基于疾病健康档案管理的延续护理在肠造口患者中的应用  

Application of continuous nursing based on disease health record management in patients with enterostomy

作　　者：穆耶赛尔·阿卜力米提 乎尔西旦·阿巴白克日 海仁萨·吾布力卡斯木 海仁沙·阿不来提 Muyesaier Abulimiti;Huerxidan Ababaikeri;Hairensa OuBulikasimu;Hairensha Abulaiti(Kashi First People's Hospital,Kashi,844000,China)

机构地区：[1]喀什地区第一人民医院,新疆维吾尔自治区喀什市844000

出　　处：《护理实践与研究》2022年第14期2177-2181,共5页Nursing Practice and Research

摘　　要：目的探讨疾病健康档案管理延续护理对肠造口患者疾病知信行水平、自我管理能力及生活质量的影响。方法选取2019年12月—2021年12月医院肠造口术患者120例为研究对象,按照组间基本特征具有可比性的原则将其分为对照组和观察组,各60例。对照组实施常规护理,观察组实施基于疾病健康档案管理的延续护理,观察并比较两组患者疾病知信行水平、自我管理能力及生活质量情况。结果干预前,两组自我护理能力、疾病知信行评分比较差异无统计学意义(P>0.05);干预后,观察组自我护理能力、疾病知信行评分高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,组间比较差异有统计学意义(P<0.05)。干预前,两组生活质量评分比较差异无统计学意义(P>0.05);干预后,观察组生活质量评分高于对照组,组间比较差异有统计学意义(P<0.05)。结论基于疾病健康档案管理延续护理能为肠造口患者提供跟踪式干预及管理服务,帮助患者提升居家自我护理行为,可为肠造口患者居家康复质量提供持续性保障。Objective To explore the eff ect of continuous nursing of disease health record management on the disease knowledge,belief,behavior,self-management ability and quality of life of patients with enterostomy.Methods A total of 120 patients with enterostomy in hospital from December 2019 to December 2021 were selected as the study objects,and they were divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 60 cases in each group.The control group was given routine nursing,and the observation group was given continuous nursing based on disease health record management to observe and compare the level of disease knowledge,belief,behavior,self-management ability and living quality of the two groups of patients.Results Before the intervention,there was no signifi cant difference in the self-management ability and disease knowledge,belief,behavior scores between the two groups(P>0.05).After the intervention,the self-management ability and disease knowledge,belief,behavior scores in the observation group were higher than those in the control group,and the diff erences were statistically signifi cant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the diff erence between the groups was statistically signifi cant(P<0.05).Before the intervention,there was no signifi cant diff erence in the quality of life score between the two groups(P>0.05).After the intervention,the quality of life score in the observation group was higher than that in the control group,and the diff erence between the groups was statistically signifi cant(P<0.05).Conclusion Continuous nursing based on disease health record management can provide follow-up intervention and management services for patients with colostomy,help patients improve their self-care behavior at home,and provide continuous guarantee for the quality of home rehabilitation of patients with colostomy.

关 键 词：健康档案管理 延续护理 肠造口 疾病知信行 自我管理 生活质量 

分 类 号：R473.6[医药卫生—护理学]