基于4C模式的出院计划在泌尿外科出院带管患者中的应用  

Application of 4C model-based discharge plan in discharged patients with catheter in Urology Department

作　　者：杨文华[1] 余丽君[1] Yang Wenhua;Yu Lijun(Nursing Department of Central Hospital of Baoji, Shaanxi 721008, China)

机构地区：[1]陕西省宝鸡市中心医院护理部

出　　处：《山西医药杂志》2019年第12期1399-1403,共5页Shanxi Medical Journal

基　　金：宝鸡市卫生局科研立项课题(2013-11)

摘　　要：目的研究基于4C模式的出院计划在泌尿外科出院带管患者中的应用效果。方法将2017年3月1日至7月31日泌尿外科收住的155例出院带管患者设为对照组;8月1日至12月31日泌尿外科收住的151例患者设为观察组。对照组给予常规护理措施及出院后随访,观察组应用基于4C模式的出院计划实施干预。比较2组患者在出院时、出院1周后自我护理能力、焦虑、抑郁得分以及6个月内导管留置期间并发症发生率的差异。结果观察组患者出院时、出院1周后自我护理能力均显著高于对照组(P<0.01);焦虑、抑郁情绪均显著轻于对照组(P<0.01);观察组患者6个月内导管留置期间并发症发生率低于对照组(P<0.05)。结论在泌尿外科出院带管患者中应用基于4C模式的出院计划可有效提高出院带管患者自我护理能力,降低导管相关并发症发生率,减轻患者焦虑和抑郁情绪。Objective To study the application effect of 4C model-based discharge plan in discharged patients with catheter in Department of Urology. Methods A total of 155 discharged patients with catheter in Department of Urology from March 1 and July 31, 2017 were included into the control group and 151 patients admitted to Department of Urology from August 1 to December 31, 2017 were included into the observation group. The patients in the control group received the routine nursing measures and were followed up after discharge while the patients in the observation group were applied 4C model-based discharge plan for interventions. The differences of self-care ability, anxiety and depression scores at the time of discharge and one week after discharge, and the number of complications occurred during catheter indwelling within 6 months were compared between the two groups. Results The self-care ability of the patients in the observation group was significantly higher than that of the control group (P<0.01) at the time of discharge and one week after discharge. The anxiety and depression scores in the observation group were significantly less than those of the control group (P<0.01) at the time of discharge and one week after discharge. The incidence of complications during catheter indwelling in the observation group was significantly lower than that of the control group (P<0.05) within 6 months. Conclusion The application of 4C model-based discharge plan can effectively improve the self-nursing ability;reduce the incidence of complications associated with catheterization;and relieve anxiety and depression in discharged patients with catheter.

关 键 词：4C模式 病人出院 泌尿外科 出院带管 

分 类 号：R473.6[医药卫生—护理学]