出院准备计划方案在老年肠造口患者中的应用研究  

Application of discharge planning service in elderly patients with stoma

作　　者：熊丹莉 潘路晨 杨赛 马培芳 曾舒倩 汪丽萍 鲁莹 颜巧元[3] Xiong Danli;Pan Luchen;Yang Sai;Ma Peifang;Zeng Shuqian;Wang Liping;Lu Ying;Yan Qiaoyuan(Department of Gastrointestinal Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院胃肠外科,湖北武汉430022 [2]华中科技大学同济医学院护理学院 [3]华中科技大学同济医学院附属协和医院护理部,湖北武汉430022

出　　处：《护理学杂志》2023年第19期100-104,共5页Journal of Nursing Science

基　　金：中国研究型医院学会护理教育专业委员会科研课题(Y2022FH-HLJY05)。

摘　　要：目的探讨出院准备计划用于老年肠造口患者的效果,为临床护理提供参考。方法将170例老年肠造口患者根据整群随机法分为两组各85例,对照组实施常规护理,干预组制定和实施出院准备计划方案。结果对照组75例和干预组77例完成全程研究。干预组出院准备度得分显著高于对照组;3个月随访期内造口门诊就诊率、非计划入院率及造口周围潮湿相关性皮肤损伤发生率显著低于对照组,自护能力得分及护理依赖得分显著高于对照组(均P<0.05)。结论出院准备计划方案的实施可提高老年肠造口患者出院准备度,增强自护能力,减轻护理依赖,从而一定程度上减少造口并发症的发生,降低患者非计划再入院率及造口门诊就诊率,节约医疗资源。Objective To explore the effect of applying a discharge planning service(DPs)to elderly patients with stoma and to provide references for clinical care.Methods A total of 170 patients were divided into 2 groups of 85 cases each per cluster randomization method.The control group received in-hospital routine care,while the intervention group was subjected to DPs.Results There were 75 cases in the control group and 77 cases in the intervention group completing the full study.The intervention group had higher readiness for discharge scores,self-care ability scores,and care dependency scores than the control group;the rates of pa-ying stoma clinic visits,unplanned readmissions and peristoma moisture-related skin lesions during the 3-month follow-up period in the intervention group were significantly lower than those in the control group(all P<0.05).Conclusion Applying DPs to older patients with an intestinal stoma can improve their discharge readiness,enhance self-care,reduce care dependency and to some extent reduce stoma complications.This model reduces the rate of unplanned readmissions and stoma clinic visits of patients,and saves medical resources.

关 键 词：肠造口 老年患者 出院准备计划 自我照护能力 护理依赖 并发症 非计划入院 延续护理 

分 类 号：R473.6[医药卫生—护理学] R161.7[医药卫生—临床医学]