微信群在输尿管双J管留置患者院外延续护理中的应用效果  

Application effects of WeChat group in out-of-hospital transitional care of patients with ureteral double J tube indwelling

作　　者：庞琼 黎友斌 罗卫玲 PANG Qiong;LI Youbin;LUO Weiling(AreaⅡ,Department of Surgery,Chinese Medicine Hospital of Yunfu City,Guangdong,Yunfu 527300,China)

机构地区：[1]广东省云浮市中医院外科二区,广东云浮527300

出　　处：《中国医药科学》2021年第8期91-94,共4页China Medicine And Pharmacy

基　　金：广东省云浮市医学科学技术研究立项(2020B019)。

摘　　要：目的探讨微信群对输尿管双J管留置患者院外延续护理的指导效果。方法选择2019年1月至2020年5月云浮市中医院泌尿外科实施输尿管双J管留置后带管出院患者80例为研究对象,按照随机数字表法分为两组,每组各40例。对照组实施常规护理,观察组实施微信群院外延续性护理干预。比较两组随访3个月时治疗依从性及疾病自我管理能力、两组随访期间并发症情况及干预期间两组整体睡眠质量情况。结果随访3个月时,观察组治疗依从性指标中,药物治疗、定期复查、管道保护和症状观察得分均明显高于对照组,差异有统计学意义(P<0.05);随访3个月时,观察组疾病自我管理能力指标中躯体功能、情绪功能及社会功能得分均明显高于对照组,差异有统计学意义(P<0.05);随访期间,观察组发生的尿路刺激征、血尿、脱管和管道梗阻的发生率显著低于对照组,差异有统计学意义(P<0.05);干预期间观察组睡眠质量得分显著低于对照组,差异有统计学意义(P<0.05)。结论针对留置双J输尿管导管出院者,实施微信群延续护理,能有效的提高患者治疗依从性,提高留置双J管期间的自我管理能力,减少并发症发生率,提高治疗效果。Objective To investigate the guiding effects of WeChat group in out-of-hospital transitional care of patients with ureteral double J tube indwelling.Methods A total of 80 patients discharged from urology department of Chinese Medicine Hospital of Yunfu City with ureteral double J tube indwelling from January 2019 to May 2020 were selected as the research objects.According to the random number table method,they were divided into the control group(n=40)and the observation group(n=40).The control group was treated with conventional nursing,while the observation group was treated with transitional care intervention out-of-hospital by WeChat group in this research.The scores of treatment compliance indexes after 3 months of follow-up,changes of disease self-management ability indexes after 3 months of follow-up,incidences of complications during the follow-up period and the overall sleep quality scores during the intervention period were compared between the two groups.Results After 3 months of follow-up,the scores of drug treatment,regular review,tube protection and symptom observation in the treatment compliance indexes of the observation group were significantly higher than those of the control group,with statistically significant differences(P<0.05).After 3 months of follow-up,the scores of physical function,emotional function and social function in the disease self-management ability indexes of the observation group were significantly higher than those of the control group,with statistically significant differences(P<0.05).During the follow-up period,the total proportion of urinary tract irritation,hematuria,decannulation and tube obstruction in the observation group was significantly lower than that in the control group,with statistically significant difference(P<0.05).Meanwhile,the sleep quality score in the observation group was significantly lower than that in the control group,with statistically significant difference(P<0.05).Conclusion For patients discharged from hospital with ureteral double J tube indwel

关 键 词：微信群 输尿管双J管 院外 延续护理 

分 类 号：R473.6[医药卫生—护理学]