互联网+自我管理模式对膀胱癌行回肠膀胱造口病人延续期生活质量的影响研究  

The Effects of internet+Self-management program on the continuance the quality of life of patients with bladder cancer undergoing ileum cystostomy

作　　者：奉琴 刘玲 何其英 周艳 范冬萍 FENG Qin;LIU Ling;HE Qiying(Department of Urology,West China Hospital,Sichuan University/West China Institute of Urology/West China School of Nursing,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院泌尿外科/华西泌尿研究所/四川大学华西护理学院,成都610041

出　　处：《临床外科杂志》2021年第10期971-975,共5页Journal of Clinical Surgery

基　　金：四川省科技计划资助项目(2020YFS0158);四川大学华西护理学科发展专项基金(HXHL20032)。

摘　　要：目的探索互联网+自我管理模式对膀胱癌行回肠膀胱造口病人延续期生活质量的影响。方法本研究采用非同期对照试验,选取成都市某三甲综合医院泌尿外科病房63例膀胱癌行回肠膀胱造口病人为研究对象,将2019年3月~2019年9月符合纳入标准的病人分入对照组,2019年10月~2020年4月符合纳入标准的病人分入干预组,对照组病人住院期间接受常规管理措施,出院后第4周接受常规电话指导。干预组病人除接受常规管理措施外,同时在住院期间以及出院后4周接受互联网+自我管理模式,每周进行电话随访,接受阶段性解惑与答疑以及个性化、正向激励性指导,若病人提出疑问并在给予解答后,研究小组增加电话随访次数,同时追踪后续效果。采用一般资料调查表、造口病人生活质量量表、院外并发症发生情况记录表进行数据收集。结果干预组病人出院后4周生活质量总分高于对照组,两组病人得分比较差异有统计学意义(P<0.05)。出院后4周生活质量各维度得分中,睡眠、和家庭(朋友)的关系、和非家庭(非亲密朋友)的其他社会关系,干预组优于对照组,两组病人得分比较差异有统计学意义(P<0.05);性生活维度两组病人得分比较差异无统计学意义(P>0.05)。出院后4周,干预组并发症发生例次数低于对照组,两组病人并发症发生例次比较差异有统计学意义(P<0.05);干预组造口皮肤周围炎3例,对照组11例,两组比较,差异有统计学意义(P<0.05),泌尿系感染、输尿管支架管脱落、造口出血发生例数比较差异无统计学意义(P>0.05)。结论互联网+自我管理模式的应用能有效改善膀胱癌行回肠膀胱造口病人延续期的生活质量,降低并发症的发生。Objective To explore the effect of Internet+self-management program on the quality of life of in patients with bladder cancer undergoing ileum cystostomy during the continuance period.Methods In this study,non-contemporaneous controlled tests used.Sixty-three patients with bladder cancer who underwent ileostomy in the urological ward of a third-grade a general hospital in Chengdu selected as the study subjects.Patients who met the criteria for admission from March 2019 to September 2019 assigned to the control group,and those who met the criteria for admission from October 2019 to April 2020 assigned to the intervention group.Patients in the control group received routine nursing measures during hospitalization,and received routine telephone guidance at 4th week after discharge.In addition to conventional nursing measures,patients in the intervention group also received Internet+self-management mode during hospitalization and 4 weeks after discharge.They followed up by telephone every week to receive periodic answers and personalized and positive motivational guidance.If patients raised questions and gave answers,the research group increased the number of telephone visits and followed up the results.General data questionnaire,Stoma-QOL and Out-of-hospital Complications Record table used for data collection.Results The total quality of life score of the intervention group 4 weeks after discharge was significantly higher than that of the control group,and the difference between the scores of the two groups was statistically significant(P<0.05).Four weeks after discharge,the scores of sleep,relationship with family(friends)and other social relationships with non-family(non-close friends)in the intervention group were better than those in the control group,and the differences between the two groups were statistically significant(P<0.05).There was no significant difference in the scores of sexual life between the two groups(P>0.05).Four weeks after discharge,the number of complications in the intervention group was si

关 键 词：膀胱癌 回肠膀胱造口 互联网+ 自我管理模式 生活质量 并发症 

分 类 号：R737.14[医药卫生—肿瘤]