输尿管皮肤造口专科工作室的构建与运行效果评价  

Construction and practice of cutaneous ureterostomy specialist studio

作　　者：梅自伟 曹英[1] 汤利萍[1] 郭灿 黄瑞莹 杨敏[2] 熊行 MEI Ziwei;CAO Ying;TANG Liping;GUO Can;HUANG Ruiying;YANG Min;XIONG Xing(Department of Nursing,The First Affiliated Hospital of Nanchang University,Nanchang,330006,China;不详)

机构地区：[1]南昌大学第一附属医院护理部,南昌市330006 [2]南昌大学护理学院

出　　处：《中国护理管理》2023年第8期1225-1229,共5页Chinese Nursing Management

基　　金：江西省科技厅重点研发计划项目(20192BBG70019,20202BBGL79390)。

摘　　要：目的:构建由国际造口治疗师主导的输尿管皮肤造口专科工作室并分析其实际运行效果。方法:2015年成立输尿管皮肤造口专科工作室,聚焦输尿管皮肤造口患者首诊、复诊、随访等问题,从造口周围皮肤评估、无导丝引导输尿管改道术支架置换、“互联网+”护理服务等多方面对造口患者进行管理。结果:工作室运行6年来,输尿管改道术支架置换量增长354.5%,并发症处理量增长301.8%,健康宣教量增长374.9%,会诊量增长693.3%,造口袋更换量增长329.8%;自“互联网+”项目开通以来,工作室团队接受线上问诊500余次,完成居家上门服务90余次,患者造口并发症发生情况得到改善(P<0.05),随访依从性提高(P<0.05);承办7期造口联盟专科培训班;获批省级、厅级输尿管皮肤造口相关课题14项,发表核心期刊论文17篇。结论:输尿管皮肤造口专科工作室符合患者需求,具有良好的经济效益和社会价值,有利于造口护理资源下沉和科研学术发展,是高级护理实践模式的创新尝试,具备推广价值。Objective:To construct an Enterostomy Therapist-led cutaneous ureterostomy specialist studio and analyze its practical application effect.Methods:The specialist studio was set up in 2015 and focused on the management of patients with ureteral ostomy during first,second visiting and follow-up,including the management of peristomal skin assessment,guidewire-free guided ureteral diversion stenting replacement,"Internet+"nursing services and so on.Results:In the past 6 years,the number of ureteral stent replacements increased by 354.5%,the number of complications handled increased by 301.8%,the number of health education increased by 374.9%,the number of consultations increased by 693.3%,and the number of ostomy bag replacement increased by 329.8%;Since the launch of the"Internet+"project,it has received more than 500 online consultations and completed more than 90 home visits,effectively decreasing the occurrence of ostomy complications(P<0.05)and improving the follow-up compliance(P<0.05).A total of 7 training courses for ostomy alliance were held,14 projects related to ureteral skin ostomy have been approved at the provincial and departmental levels,and 17 papers were published in the core journals.Conclusion:Cutaneous ureterostomy specialist studio meets the needs of patients,with good economic benefits and social value.It is conducive to the sinking of ostomy nursing resources and the development of scientific research and academia,and it is an innovation of advanced nursing practice with promotion value.

关 键 词：膀胱癌 国际造口治疗师 专科工作室 输尿管皮肤造口 随访 专科护理 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]