护患微管理在输尿管皮肤造口延续性护理中的应用  

The Application of Nurse-Patient Micromanagement in Continuity Nursing of Ureterostomy

作　　者：陈和珍[1] 夏炽 齐滢 吴旭东[1] 李勋钢[1] CHEN Hezhen;XIA Chi;QI Ying;WU Xudong;LI Xungang(Department of Urology Surgery,Jiujiang First People＇s Hospital,Jiangxi Province,Jiujiang 332000,China)

机构地区：[1]九江市第一人民医院泌尿外科,江西九江332000

出　　处：《中国中医药现代远程教育》2018年第23期140-141,共2页Chinese Medicine Modern Distance Education of China

基　　金：江西省卫生计生委课题【No.20187125】

摘　　要：目的分析护患微管理应用在输尿管皮肤造口患者中的护理价值以及应用效果。方法回顾性选取2011年12月—2016年12月九江市第一人民医院行输尿管皮肤造口手术患者48例和外院进行输尿管皮肤造口术后来我院更换单丁管的患者12例,共有60例患者,按照护理方法不同分为观察组和对照组,对照组采取常规术后护理,观察组采取护患微管理模式开展延续护理,对比2组护理效果。结果观察组干预后汉密尔顿焦虑量表(6.72±1.21)分,汉密尔顿抑郁量表(6.09±1.21)分;对照组干预后汉密尔顿焦虑量表(11.03±2.41)分,汉密尔顿抑郁量表(12.13±2.33)分,组间对比差异有统计学意义(P<0.05)。观察组患者躯体功能评分(79.59±4.85)分,心理功能(86.32±4.85)分,社会功能(84.25±3.97)分,物质功能(82.35±4.46)分,生活质量总分(81.35±5.06)分;对照组患者躯体功能评分(68.65±2.32)分,心理功能(71.26±2.32)分,社会功能(65.32±2.45)分,物质功能(65.38±2.25)分,生活质量总分(69.84±2.38)分,组间对比差异有统计学意义(P<0.05)。观察组尿路感染发生率3.33%,尿液外渗发生率6.67%,造口狭窄发生率为0,造口周围皮炎发生率3.33%;对照组尿路感染发生率26.67%,尿液外渗发生率36.67%,造口狭窄发生率20.00%,造口周围皮炎发生率33.33%,差异有统计学意义(P<0.05)。结论护患微管理应用在输尿管皮肤造口患者中可以减少造口并发症发生,提升患者生活质量,减轻负性情绪,值得在临床推广应用。Abstract： Objective To analyze the nursing value and application effect of nurse patient management in patients with ureterostomy.Methods From December 2011 to December 2016, 60 cases of patients concluded 48 cases of ureterostomy in our hospital and 12 cases of ureteral dermatostomy after replacement of single tube in other hospitals were selected and divided into the observation group and the control group groups. The control group adopted routine postoperative nursing, while the observation group adopted the mode of nursing and patient micromanagement to carry out continuous nursing. The nursing effect was compared. Results The Hamilton Anxiety Scale （6.72±1.21） in the observation group and the Hamilton Depression Scale （6.09±1.21）, and the Hamilton Anxiety Scale （11.03±2.41） and Hamilton Depression Scale （12.13±2.33） in the control group were statistically significant （P〈0.05）. The body function score of the observation group （79.59±4.85）, psychological function （86.32±4.85）, social function （84.25±3.97）, material function （82.35±4.46）, total score of quality of life （81.35±5.06）, the body function score of the control group （68.65±2.32）, psychological function （71.26±86.32）, and society Function （65.32±2.45）, material function （65.38±2.25）, total score of quality of life （69.84±2.38）, and the difference between groups was statistically significant （P〈0.05）. The incidence of urinary tract infection in the observation group was 3.33%, the rate of urine exosmosmus was 6.67%, the incidence of stomatostomy was 0, the incidence of dermatitis around the stoma was 3.33%, the incidence of urinary tract infection in the control group was 26.67%, the incidence of urine exosmosmus was 36.67%, the incidence of stomatostomy was 20%, and the incidence of dermatitis around the stoma was 33.33% （P〈0.05）. Conclusion The application of nurse patient micro management in ureterostomy can reduce the complications of stoma, improve the qualit

关 键 词：护患微管理 输尿管皮肤造口 延续性护理 

分 类 号：R473.6[医药卫生—护理学]