延续护理在膀胱全切尿路改道术后出院患者中的应用

Continuing nursing care for discharged patients after total cystectomy for urethra reconstruction

  • 摘要: 目的 探讨延续护理在膀胱全切尿路改道术后出院患者康复中的作用。方法 随机选取50例膀胱全切尿路改道术后出院患者,每周分别采用个体、针对性和应答式3种教育方式进行电话随访,持续1个月后改为每月1次,对患者出院时和出院后对康复知识掌握情况及生活质量进行对比。结果 延续护理时间与患者对康复知识的知晓程度成正比;分别进行延续护理1个月、3个月与出院时比较,生活质量差异有统计学意义(P<0.05)。结论 延续护理消除了患者出院后因信息中断在康复过程中处于的盲目状态,体现了护理范围由医院到社区、家庭的发展趋势。

     

    Abstract: Objective To study the role of continuing nursing care in habilitation of discharged patients after total cystectomy for urethra reconstruction. Methods Fifty discharged patients after total cystectomy for urethra reconstruction were selected to receive continuing nursing care.The patients were followed up every week for one month,and then once a month.Their knowledge about habilitation and quality of life was compared before and after discharge. Results The continuing nursing care time of patients was positively related with their medical knowledge about habilitation.A significant difference was found in patients after 1 and 3 months of continuing nursing care and at the time when they were discharged(P<0.05). Conclusion Continuing nursing care can eliminate the confusion of patients during rehabilitation because of no available information after discharge,thus showing a tendency of nursing from hospitals to community and home.

     

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