5A随访模式在胃癌患者鼻肠管带管居家延续性护理中的应用效果  

The efficacy of 5A follow-up mode in continuous home care with nasoenteric tube for patients withgastric cancer

作　　者：周冬冬[1] 田芳曦[1] 杨艳花[1] 蒋丹丹[1] 陈荔群[1] 江美燕 肖玉霞 吴丹虹 林向贞 林星 Zhou Dongdong;Tian Fangxi;Yang Yanhua;Jiang Dandan;Chen Liqun;Jiang Meiyan;Xiao Yuxia;Wu Danhong;Lin Xiangzhen;Lin Xing(Department of Gastric Surgery Nursing,Fujian Medical University Union Hospital,Fuzhou 350001,China)

机构地区：[1]福建医科大学附属协和医院胃外科护理病房,福州350001

出　　处：《中国肿瘤临床与康复》2023年第7期451-456,共6页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨5A随访模式在胃癌患者鼻肠管带管居家延续性护理中的应用效果.方法回顾性分析2021年11月至2022年6月在福建医科大学附属协和医院置鼻肠管并带管出院的132例胃癌患者资料,其中男101例,女31例;年龄28~80(61.7±11.3)岁.132例患者中,2021年11月1日至2022年2月28日收治的40例胃癌患者为对照组,采取鼻肠管常规护理;2022年3月1日至6月30日收治的92例胃癌患者为研究组,采取5A随访模式进行居家延续性护理.出院1周后,对两组患者鼻肠管堵管的发生率、健康教育知晓率和对护理服务的满意度进行比较.结果对照组患者鼻肠管堵管发生率为15.0%(6/40),研究组患者鼻肠管堵管发生率为3.3%(3/92),差异有统计学意义(χ^(2)=6.05,P=0.022).对照组患者健康教育的知晓率为82.5%(33/40),研究组患者健康教育的知晓率为94.6%(87/92),差异有统计学意义(χ^(2)=4.91,P=0.044).对照组患者对护理的满意度为82.5%(33/40),研究组患者对护理服务的满意度为94.6%(87/92),差异有统计学意义(χ^(2)=4.91,P=0.044).研究组由护士线上指导鼻肠管堵管患者,成功疏通3例.结论5A随访模式可有效降低胃癌患者鼻肠管居家护理中鼻肠管堵管的发生率,提高患者健康教育知晓率和对护理服务的满意度.Objectives To investigate the efficacy of 5A follow-up mode in continuous home care with nasoenteric tube for patients with gastric cancer:Methods A total of 132 patients with gastric cancer(101 males and 31 females)were retrospectively analyzed,who were discharged from Fujian Medical University Union Hospital from November 2021 to June 2022 after receiving nasoenteric tube.The age range was 28-80 years old,with a mean of(61.7±11.30)years old.Forty patients receiving nasoenteric routine home continuous care discharged from November 1,2021 to February 28,2022 were defined as the control group;Ninety-two patients receiving 5A follow-up mode in continuous care at home discharged from March 1,2022 to June 30,2022 were defined as research group.The blockage incidence of nasoenteric tube,the awareness rate of health education and the satisfaction of nursing service were compared between the two groups after the first postdischarge week.Results The blockage incidence of nasoenteric tube was 15.0%(6/40)in control group and 3.3%(3/92)in research group,the difference was statistically significant(χ^(2)=6.05,P=0.022).The awareness rate of health education was 82.5%(33/40)in control group and 94.6%(87/92)in research group,and the difference was statistically significant(χ^(2)=4.91,P=0.044).The satisfaction of nursing service was 82.5%(33/40)in control group and 94.6%(87/92)in research group,the difference was statistically significant(χ^(2)=4.91,P=0.044).Patients with nasoenteric tube blockage in the research group were guided online,and three cases were successfully dredged.Conclusion The 5A follow-up mode can effectively reduce the blockage incidence of nasoenteric tube for patients with gastric cancer in home care of nasoenteric tube,improve the awareness rate of health education and the satisfaction of nursing service.

关 键 词：胃癌 鼻肠管 5A随访模式 居家护理 堵管 

分 类 号：R473.73[医药卫生—护理学]