专病管理模式在肠造口患者随访中的应用  

Application of Disease Management in Follow-up Visit to Patients with Colostomy

作　　者：徐青青[1] 谢玲女[2] 

机构地区：[1]浙江萧山医院 [2]浙江省肿瘤医院

出　　处：《医院管理论坛》2015年第6期43-46,共4页Hospital Management Forum

摘　　要：目的探讨专病管理模式在早期永久性肠造口患者随访中的应用及效果。方法将纳入研究的148例永久性肠造口患者按出院顺序分为对照组(n=75)和研究组(n=73),对照组采用常规术后随访,研究组以造口师为主导实施专病管理模式。比较6个月后两组患者的造口适应水平和焦虑水平。结果 (1)干预后,对照组和研究组患者OAI-20得分分别为(57.60±9.87)、(50.21±10.68),均较干预前提高,组间比较差异有统计学意义(t=4.36,P=0.0000);(2)干预后,对照组和研究组患者SAS得分分别为(58.88±11.00)、(53.45±10.62),均较干预前降低,组间比较差异有统计学意义(t=3.05,P=0.002)。结论专病管理模式能够提高永久性肠造口患者早期肠造口适应水平和降低其焦虑水平。Objective To discuss the application and effect of disease management mode in follow-up visit to patients with early permanent colostomy.MethodsThe study included 148 cases of permanent colostomy patients and divided them into control group （n=75） and study group （n=73） according to their discharge order. The control group received routine postoperative follow-up visits while the study group took disease management led by colostmers. Compared patients＇ colostomy adjustment and anxiety level between two groups six months later.Results （1） The OAI-20 scores of control group and study group patients were （57.60±9.87） and （50.21±10.68） respectively after intervention, both of which were improved compared with those of pre-intervention with statistically significant difference between two groups （t = 4.36, p = 0.0000）. （2） After intervention, SAS scores of patients in control group and study group were （58.88±11.00） and （53.45±10.62） respectively, lower than before with statistically significant difference between two groups （t = 3.05, p = 0.002）.Conclusion Disease management can improve the colostomy adjustment level of patients with early permanent colostomy and reduce their anxiety level.

关 键 词：专病管理 造口适应 焦虑 随访 

分 类 号：R473.6[医药卫生—护理学]