class A hospitals in Guangzhou received 2-3 telephone calls within one month post-discharge. Colostomy nurse recorded specific time and phone duration of each call. The patients evaluated the effect of telephone intervention. Results： The average time duration of three calls was 9.23±4.94 min, 8.15±4.93 min and 6.87±4.40 min respectively and the average time duration for all calls was 8.50±4.92 min. The average days from discharge day of three telephone calls was 8.71±4.72 days, 19.85±6.07 days and 29.65±4.45 days respectively. About 96.30% and 98.11% patients evaluated their transitional care as very satisfactory or satisfactory and 96.23% and 94.44% patients thought their enterostomal nurses＇ support as very high or high at 1 month and 3 months after discharge respectively. Conclusion： The telephone intervention is an effective method for transitional care after hospital discharge. The telephone intervention must satisfy certain conditions in implementation process and we should take appropriate measures to ensure intervention doses and effects. The enterostomal nurses should receive necessary training before intervention to maximize intervention effects within the context of Chinese culture.

关 键 词：结肠造口 造口护士 电话干预 延续护理 模式构建 

分 类 号：R494[医药卫生—康复医学]