CAJ | 학술논문

目的探讨采用电话随访方式对留置双J管患者进行出院后健康教育的效果.方法将留置双J管的患者按出院先后顺序1～462号按奇偶号分为对照组和观察组,各231例.两组住院期间及出院前均进行常规健康教育,观察组在出院时建立电话随访登记本,出院后由专人对患者的饮食、服药、休息、活动等内容进行电话随访.随访1个月后,观察、比较两组的留置管并发症、自我护理情况、相关知识掌握情况.结果观察组电话随访率100.0％,对相关知识掌握率96.4％,自我护理能力95.1％；对照组对相关知识的掌握率61.1％、自我护理能力67.9％；两组比较,差异有统计学意义(P＜0.01).观察组留置管并发症明显少于对照组.结论电话随访方式健康教育将医院健康教育工作延伸到留置双J管患者家中,减少了各种并发症的发生,取得了较好的社会效果,得到了患者及其家属的好评.
목적 탐토채용전화수방방식대류치쌍J관환자진행출원후건강교육적효과.방법 장류치쌍J관적환자안출원선후순서1～462호안기우호분위대조조화관찰조,각231례.량조주원기간급출원전균진행상규건강교육,관찰조재출원시건립전화수방등기본,출원후유전인대환자적음식、복약、휴식、활동등내용진행전화수방.수방1개월후,관찰、비교량조적류치관병발증、자아호리정황、상관지식장악정황.결과 관찰조전화수방솔100.0％,대상관지식장악솔96.4％,자아호리능력95.1％；대조조대상관지식적장악솔61.1％、자아호리능력67.9％；량조비교,차이유통계학의의(P＜0.01).관찰조류치관병발증명현소우대조조.결론 전화수방방식건강교육장의원건강교육공작연신도류치쌍J관환자가중,감소료각충병발증적발생,취득료교호적사회효과,득도료환자급기가속적호평.
Objective To explore the effect of telephone follow-up on the health education in patients with indwelling double J tube after discharge from hospital.Methods 462 patients with indwelling double J tube were divided into control group and study group according to the odd or even number of hospital discharge,231 for each group.Both groups received routine health education during hospitalization and after discharge; the study group registered for telephone follow-up at hospital discharge and then received telephone interviews for dietary,medication uses,rest,and activities.One month after follow-up,tube-related complications,self care,and related knowledge were compared between the two groups.Results All the patients in the study group were followed up by phone.The rate of knowledge mastering was 96.4％ in the study group and 61.1％ in the control group; and the rate of self care was 95.1％ in the study group and 67.9％ in the control group; there were differences between the 2 groups( P＜ 0.01 ).The rate of tube-related complications was fewer in the study group than in the control group.Conclusions Telephone follow-up can extend health education to homes of patients with indwelling double J tube,reduce the occurrence of complications,achieve good social effect,and obtain positive comment from patients and their families.