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作 者:陈惠 CHEN Hui(The Second Department of Urology,Zhumadian Central Hospital,Zhumadian,Henan,463000,China)
机构地区:[1]驻马店市中心医院泌尿外二科,河南驻马店463000
出 处:《黑龙江医学》2020年第7期1006-1008,共3页Heilongjiang Medical Journal
摘 要:目的分析基于微信平台的延续性服务对双J管留置患者生活质量的影响。方法选取于2017年2月—2018年4月间驻马店市中心医院泌尿外科收治的输尿管结石患者110例,并均给予双J管留置,依据随机数表法分为两组,每组各55例。对照组予以常规护理干预,观察组在对照组的基础上予以基于微信平台的延续性服务,观察两组自我护理能力、生活质量及并发症情况。结果干预后对照组、观察组ESCA评分(146.77±10.15)分、(151.12±10.27)分均高于干预前(134.54±9.12)分、(134.72±8.97)分,且观察组增加更加显著,差异有统计学意义(P<0.05);对照组躯体(18.43±4.02)分、心理(18.15±3.71)分、社会(17.76±3.61)分、环境(16.62±4.75)分、综合(19.82±4.54)分均低于观察组躯体(22.31±3.97)分、心理(21.56±3.93)分、社会(22.58±3.72)分、环境(22.37±4.81)分、环境(24.76±4.64)分,差异有统计学意义(P<0.05);与对照组(29.09%)比较,观察组患者的并发症发生率(10.91%)较低,差异有统计学意义(P<0.05)。结论对双J管留置患者实施基于微信平台的延续性服务,可有效促进患者自我护理能力的提升,降低并发症发生率,提高患者生活质量。Objective To analyze the effect of continuous service based on WeChat platform on quality of life(QOL) of patients with double J tube indwelling. Methods 110 patients with urolithiasis treated in the hospital from February, 2017 to April, 2018 were selected and treated with double J tube indwelling. According to the random table method, they were divided into two groups,with 55 cases in each group. The control group was given routine nursing intervention, and the observation group was given continuous service based on WeChat platform on the basis of the control group. The self-nursing ability, quality of life and complications of the two groups were observed. Results After intervention, ESCA score of the control group(146.77±10.15)and observation group(151.12±10.27)was higher than(134.54±9.12)and(134.72±8.97)before intervention. The observation group increased more significantly. There was statistically significant difference(P<0.05). Body(18.43±4.02),psychology(18.15±3.71),society(17.76±3.61), environment(16.62±4.75)and comprehensive score(16.62±4.75)in control group were lower than(22.31±3.97),(21.56±3.93),(22.58±3.72),(22.37±4.81)and(24.76±4.64)in observation group. There was statistically significant difference(P<0.05). Compared with the control group(29.09%), the complication rate of observation group(10.91%)was lower.There was statistically significant difference(P<0.05). Conclusion The continuous service based on WeChat platform for patients with double J tube indwelling can effectively promote the improvement of patients’ self-care ability, reduce the incidence of complications, and improve the quality of life of patients.
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