无缝链接式干预模式对膀胱造口患者护理结局及院外康复效果的影响-现代医学

无缝链接式干预模式对膀胱造口患者护理结局及院外康复效果的影响

单位：1. 延安大学附属医院疾控预防控制办公室, 陕西延安 716000;
2. 延安大学附属医院护理部, 陕西延安 716000

分类号：R473.6

出版年·卷·期（页码）：2019·47·第二期（215-220）

摘要：

目的：探讨全程无缝链接式护理干预对膀胱造口患者护理结局及院外康复效果的影响。方法：选取72例行根治性膀胱切除术联合输尿管皮肤造口术患者，随机分成对照组和试验组，各36例，对照组给予常规治疗及护理，试验组在对照组基础上采取无缝链接式模式护理干预。比较干预前、后患者在各领域主要护理问题的认知、行为和状况评分变化情况，并统计两组患者并发症发生情况及社会心理适应情况。结果：出院后3个月，除性生活问题外，试验组患者在其他护理问题认知、行为、状况方面的改善优于对照组（P<0.05）；且试验组并发症发生率低于对照组（8.33% vs14.52%），差异有统计学意义（P<0.05）；干预后，试验组患者在正性情绪、负性情绪、社会适应以及社会心理适应水平总分均优于对照组（P<0.05）。结论：全程无缝链接式护理干预可以提高患者的护理结局，促进患者院外康复。

Objective:To study on the effect of seamless nursing intervention on the outcome of nursing care and the effect of rehabilitation outside hospital in patients undergoing cystostomy.Methods:A total of 72 patients with radical cystostomy combined with ureterocutaneous ostomy who were diagnosed from January 2017 to December 2017 were randomly divided into two groups, In the control group, routine nursing were used. On the basis of nursing of the control group, the therapeutic communication group received hole-procedure seamless nursing intervention. After a series of nursing care based on the seamless nursing intervention,the knowledge-behavior-status scores of pre-intervention and post-intervention were compared. The complications and psychosocial adaptation of the two groups were also statistically analyzed.Results:3 months after discharge, in addition to the sexual problems, the improvement of the patients' cognition, behavior and status in other nursing problems was statistically significant(P<0.05), and the incidence of complications in the experimental group was lower than that of the control group(8.33% vs 14.52%), and the difference being significant (P<0.05). The total scores of positive emotion, negative emotion, social adjustment and social psychological adaptation of group patients were better than those of the control group(P<0.05).Conclusion:The application of transitional care based on seamless nursing intervention can promote the rehabilitation and prognosis of patients with cystostomy.

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