基于格林模式联合微信平台的护理干预在胆道术后带T管出院患者中的应用效果  

Effects of nursing intervention based on the PRECEDE-PROCEED model combined with WeChat on patients discharged with T-tube after biliary surgery

作　　者：张世美 薛宝梅 李娜[1] 杨东霞[1] Zhang Shimei;Xue Baomei;Li Na;Yang Dongxia(Department of Hepatopancreatobiliary Surgery,the Affiliated Hospital of Qingdao University(West Coast Campus),Qingdao 266555,China)

机构地区：[1]青岛大学附属医院西海岸院区肝胆胰外科,青岛266555

出　　处：《中华现代护理杂志》2020年第19期2593-2597,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于格林模式联合微信平台护理干预在胆道术后带T管出院患者中的应用效果。方法采取便利抽样法,选取2018年6月-2019年6月青岛市某三甲医院肝胆胰外科的胆道术后120例带T管出院患者作为研究对象,随机分为试验组和对照组,每组60例。试验组采用基于格林模式联合微信平台的护理干预,对照组采用常规的出院管理护理干预,采用T管维护知识问卷、自我管理行为量表、生存质量量表、患者满意度问卷评测两组患者T管维护知识水平、自我管理能力、生存质量及满意度,记录两组并发症发生率。结果试验组T管维护知识水平、自我管理行为、生存质量评分及满意度均高于对照组,差异均有统计学意义(P<0.05);试验组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论基于格林模式联合微信平台的护理干预能够有效提高带T管出院患者导管管理水平,改善患者自我管理行为,降低导管相关并发症的发生率,提高患者生存质量和满意度。Objective To explore the effects of nursing intervention based on the PRECEDE-PROCEED model combined with WeChat on patients discharged with T-tube after biliary surgery.Methods Totally 120 patients discharged with T-tube after biliary surgery in the Department of Hepatopancreatobiliary Surgery at a ClassⅢGrade A hospital in Qingdao from June 2018 to June 2019 were selected by convenient sampling and randomized into an experimental group and a control group,with 60 patients in each group.Patients in the experimental group received nursing care based on the PRECEDE-PROCEED model combined with WeChat,while patients in the control group received routine discharge management nursing interventions.T-tube Maintenance Knowledge Questionnaire,Self-management Behavior Questionnaire,Quality of Life Questionnaires and Patient Satisfaction Questionnaire were used to evaluate the T-tube maintenance knowledge,management ability,quality of life level and satisfaction,the incidence of complications in the two groups were recorded.Results The T-tube maintenance knowledge level,self-management behavior,quality of life score and satisfaction of the experimental group were higher than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the experimental group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusions Nursing intervention based on the PRECEDE-PROCEED model combined with WeChat can effectively improve the level of catheter management for patients discharged with T-tube,improve patients'self-management behavior,reduce the incidence of catheter-related complications,and improve the quality of life and satisfaction of patients.

关 键 词：胆石 T型引流管 生活质量 自我管理 格林模式 微信 居家护理 管道护理 

分 类 号：R473.6[医药卫生—护理学]