网络交流平台在永久性肠造口患者延续护理中的应用效果  

Study of the Application of Network Communication Platform in Continuing Nursing of Patients with Permanent Enterostomy

作　　者：张小华[1] 李惠萍[2] 束寒玲[3] 张庆[1] 汪洋 

机构地区：[1]海军安庆医院普外科,安徽安庆246003 [2]安徽医科大学护理学院,安徽合肥230032 [3]海军安庆医院护理部

出　　处：《解放军护理杂志》2018年第2期60-63,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：国际科技合作项目-临床护理技术创新研究(1303063025)

摘　　要：目的探讨网络交流平台在永久性肠造口患者延续护理中的应用效果。方法便利抽样选取2013年12月至2015年12月某医院肠造口患者90例,区组化随机分为干预组和对照组。干预组45例,利用电话回访、QQ平台、微信平台等网络交流平台开展肠造口延续护理:对照组45例,按照肠造口围术期常规护理及康复指导。结果干预组患者在出院后3、6个月的自我护理能力高于对照组(干预组分别为113.2±8.54、134.3±7.26,对照组分别为100.6±6.86、115.4±6.67,P<0.05);观察组患者出院后6个月内的并发症发生率低于对照组(干预组为22.22%,对照组为42.22%,P<0.05)。结论在肠造口延续护理中,网络交流平台的应用能显著提高患者自我护理能力,同时降低肠造口患者并发症发生率。Objective To evaluate the application effects of network platform in continuing nursing of patients with permanent colostomy.Methods By convenience sampling,90 cases were selected and divided into interventional group and control group,with 45 cases in each group.Patients in control group only received routine perioperative care and rehabilitation guide of colostomy,while extended care were applied with phone follow-up,QQ and Wechat platforms in patients in interventional group.Results The self-nursing ability of pationts 3 and 6 moths after discharge was significantly higher in interventional group than that in control group(intervention group:113.2±8.54 and 134.3±7.26,control group 100.6±6.86 and 115.4±6.67,P<0.05),and the rate of complication in the intervention group was significantly lower than that in the control group 6 months after discharge(intervention group was 22.22%,control group was 42.22%,P<0.05).Conclusion The application of multiple network platforms in continuing nursing may contribute to reducing the incidences of complications and improving self-nursing ability of patients.

关 键 词：直肠癌 网络交流平台 肠造口 延续护理 自我护理能力 

分 类 号：R473.2[医药卫生—护理学] R473.58[医药卫生—临床医学]