远程康复管理模式在肝移植患者术后随访中的应用  

Application of remote rehabilitation management mode in postoperative follow-up of liver transplantation patients

作　　者：王曼曼[1] 王迪[1] 黄雪柯 Wang Manman;Wang Di;Huang Xueke(Third Department of Hepatobiliary and Pancreatic Surgery Liver Transplantation,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院肝胆胰外三科肝移植,郑州450052

出　　处：《中华现代护理杂志》2023年第3期375-379,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨远程康复管理模式在肝移植患者术后随访中的应用效果。方法采用便利抽样法选择2020年3月—2021年7月在郑州大学第一附属医院行肝移植术的92例患者,应用随机数字表分为对照组和观察组,各46例。对照组采取常规院外随访管理,观察组实施远程康复随访管理模式,随访管理期均为半年。比较干预前后两组患者治疗依从性和自我护理能力。结果干预后,两组患者的治疗依从性各维度得分及总分均高于干预前,差异均有统计学意义(P<0.05);且观察组干预后的治疗依从性各维度得分及总分高于对照组,差异有统计学意义(P<0.05)。干预后,两组患者的自我护理能力各维度得分及总分均高于干预前,差异均有统计学意义(P<0.05);且观察组干预后的自我护理能力各维度得分及总分高于对照组,差异有统计学意义(P<0.05)。结论远程康复管理模式可以有效提高肝移植受者术后治疗依从性和自我护理能力。Objective To explore the application effect of remote rehabilitation management in postoperative follow-up of liver transplantation patients.Methods A total of 92 patients who underwent liver transplantation in the First Affiliated Hospital of Zhengzhou University from March 2020 to July 2021 were selected by the convenient sampling method.They were randomly divided into the control group and the observation group,with 46 cases in each group.The control group received routine out-of-hospital follow-up management,while the observation group received remote rehabilitation follow-up management.The follow-up management period was half a year.The treatment compliance and self-care ability of the two groups were compared before and after intervention.Results After intervention,the scores of each dimension and the total scores of treatment compliance in two groups were higher than those before intervention,and the differences were statistically significant(P<0.05).In addition,the scores of each dimension and the total scores of treatment compliance in the observation group were higher than those in the control group after intervention,and the differences were statistically significant(P<0.05).After intervention,the scores of each dimension and the total scores of self-care ability in two groups were higher than those before intervention,and the differences were statistically significant(P<0.05).The scores of each dimension and the total scores of self-care ability of the observation group after intervention were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Remote rehabilitation management mode can effectively improve the postoperative treatment compliance and self-care ability of liver transplantation recipients.

关 键 词：肝移植 康复护理 随访 远程管理 延续护理 

分 类 号：R473.6[医药卫生—护理学]