基于时机理论的“4T”阶段干预策略联合远程医疗在泌尿造口术患者中的应用效果  

Application of “4T” Stage Intervention Strategy Based on Timing Theory Combined with Telemedicine in Patients with Urostomy

作　　者：陈诗倩 周甜甜 朱倩 林媛珍[3] CHEN Shi-qian;ZHOU Tian-tian;ZHU Qian;LIN Yuan-zhen(School of Nursing,Jiangxi Medical College,Nanchang University,Nanchang 330006,China;Department of Anesthesiology,the Second Affiliated Hospital,Jiangxi Medical College,Nanchang University,Nanchang 330006,China;Department of Urology,the Second Affiliated Hospital,Jiangxi Medical College,Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学护理学院,南昌330006 [2]南昌大学第二附属医院麻醉科,南昌330006 [3]南昌大学第二附属医院泌尿外科,南昌330006

出　　处：《南昌大学学报（医学版）》2023年第6期56-61,71,共7页Journal of Nanchang University：Medical Sciences

基　　金：江西省卫健委科技计划项目(SKJP220203082)。

摘　　要：目的 探讨基于时机理论的“4T”阶段干预策略联合远程医疗技术的干预模式在膀胱癌泌尿造口术患者中的应用效果。方法 将148例行泌尿造口术的膀胱癌患者按住院病区不同分为干预组和对照组,每组74例。对照组采用常规泌尿造口术护理;干预组采用基于时机理论的“4T”阶段干预策略联合远程医疗的干预模式。比较2组干预前后焦虑与抑郁程度、生活质量、自我护理能力和治疗依从性评分的变化。结果 干预组干预后第4、12周治疗依从性评分、生活质量评分及自我护理能力评分均较干预前显著升高,且显著高于对照组干预后,差异均有统计学意义(P<0.05);焦虑抑郁评分均较干预前显著降低,且显著低于对照组干预后,差异均有统计学意义(P<0.05)。结论 基于时机理论的“4T”阶段干预策略联合远程医疗技术的干预可提高泌尿造口术患者的自我管理能力及医疗护理治疗的依从性,缓解负性情绪,提升生存质量。Objective To explore the efficacy of “4T” stage intervention strategy based on timing theory combined with telemedicine in urostomy patients with bladder cancer.Methods A total of 148 urostomy patients with bladder cancer were assigned to receive either conventional nursing(control group,n=74) or “4T” stage intervention strategy based on timing theory combined with telemedicine(intervention group,n=74).The anxiety,depression,quality of life,self-care ability,and treatment compliance were compared between the two groups.Results At 4 and 12 weeks after intervention,the scores of treatment compliance,quality of life,and self-care ability were higher than those before intervention,and those in the intervention group were higher than those in the control group(P<0.05).In addition,the scores of anxiety and depression at 4 and 12 weeks after intervention were lower than those before intervention,and those in the intervention group were lower than those in the control group(P<0.05).Conclusion The “4T” stage intervention strategy based on timing theory combined with telemedicine technology can improve self-management ability and compliance with medical care,relieve negative emotions,and enhance the quality of life in patients with urostomy.

关 键 词：膀胱癌 泌尿造口 时机理论 远程医疗 自我管理能力 

分 类 号：R473.6[医药卫生—护理学]