肠造口患者医院-社区-家庭联动管理模式的实践研究  

Hospital-community-family linkage management model for patients after enterostomy

作　　者：胡超君 李桂芬 潘雪芳 HU Chao-jun;LI Gui-fen;PAN Xue-fang

机构地区：[1]杭州市富阳区第一人民医院,杭州市311400

出　　处：《中华护理教育》2022年第2期172-176,共5页Chinese Journal of Nursing Education

基　　金：杭州市富阳区社会发展科技项目(2020SK016)。

摘　　要：目的探索肠造口患者医院-社区-家庭联动管理模式的实践方法及效果。方法基于医共体建立肠造口患者医院-社区-家庭联动管理模式,主要包括加强对患者家属的在院教育,医院-社区联合开展延伸服务,建立多途径的服务网。以应用医院-社区-家庭联动管理模式前(2018年6月—12月)45例行肠造口手术的患者为对照组,应用模式后(2019年6月—12月)的45例患者为试验组,干预3个月后,比较两组患者的术后家庭照护力、造口并发症发生率及造口护理费用。结果干预3个月后,试验组家庭照护力得分为(85.29±2.77)分,对照组为(66.71±4.39)分,差异有统计学意义(t=23.999,P<0.001);试验组肠造口并发症的发生率为13%(6/45),对照组为71%(32/45),差异有统计学意义(χ^(2)=30.789,P<0.001);试验组造口护理费用为(645±47)元,对照组为(1643±171)元,差异有统计学意义(t'=37.756,P<0.001)。结论医院-社区-家庭联动管理模式能够提高肠造口患者家庭照护力,降低并发症发生率,节约造口护理费用。Objective To explore the effects of the hospital-community-family linkage management model for patients with enterostomy.Methods A hospital-community-family linkage management model was established based on the medical treatment combination.The model included strengthening health education for inpatients and their family members,providing extended services by hospital-community joints,and establishing service networks by multiple ways.Forty-five patients before the model application(June-December 2018)were assigned to the control group.Another 45 patients who were managed by the linkage model(June-December 2019)were assigned in the experimental group.The postoperative family care capacity,the incidence of stoma complications and the cost of stoma care were compared between the two groups 3 months after the intervention.Results The score of family care ability in the experimental group was(85.29±2.77),and was(66.71±4.39)in the control group(t=23.999,P<0.001).The incidence of intestinal stoma complications in the experimental group was 13%(6/45)and 71%(32/45)in the control group(χ^(2)=30.789,P<0.001).The cost of stoma care in the experimental group was(645±47)yuan,and(1643±171)yuan in the control group(t'=37.756,P<0.001).Conclusion The hospital-community-family linkage management model can improve the family care ability of patients with intestinal stoma,reduce the incidence of complications,and save the cost of stoma care.

关 键 词：肠造口术 出院后医疗 费用 医疗 家庭护理(非专业) 医院-社区-家庭联动管理模式 

分 类 号：R473.73[医药卫生—护理学]