延续护理在普外科带管出院患者中的应用效果  

Application effect of continuous nursing in discharged patients with tube in general surgery

作　　者：张文红[1] 万丽娟 乐玉颖 李颖 尹玲[1] ZHANG Wenhong;WAN Lijuan;LE Yuying;LI Ying;YIN Ling(The 5th Department of General surgery,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou,341000,China)

机构地区：[1]赣南医学院第一附属医院普外五科,江西赣州341000

出　　处：《中国当代医药》2023年第4期184-187,共4页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20195394)。

摘　　要：目的探讨延续护理在普外科带管出院患者中的应用效果。方法选取2019年2月至2021年10月在赣南医学院第一附属医院的122例普外科带管出院患者作为研究对象,采用随机信封法将其分为对照组和探究组,各61例。对照组采用常规护理干预,探究组采用延续护理干预。比较两组患者的T管护理知识掌握评分、依从度、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分及护理效果。结果干预后,两组患者的T管护理知识掌握评分高于干预前,且探究组高于对照组,差异有统计学意义(P<0.05)。探究组患者的依从度高于对照组,差异有统计学意义(P<0.05)。探究组患者的护理总有效率高于对照组,差异有统计学意义(P<0.05)。两组患者干预前的SAS和SDS评分比较,差异无统计学意义(P>0.05),干预后两组患者的SAS和SDS评分均低于干预前,且干预后探究组患者的SAS和SDS评分低于对照组,差异有统计学意义(P<0.05)。结论普外科带管出院患者在应用延续护理干预后,对临床护理效果提高明显,还能提高患者T管护理知识掌握评分与护理依从度,临床中整体护理效果较好,应予以推广。Objective To explore the application effect of continuous nursing in patients discharged with tube in general surgery.Methods A total of 122 patients with general surgery tubes discharged from the First Affiliated Hospital of Gannan Medical College from February 2019 to October 2021 were selected as the research subjects.They were divided into control group and inquiry group by random envelope method,61 cases in each group.The control group was given routine nursing intervention,while the research group was given continuous nursing intervention.The T-tube nursing knowledge score,compliance,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores and nursing effects of the two groups were compared.Results After intervention,the score of T tube nursing knowledge in two groups was higher than before intervention,and the inquiry group was higher than the control group,the difference was statistically significant(P<0.05).The compliance of the inquiry group was higher than that of the control group,and the difference was statistically significant(P<0.05).The total effective rate of nursing in the inquiry group was higher than that in the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in SAS and SDS scores between the two groups before intervention(P>0.05).After intervention,SAS and SDS scores of the two groups were lower than before intervention,and after intervention,SAS and SDS scores of the inquiry group were lower than the control group,with statistical significance(P<0.05).Conclusion After the application of continuous nursing intervention in general surgery patients with tube discharge,the clinical nursing effect is significantly improved,and the score of T tube nursing knowledge mastery and nursing compliance of patients can also be improved.The overall nursing effect in clinical practice is good and should be promoted.

关 键 词：延续护理 普外科 带管出院 T管护理知识掌握状况 依从性 负面情绪 

分 类 号：R473.6[医药卫生—护理学]