微信群联合电话随访在泌尿外科术后留置双 J 管患者延续护理中的应用研究

来源:用户上传      作者:庞琼 张燕梅 江金萍 邓国卫 黎友斌 邢刚 罗卫玲

　　[摘要]目的探微信群联合电话随访在泌尿外科术后留置双 J 管患者延续护理中的应用价值。方法选择 2020年11月至2021年8月云浮市中医院泌尿外科术后留置双 J 管后带管出院患者120例为研究对象。以随机数字表法分为两组，每组各60例。对照组实施常规延续护理，如电话随访等，观察组在对照组基础上采取微信群联合电话随访护理，比较两组干预后患者对疾病主观认知程度，比较两组干预期间并发症情况，比较两组干预前后治疗依从性得分变化，比较两组干预后疾病自我管理能力变化。结果干预后观察组避免憋尿、主动每日饮水量>2500 ml、注意适当运动以及主动观察尿液颜色的比例显著高于对照组，差异有统计学意义（P <0.05）;观察组血尿、腰痛、尿路感染及导管移位或脱落的发生率显著低于对照组，差异有统计学意义（P <0.05）;干预后观察组治疗依从性得分显著高于干预前和对照组，差异有统计学意义（ P <0.05）;干预后观察组躯体功能、情绪功能、社会功能等得分均显著高于对照组，差异有统计学意义（ P <0.05）。结论针对留置双 J 管带管出院患者，行微信群联合电话随访延续性护理干预，有效提高患者对疾病的主观认知度与自我管理能力，减少并发症发生，提高治疗依从性。
　　[关键词]微信群;电话随访;泌尿外科;留置双J 管;延续性护理
　　[中图分类号] R473.6 [文献标识码] A [文章编号]2095-0616（2022）09-0123-04
　　Study on the application of WeChat group combined with telephone follow-up in the continuous nursing of patients with indwelling double J-tube after urology surgery
　　PANG Qiong ZHANG Yanmei JIANG Jinping DENG Guowei LI YoubinXING Gang LUO Weiling
　　Area Ⅱ ， Department of Surgery， Yunfu Hospital ofTraditional Chinese Medicine，Guangdong， Yunfu 527300， China [Abstract] Objective To investigate the application value of WeChat group combined with telephone follow- up in the continuous nursing of patients with indwelling double J-tube after urology surgery. Methods A total of 120 patients discharged with indwelling double J-tube who underwent surgery in the Department of Urology of Yunfu Hospital of Traditional Chinese Medicine from November 2020 to August 2021 were selected as the study subjects. They were divided into two groups according to the random number table method， with 60 cases in each group. The control group received conventional continuous nursing， such as telephone follow-up， while the observation group received nursing by the means of WeChat group combined with telephone follow-up on the basis of the nursing mode in the control group. The subjective cognitive level of patients on disease after the intervention， the complications during the intervention， the changes in treatment compliance scores before and after the intervention， and the changes in disease self-management ability after the intervention were compared between the two groups. Results After the intervention， the incidence of patients in the observation group who avoided withholding urine， actively drank more than 2500 ml of water daily， took appropriate exercise and actively observed the color of urine was significantly higher than that in the control group， with statistically significant differences （P <0.05）. Meanwhile， the proportion of patients in the observation group who developed hematuria， lower back pain， urinary tract infection， and had the tube displaced or fallout was significantly lower than that in the control group after the intervention， with statistically significant differences （P <0.05）. After the intervention， the treatment compliance scores in the observation group were higher than those before the intervention and those in the control group ， with statistically significant differences （P <0.05）. Meanwhile， the scores of physicalfunction， emotional function and social function in the observation group were significantly higher than those in the control group after the intervention， with statistically significant differences （P <0.05）. Conclusion For patients discharged with indwelling double J-tube， the continuous nursing intervention by means of WeChat group combined with telephone follow-up can effectively improve subjective cognition of patients on disease and enhance self-management ability， reduce the occurrence of complications and improve treatment compliance. [Key words] WeChat group; Telephone follow-up; Urology surgery; Indwelling double J-tube; Continuous nursing

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