专病护士主导的“互联网+”管道管理在PTCD术后患者居家护理中的应用  

Effects of "Internet +" canal management led by special disease nurses in home care of patients after PTCD

作　　者：李翠英 韩二芳 张谦[3] 胡丹 王盼梁 Li Cuiying;Han Erfang;Zhang Qian;Hu Dan;Wang Panliang(Department of First Pediatric Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450080,China;Department of Day Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450080,China;Department of Second Pediatric Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450080,China;Department of Fifth Pediatric Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450080,China;Department of Hepatobiliary Pancreatic Surgery(2),the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450080,China)

机构地区：[1]郑州大学第一附属医院小儿外科一病区,郑州450080 [2]郑州大学第一附属医院日间手术部,郑州450080 [3]郑州大学第一附属医院小儿外科二病区,郑州450080 [4]郑州大学第一附属医院小儿外科(5)病区,郑州450080 [5]郑州大学第一附属医院肝胆胰外科二病区(2),郑州450080

出　　处：《中华现代护理杂志》2024年第15期2041-2046,共6页Chinese Journal of Modern Nursing

摘　　要：目的探讨专病护士主导的"互联网+"管道管理模式在经皮肝穿刺胆道引流术(PTCD)患者居家护理中的应用效果。方法采用便利抽样法,选择2021年3月—2022年12月在郑州大学第一附属医院行PTCD治疗后携带引流管出院的120例患者,采用随机数字表法分为对照组和观察组,各60例。对照组采用PTCD术后常规居家随访管理,观察组采用专病护士主导的"互联网+"管道管理模式进行居家护理,干预均为3个月。使用慢性病自我管理量表(CDSMS)评估两组患者的自我管理能力与自我效能,记录并比较两组的管路相关并发症发生率、非计划性再入院率和非计划性来院复诊率。结果对照组有1例患者死亡,最终共119例患者完成研究。两组患者干预后的CDSMS总分、自我管理行为得分和自我效能得分均高于干预前,差异有统计学意义(P<0.05);干预后,观察组的CDSMS总分、自我管理行为得分和自我效能得分均高于对照组,差异有统计学意义(P<0.05)。观察组和对照组的管路相关并发症总发生率分别为18.33%(11/60)、44.07%(26/59),非计划性再入院率分别为6.67%(4/60)、23.73%(14/59),非计划性来院复诊率分别为10.00%(6/60)、35.59%(21/59),两组比较差异均有统计学意义(P<0.05)。结论专病护士主导的"互联网+"管道管理模式可以有效提高PTCD患者居家自我管理能力和自我效能水平,降低管路相关并发症发生率、非计划性再次入院率和复诊率。Objective To explore the effect of"Internet+"canal management led by special disease nurses in home care of patients undergoing percutaneous transhepatic cholangial drainage(PTCD).Methods From March 2021 to December 2022,convenience sampling was used to select 120 patients who underwent PTCD and were discharged with drainage tubes at the First Affiliated Hospital of Zhengzhou University.The patients were divided into a control group and an observation group using a random number table method,with 60 cases in each group.The control group adopted the routine home follow-up management after PTCD,and the observation group adopted the"Internet+"canal management led by special disease nurses for home care,with the intervention of three months.This study used the Chronic Disease Self-Management Scale(CDSMS)to evaluate the self-management ability and self-efficacy of two groups of patients,and recorded and compared the incidence of canal-related complications,unplanned readmission rate,and unplanned return visit rate between the two groups.Results One patient in the control group died,and a total of 119 patients completed the study.The total score of CDSMS,self-management behavior score,and self-efficacy score of the two groups of patients after intervention were higher than those before intervention,and the differences were statistically significant(P<0.05).After intervention,the total CDSMS score,self-management behavior score,and self-efficacy score of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).In the observation group and the control group,the total incidences of canal-related complications were 18.33%(11/60)and 44.07%(26/59),and the unplanned readmission rates were 6.67%(4/60)and 23.73%(14/59),and the unplanned return visit rates were 10.00%(6/60)and 35.59%(21/59),respectively,and the differences were statistically significant(P<0.05).Conclusions The"Internet+"canal management led by special disease nurses can effectively improve the s

关 键 词：经皮肝穿刺胆道引流术 专病护士 互联网+ 管道护理 居家护理 

分 类 号：R473.6[医药卫生—护理学]