微信联合造口门诊延续护理模式对肠造口病人自我护理能力的影响  

WECHAT COMBINATION WITH OUTPATIENT FOLLOW-UP:ITS IMPACT ON SELF-CARE ABILITY IN PATINENTS WITH INTESTINAL STOMA

作　　者：梁瑶[1] 王淑云[2] 权琳[2] 陈海燕[2] 张丽[3] 杨富国[1] 

机构地区：[1]青岛大学医学院护理学院,山东青岛266021 [2]青岛大学附属医院普外科,山东青岛266021 [3]青岛大学附属医院附属医院手术室,山东青岛266021

出　　处：《齐鲁医学杂志》2016年第4期471-474,共4页Medical Journal of Qilu

摘　　要：目的探讨微信联合造口门诊延续护理模式对肠造口病人自我护理能力的影响。方法选取在我院首次接受肠造口手术的病人,随机分为实验组和对照组各32例。实验组病人通过微信联合造口门诊随访,对照组病人仅通过造口门诊随访。对两组病人咨询的问题及其解决情况进行记录,并对病人出院时及随访3个月后的造口护理状态和自我护理能力进行问卷评估。结果出院时,两组病人的造口护理状态及自我护理能力差异无统计学意义（P〉0.05）;随访3个月后,实验组病人造口护理状态及自我护理能力好于对照组（χ~2=9.255,t=2.057~3.589,P〈0.05）。病人微信咨询的主要问题包括造口并发症（117人次）、日常生活问题（77人次）、造口产品使用（56人次）及造口还纳问题（23人次）等,通过微信指导上述问题的解决率分别为53.0%、72.7%、67.9%和65.2%。结论微信联合造口门诊延续护理模式能够满足造口病人的早期护理需求,提高病人的自我护理水平。Objective To investigate the impact of WeChat combination with extended outpatient nursing care model on self-care ability in patients with intestinal stoma. Methods Patients undergoing intestinal stoma for the first time in our hospital were selected and randomized to experimental group and control group,with 32 patients in each group.The patients in the experimental group received WeChat and outpatient follow-up,and those in the control group received only outpatient follow-up.The questions that asked by patients and their solution situation,in both groups,were recorded.Self-care status and ability-when patients were discharged from hospital and after 3-month follow-up-were evaluated through a questionnaire survey. Results On discharge,the differences in the status of stoma nursing and self-care ability of patients between the two groups were not statistically significant（P〉0.05）,and after 3-month follow-up,the status of stoma nursing and self-care ability of patients in the experimental group were better than those in the control group,the differences were statistically significant（χ~2=9.255,t=2.057-3.589,P〈0.05）.The main questions-asked by patients through WeChat-were about complications of stoma（117 persontime）,daily-life issues（77 person-time）,use of stoma products（56 person-time）and on return of the stoma（23 person-time）,the problem-solving rate of the above questions-through WeChat guidance-was 53.0%,72.7%,67.9% and 65.2%,respectively.ConclusionThe WeChat combination with extended outpatient nursing care model can satisfy early nursing needs of patients with intestinal stoma,and improve their ability of self care.

关 键 词：微信 门诊医疗 肠造口术 自我护理 

分 类 号：R473.6[医药卫生—护理学]