摘要
目的 探讨电话随访对泌尿造口出院患者自我护理能力、焦虑情绪及并发症的影响.方法 采用目的抽样法,选取2014年10月—2015年4月河南省商丘市第一人民医院泌尿外科的76例泌尿造口患者为研究对象,采用随机数字表法将患者随机分为对照组和观察组,对照组患者采用常规护理,观察组患者在出院后1周、1个月和3个月分别进行电话随访,比较两组患者出院前和出院后3个月的造口自我护理能力、焦虑水平及并发症情况.结果 出院后3个月,观察组与对照组患者造口自我护理能力均优于出院前,差异有统计学有意义（t值分别为5.893、2.764;P〈0.05）,且观察组患者造口自我护理能力优于对照组,差异有统计学意义（t=6.982;P〈0.001）.出院后3个月,观察组患者焦虑水平低于出院前,对照组患者焦虑水平高于出院前,差异均有统计学意义（t值分别为3.562、2.764;P〈0.05）,观察组患者焦虑水平低于对照组,差异有统计学意义（t=4.536;P〈0.05）.观察组2例患者皮肤局部发红,经护士电话指导,自行处理后恢复;对照组2例患者发生尿路感染.结论 电话随访可明显提高患者的造口自我护理能力、降低焦虑水平,预防并发症的发生.
Objective To explore effects of telephone follow up in self-care ability, anxiety levels and complications of discharged patients with urinary stoma.Methods A total of 76 cases with urinary stoma in our department from October 2014 to April 2015 were included using purpose sampling method and randomly divided into control group and intervention group. Patients in control group received routine nursing, while patients in intervention group were telephone followed up at one week, one month and three months post discharge. Self-care ability, anxiety levels and complications of patients before and three months post discharge were compared between two groups.Results At three months post discharge, self-care ability of patients in both groups were significant better than before discharge （t=5.893, 2.764;P〈0.05）. Self-care ability of patients in intervention group was better than patients in control group, with statistically significant difference （t=6.982, P〈0.05）. At 3 months post discharge, anxiety levels of patients in intervention group were lower than before discharge, while anxiety levels of patients in control group were higher than before discharge. The differences were statistically significant （t=3.562, 2.764;P〈0.05）. Anxiety levels of patients in intervention group were significantly lower than patients in control group （t=4.536,P〈0.05）. In intervention group, two cases were found partial skin redness, which was recovered after telephone guidance of nurses. In control group, two cases had urinary tract infection.Conclusions Telephone follow up improves self-care ability, decreases anxiety levels and prevents complications of patients with urinary stoma.
出处
《中华现代护理杂志》
2017年第11期1552-1555,共4页
Chinese Journal of Modern Nursing
关键词
自我护理
焦虑
电话随访
泌尿造口
Self care
Anxiety
Telephone follow up
Urinary stoma
