出院计划在全喉切除患者中的应用效果研究  

Effect of discharge planning in patients after total laryngectomy

作　　者：曾家燕 陈昌连[1] 彭娟[1] 李红[1] 张瑞[1] Cao Jiayan Chen Changlian Peng Juan Li Hong Zhang Rui(Maxillofacial ＆ E.N. T Department of Tianfin Medical University Cancer Institute ＆Hospital, Tianjin 300060, Chin)

机构地区：[1]天津医科大学肿瘤医院颌面耳鼻喉肿瘤科,300060

出　　处：《中国实用护理杂志》2017年第5期330-334,共5页Chinese Journal of Practical Nursing

基　　金：基金项目：天津医科大学肿瘤医院科研项目（H1403）

摘　　要：目的 探讨出院计划在全喉切除患者中的应用效果.方法 使用随机数字表法将104例全喉切除患者随机分为干预组和对照组,每组各52例.对照组给予常规护理,干预组在常规护理的基础上实施出院计划.比较2组患者住院时间、出院时及出院后4周的自我护理能力测定量表（ESCA）得分、出院后4周的华盛顿大学生命质量评估量表（UW-QOL）得分以及再入院率的差异.结果 干预组患者出院时、出院后4周的ESCA得分分别为（108.62±11.23）分和（116.35±12.08）分,高于对照组的（96.16±10.34）分和（105.20±10.76）分,差异有统计学意义（t=5.886、4.970,P〈0.05）;出院后4周干预组患者的UW-QOL得分为（810.56±98.25）分,高于对照组的（687.32±96.74）分,差异有统计学意义（t=6.445,P〈0.01）;2组患者的住院时间分别为（15.27±3.33）d和（16.60±3.97）d,差异无统计学意义（P〉0.05）;出院后4周内2组患者的再入院率分别为3.85%（2/52）和15.38%（8/52）,差异有统计学意义（χ2=3.983,P〈0.05）.结论 出院计划能提高患者的自我护理能力和出院后的生命质量,降低患者出院后的再入院率,建议在临床上应用推广.Objective To evaluate the effectiveness of discharge planning in patients after total laryngectomy. Methods One hundred and four patients were randomly divided into the intervention group and the control group, there were 52 cases in each group. The patients in the control group were received routine nursing, while the patients in the intervention group were received discharge planning based on routine nursing. The patients＇days of hospitalization, scores of the Exercise of Self-care Agency Scale （ESCA） at discharge and 4 weeks after discharge, scores of University of Washington Quality of Life Questionnaire （UW-QOL） at 4 weeks after discharge and re-admission rate were compared between the two groups. Results The ESCA scores in the intervention group at discharge （108.62 ± 11.23） and 4 weeks after discharge （116.35 ± 12.08） were significantly higher than those of the control group at discharge （96.16±10.34） and 4 weeks after discharge （105.20±10.76） respectively （t=5.886, 4.970, P〈0.05）, and the UW-QOL score in the intervention group （810.56±98.25） was significantly higher than that of the control group （687.32±96.74） at 4 weeks after discharge （t=6.445, P〈0.05）. No significant difference in the days of hospitalization was found between the intervention group （15.27 ± 3.33） and the control group （16.60 ± 3.97） （P〉0.05）. The re-admission rate in the intervention group （2/52,3.85%） was significantly lower than that of the control group （8/52,15.38%） （χ2=3.983, P〈0.05）. Conclusions Discharge planning can improve the ability of self-care and quality of life in patients after total laryngectomy, and reduce the re-admission to hospital.

关 键 词：喉肿瘤 护理 病人出院 生活质量 自我护理能力 

分 类 号：R739.65[医药卫生—肿瘤]