居家护理平台移动护理诊所在肠造口患者延续护理中的应用效果  

Application effects of the home health care platform and mobile care clinic on the continuing nursing in patients with colostomy

作　　者：孙颖[1] 孙春霞[2] 陶国全[1] 张建淮[3] 周玲玲[1] 金素文[1] 

机构地区：[1]南京医科大学附属淮安第一医院胃肠外科,淮安223300 [2]南京医科大学附属淮安第一医院护理部,淮安223300 [3]南京医科大学附属淮安第一医院肝胆外科,淮安223300

出　　处：《中华现代护理杂志》2016年第24期3449-3452,共4页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金（81302490）;淮安市普外科高技术研究重点实验室（HAP201303）

摘　　要：目的：利用现代化信息技术构建居家护理平台移动护理诊所，实现肠造口患者远程护理和健康指导，提供优质的专科护理服务。方法选取2015年8月—2016年1月接受肠造口手术的患者76例，随机分为观察组40例和对照组36例，对照组采用常规护理方式护理，观察组在常规护理基础上加入居家造口护理微信平台提供延续护理。干预1个月后，应用自行设计的延续护理干预满意度调查表及健康知识掌握程度问卷对两组患者进行调查。结果观察组患者满意度为（98.4±1.6）分，对照组为（91.3±1.7）分，两组比较差异有统计学意义（t＝18.75，P〈0.05）。观察组正确护理造口患者占92.5％，对造口知识知晓度达标率82.50％，对照组分别为69.4％和58.33％，两组比较差异有统计学意义（χ2值分别为6.70，5.38；P〈0.05）。观察组患者发生粪水性皮炎2例，对照组11例，两组并发症发生率比较差异有统计学意义（χ2＝8.73，P〈0.05）。结论居家护理平台移动护理诊所有利于保证患者术后护理的延续性，可及时为患者提供科学合理的护理指导，提高患者居家护理质量及满意度，有效降低并发症。Objective To practice the distance nursing and healthcare through mobile care clinic, and to provide a higher quality of specialist care to colostomy patients. Methods 76 colostomy patients who were operated during August 2015 to January 2016 were investigated and randomly divided into the intervention group （ n=40） and the control group （ n=36 ） . Based on the conventional nursing care, the intervention group received additional continuing care including the subsequent visit and telephone follow-up with the help of mobile care clinic. After one month of intervention, patients′satisfaction level and their awareness of health knowledge were surveyed using an autonomous questionnaire. Results The intervention group had much higher level of satisfaction compared to the control group [ （ 98. 4±1. 6 ） vs （ 91. 3±1. 7 ）; t=18. 75, P〈0. 05 ] . They also performed better wound care and knowledge awareness compared to the control group （ 92. 5% vs 69. 4%;82. 50% vs 58.33%; χ2=6.70, 5.38; P〈0.05）. Furthermore, the intervention group had significantly fewer cases of fecal dermatitis than the control group （2 vs 11; χ2=8.73,P〈0.05）.Conclusions With the help of home health care platform and mobile care clinic, more professional nursing guidelines can be provided in time. It can also improve the nursing satisfaction and reduce related compliances.

关 键 词：肠造口 互联网平台 延续护理 居家护理 微信 

分 类 号：R473.2[医药卫生—护理学]