腹膜透析置管术后出院患者电话跟踪访问效果  

Effect of telephone visit for discharged patients with peritoneal dialysis catheter after surgery

作　　者：张丽英[1] 张耀全[1] 

机构地区：[1]江苏省江阴市人民医院肾内科,214400

出　　处：《中华现代护理杂志》2014年第21期2659-2662,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨腹膜透析置管术后患者出院电话访问管理的效果。方法将67例腹膜透析置管术后患者，按随机数字表法随机分为干预组34例和对照组33例。对照组出院时给予常规健康教育，干预组在出院后给予电话跟踪访问，共5次，采用腹膜透析知识测评问卷、健康相关生活质量问卷、患者满意度调查表对两组患者进行调查，评价电话访问的效果。结果干预组知识掌握程度为优52．9％，良38．2％，差8．8％，对照组分别为24．2％，30．3％，45．5％，两组比较差异有统计学意义（ Z＝-3．252， P＝0．001）；干预组患者睡眠、躯体活动、精力、疼痛、情绪反应、社会孤独感得分分别为（10．6±6．3），（8.9±5．2），（22．3±0．5），（18．6±7．3），（13．6±9．3），（15．7±7．6）分，均低于对照组，差异有统计学意义（t值分别为5．436，6．532，7．674，8．213，6．567，7．324；P＜0．01）；干预组患者对科主任、、主诊医师、普通护士满意度均高于对照组，差异有统计学意义（P＜0．05）。结论对腹膜透析患者出院后进行电话跟踪访问和指导，可以提升患者腹膜透析相关知识和技能，对患者的生活质量和医护人员的满意度均起到积极作用。Objective To observe the effect of telephone visit for discharged patients with peritoneal dialysis catheter after surgery .Methods Sixty-seven patients with peritoneal dialysis catheter after surgery were chosen and were divided into the intervention group （ n=34 ） and the control group （ n=33 ） according to the random table .The control group received the routine health education at discharge , and the intervention group received the telephone visit （ 5 times ） after discharge .The effect of telephone visit was evaluated by the peritoneal dialysis knowledge assessment questionnaire , Nottingham health questionnarres and patient satisfaction questionnaire.Results The percent of the excellent, good, bad degrees of mastering the knowledge were respectively 52.9%, 38.2%, 8.8% in the intervention group, and were 24.2%, 30.3%, 45.5% in the control group, and the difference was statistically significant （Z=-3.252,P=0.001）.The scores of sleep, physical activity, energy, pain, emotional reactions, social loneliness were respectively （10.6 ±6.3）, （8.9 ±5.2）, （22.3 ±0.5）, （18.6 ±7.3）, （13.6 ±9.3）, （15.7 ±7.6） in the intervention group, and were lower than those in the control group , and the differences were statistically significant （ t =5.436,6.532,7.674, 8.213,6.567,7.324, respectively; P〈0.01）.The patient satisfaction in the intervention group was higher than that of the control group , and the satisfaction of director of department , the chief nurse , the attending doctor and the ordinary nurses were increased （P〈0.05）.Conclusions The telephone visit and guide for discharged patients with peritoneal dialysis catheter after surgery can increase their related knowledge and skill of peritoneal dialysis , and play a positive role in the life quality of patient and satisfaction with doctors and nurses .

关 键 词：腹膜透析 生活质量 患者满意度 电话跟踪访问 

分 类 号：R473.5[医药卫生—护理学]