基于智能“云随访”的护理路径在胆囊切除术患者中的应用效果  

Application effect of intelligent"cloud follow-up"nursing pathway in patients undergoing laparoscopic cholecystectomy

作　　者：林碧华[1] 杨宝燕 陈碧霞 LIN Bihua;YANG Baoyan;CHEN Bixia(Zhongshan Hospital Affi liated to Xiamen University,Xiamen,361004,China)

机构地区：[1]厦门大学附属中山医院肝胆外科,福建省厦门市361004

出　　处：《护理实践与研究》2022年第19期2939-2943,共5页Nursing Practice and Research

摘　　要：目的探讨基于智能“云随访”的护理路径在腹腔镜下胆囊切除手术(LC)患者中的应用效果。方法选择2018年8月—2019年4月医院接受LC手术的100例患者作为研究对象,其中2018年8—12月的50例患者为对照组,2019年1—4月的50例患者为观察组。对照组采取常规健康教育模式,即运用灌输式口述、板报、宣传手册等传统宣教方式;观察组运用结合“云随访”APP的护理临床路径管理模式健康宣教。观察比较两组患者出院时健康教育知晓率及对护理工作的满意度,入院及出院宣教后的焦虑评分情况。结果出院时观察组健康教育知晓率及护理工作满意度高于对照组,组间比较差异有统计学意义(P<0.05)。观察组入院宣教后及出院宣教后的焦虑评分均低于对照组,组间比较差异有统计学意义(P<0.05)。结论应用基于“云随访”APP的护理临床路径可提高胆囊切除手术患者健康教育知晓率、减轻患者焦虑、并提高患者对护理工作的满意度。Objective To explore the application eff ect of nursing pathway based on intelligent "cloud follow- up" in patients undergoing laparoscopic cholecystectomy (LC). Methods A total of 100 patients who underwent LC surgery in the hospital from August 2018 to April 2019 were selected as the research objects, 50 cases admitted from August to December 2018 were set as the control group, 50 cases admitted from January to April 2019 were set as the observation group. The control group adopted the conventional health education model, that is, the use of oral oral infusion, board newspaper, propaganda manual and other traditional ways of education, the observation group used the nursing clinical pathway management model combined with "cloud follow-up" APP for health education. The awareness rate of health education and satisfaction with nursing work at discharge were observed and compared between the two groups, and the anxiety scores after admission and discharge were compared. Results The awareness rate of health education and satisfaction of nursing work in the observation group were higher than the control group, the diff erences between the two groups were statistically signifi cant (P<0.05). The anxiety scores of the observation group after admission and discharge were lower than the control group, the diff erences between the two groups were statistically signifi cant (P<0.05). Conclusion The application of nursing clinical pathway based on "cloud follow-up" APP could improve the awareness rate of health education in patients with cholecystectomy, reduce patients' anxiety, and improve patients' satisfaction with nursing work.

关 键 词：云随访APP 腹腔镜下胆囊切除术 护理临床路径 健康宣教 焦虑 

分 类 号：R473.6[医药卫生—护理学]