Objective: To present a model of extended home nursing support provided through WeChat for pediatric colostomy patients between the first and second surgery to support parents and to assist them in nursing possible co...Objective: To present a model of extended home nursing support provided through WeChat for pediatric colostomy patients between the first and second surgery to support parents and to assist them in nursing possible complications at home, to reduce colostomy complications caused by improper care, to improve the quality of life of patients at home and to ensure the success of the recovery and second surgery. Methods: A combination of relevant clinical information, health care guidelines, and training as well as the establishment of a specific monitoring protocol was provided to the parents during the patient’ s first hospitalization. A support system for nursing the colostomy was established with regular follow-up via WeChat after the patient’ s first discharge from the hospital using a predetermined protocol. During the 3 to 6 months of home care in-between the colostomy operations, the charge nurse initiated the phone follow-up and provided specific, individual guidance and feedback. If necessary, extended serv-ice at predetermined intervals was provided in the 1st week, the 1st month, the 2nd month and the 3rd month. Results: Extended assistance for the home care of patients with pediatric colostomy complications im-proved the quality of life of the patients and caregivers and was accepted by all parties involved upon in-troduction. The assistance provided support for the parents at all hours, efficiently reduced the level of complications for this type of patient and facilitated fast referrals to hospital care in cases of emergen-cies. Furthermore it paved the way to successful second stage surgeries, provided direct feedback to the charge nurse and improved the work satisfaction and sense of achievement of the nurses involved. Conclusions: All 80 cases supported by WeChat successfully underwent two-stage pediatric colostomy operations. The response of the parents and the medical staff involved was very positive. This method is easy to use, economical to operate and could be applied generally to support home care.展开更多
目的探讨共情护理结合基于微信的同伴支持教育在中晚期肺癌化疗患者中的护理效果。方法方便选取2021年5月—2023年4月山东大学中西医结合医院收治的94例中晚期肺癌化疗患者为研究对象,按随机数字表法分为观察组和对照组,各47例。对照组采...目的探讨共情护理结合基于微信的同伴支持教育在中晚期肺癌化疗患者中的护理效果。方法方便选取2021年5月—2023年4月山东大学中西医结合医院收治的94例中晚期肺癌化疗患者为研究对象,按随机数字表法分为观察组和对照组,各47例。对照组采取常规护理,观察组采取共情护理结合基于微信的同伴支持教育。对比两组负面情绪、化疗依从性及生存质量。结果护理后,观察组焦虑自评量表(Self-rating Anxiety Scale,SAS)评分(34.49±4.26)分、抑郁自评量表(Self-rating Depression Scale,SDS)评分(35.81±5.90)分均低于对照组,化疗依从性高于对照组,差异有统计学意义(P均<0.05)。世界卫生组织生存质量测定量表(World Health Organization Quality of Life-BREF,WHOQOL-BREF)中的生理领域(78.22±5.02)分、心理领域(80.32±5.47)分、社会领域(78.31±4.27)分、环境领域(85.37±5.01)分均高于对照组,差异有统计学意义(P均<0.05)。结论共情护理结合基于微信的同伴支持教育可以减轻中晚期肺癌化疗患者不良情绪,提高化疗依从性以及生存质量。展开更多
基金supported by the Guangxi Zhuang Autonomous Region Health Department(No.Z2013099)
文摘Objective: To present a model of extended home nursing support provided through WeChat for pediatric colostomy patients between the first and second surgery to support parents and to assist them in nursing possible complications at home, to reduce colostomy complications caused by improper care, to improve the quality of life of patients at home and to ensure the success of the recovery and second surgery. Methods: A combination of relevant clinical information, health care guidelines, and training as well as the establishment of a specific monitoring protocol was provided to the parents during the patient’ s first hospitalization. A support system for nursing the colostomy was established with regular follow-up via WeChat after the patient’ s first discharge from the hospital using a predetermined protocol. During the 3 to 6 months of home care in-between the colostomy operations, the charge nurse initiated the phone follow-up and provided specific, individual guidance and feedback. If necessary, extended serv-ice at predetermined intervals was provided in the 1st week, the 1st month, the 2nd month and the 3rd month. Results: Extended assistance for the home care of patients with pediatric colostomy complications im-proved the quality of life of the patients and caregivers and was accepted by all parties involved upon in-troduction. The assistance provided support for the parents at all hours, efficiently reduced the level of complications for this type of patient and facilitated fast referrals to hospital care in cases of emergen-cies. Furthermore it paved the way to successful second stage surgeries, provided direct feedback to the charge nurse and improved the work satisfaction and sense of achievement of the nurses involved. Conclusions: All 80 cases supported by WeChat successfully underwent two-stage pediatric colostomy operations. The response of the parents and the medical staff involved was very positive. This method is easy to use, economical to operate and could be applied generally to support home care.
文摘目的探讨共情护理结合基于微信的同伴支持教育在中晚期肺癌化疗患者中的护理效果。方法方便选取2021年5月—2023年4月山东大学中西医结合医院收治的94例中晚期肺癌化疗患者为研究对象,按随机数字表法分为观察组和对照组,各47例。对照组采取常规护理,观察组采取共情护理结合基于微信的同伴支持教育。对比两组负面情绪、化疗依从性及生存质量。结果护理后,观察组焦虑自评量表(Self-rating Anxiety Scale,SAS)评分(34.49±4.26)分、抑郁自评量表(Self-rating Depression Scale,SDS)评分(35.81±5.90)分均低于对照组,化疗依从性高于对照组,差异有统计学意义(P均<0.05)。世界卫生组织生存质量测定量表(World Health Organization Quality of Life-BREF,WHOQOL-BREF)中的生理领域(78.22±5.02)分、心理领域(80.32±5.47)分、社会领域(78.31±4.27)分、环境领域(85.37±5.01)分均高于对照组,差异有统计学意义(P均<0.05)。结论共情护理结合基于微信的同伴支持教育可以减轻中晚期肺癌化疗患者不良情绪,提高化疗依从性以及生存质量。
