电子信息干预下的延续性护理对泌尿手术后院外留置双J管患者效果观察  

Effects of Continuous Nursing under Electronic Information Intervention on Indwelling Double J-Tube after Urinary Surgery

作　　者：苏思安 韦兴华[1] SU Si＇ an;WEI Xinghua(Guangzhou First People＇ s Hospital,Guangzhou 510180,China)

机构地区：[1]广州市第一人民医院,广东广州510180

出　　处：《现代医院》2018年第7期1087-1090,共4页Modern Hospitals

基　　金：广州市医药卫生科技项目(编号:20161A011011)

摘　　要：目的研究电子信息干预下的延续性护理对泌尿手术后院外留置双J管患者预后及生活质量的影响。方法将209例泌尿手术后留置双J管患者随机分为观察组(n=104,电子信息干预)和对照组(n=105,传统方案)进行延续性护理,比较3个月后两组患者治疗依从性、心理素质、并发症发生情况、生活质量和满意度。结果干预后,观察组治疗依从性明显优于对照组(P<0.05);干预后两组简式情感量表(SAIS)量表正性情感(PI)、平和(S)评分明显升高(P<0.05),负性情感(NA)评分明显降低(P<0.05),且观察组变化幅度更大(P<0.05);干预后两组WHO QOL-100量表个维度评分及总分均明显升高(P<0.05),且观察组升高幅度更大(P<0.05);干预后观察组和对照组并发症发生率分别为12.50%和34.29%(P<0.05),满意率分别为93.27%和84.76%(P<0.05)。结论对泌尿手术后留置双J管患者采用电子信息干预下的延续性护理可有效提高患者治疗依从性,改善患者心理素质,从而减少留置双J管相关并发症发生,改善患者预后,提高患者生活质量和满意度。Objective To study the effects of continuous nursing under electronic information intervention on the prognosis and quality of life of patients with indwelling double J-tube after urinary surgery. Methods 209 patients with indwelling double J-tube after urinary surgery were randomly divided into observation group（ n = 104） and control group（ n =105） for continuous nursing,intervened respectively with electronic information,traditional regimen. The two groups were compared in terms of the treatment compliance,psychological quality,occurrence of complications,quality of life and satisfaction after 3 months. Results After intervention,the treatment compliance in the observation group was significantly better than the control group（ P〈0. 05）. The scores on positive intensity（ PI） and serenity（ S） by short affect intensity scale（ SAIS） were significantly higher in the two groups（ P〈0. 05）,while the negative affectivity（ NA） score was significantly lower（ P〈0. 05）,and the changes were greater in the observation group（ P〈0. 05）. The total score and the dimensions scores by WHO QOL-100 scale were significant increased in the two groups（ P〈0. 05）,especially in the observation group（ P〈0. 05）. The incidence rates of complications in the observation group and control group after intervention were 12. 50%and 34. 29%（ P〈0. 05）,and the satisfaction rates were 93. 27% and 84. 76%（ P〈0. 05）. Conclusion Continuous nursing under electronic information intervention for patients with indwelling double J-tube after urinary surgery can effectively improve the treatment compliance and the psychological quality to reduce related complications associated with indwelling double J-tube,and improve the prognosis,quality of life and satisfaction

关 键 词：预后 生活质量 双J管 电子信息干预 延续性护理 泌尿手术 

分 类 号：R473.5[医药卫生—护理学]