中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2012年
46期
15-17
,共3页
PTCD%电话%早期干预%自我护理
PTCD%電話%早期榦預%自我護理
PTCD%전화%조기간예%자아호리
PTCD%Telephone%Early Intervention%Self care
目的探讨电话干预对结肠造口患者造口自我护理能力的影响.方法将我院119例即将出院的PTCD术患者按照随机数字表法分为干预组(n=59)和对照组(n=60).干预组接受出院后常规健康教育的同时,还接受由专科护士主导的个体化的教育和支持性的电话干预,对照组只接受出院后常规健康教育.分别对两组在出院前,以及出院后1个月、3个月以1个条目的自评PTCD管自理状态和PTCD管自我护理量表进行测试.结果出院后1个月两组自评PTCD管自理状态的差异无统计学意义(x2=2.568,P>0.05),出院后3个月干预组自理状态好于对照组,差异有统计学意义(x2=6.300,P<0.05)；出院后1个月(t=2.431,P<0.05)和3个月(t=2.666,P<0.01)干预组患者自我护理总分明显高于对照组.结论专科护士早期进行电话干预是提高PTCD术患者PTCD管自理能力的有效措施,但是在电话干预的实施过程中应考虑到中国的文化特点.
目的探討電話榦預對結腸造口患者造口自我護理能力的影響.方法將我院119例即將齣院的PTCD術患者按照隨機數字錶法分為榦預組(n=59)和對照組(n=60).榦預組接受齣院後常規健康教育的同時,還接受由專科護士主導的箇體化的教育和支持性的電話榦預,對照組隻接受齣院後常規健康教育.分彆對兩組在齣院前,以及齣院後1箇月、3箇月以1箇條目的自評PTCD管自理狀態和PTCD管自我護理量錶進行測試.結果齣院後1箇月兩組自評PTCD管自理狀態的差異無統計學意義(x2=2.568,P>0.05),齣院後3箇月榦預組自理狀態好于對照組,差異有統計學意義(x2=6.300,P<0.05)；齣院後1箇月(t=2.431,P<0.05)和3箇月(t=2.666,P<0.01)榦預組患者自我護理總分明顯高于對照組.結論專科護士早期進行電話榦預是提高PTCD術患者PTCD管自理能力的有效措施,但是在電話榦預的實施過程中應攷慮到中國的文化特點.
목적탐토전화간예대결장조구환자조구자아호리능력적영향.방법장아원119례즉장출원적PTCD술환자안조수궤수자표법분위간예조(n=59)화대조조(n=60).간예조접수출원후상규건강교육적동시,환접수유전과호사주도적개체화적교육화지지성적전화간예,대조조지접수출원후상규건강교육.분별대량조재출원전,이급출원후1개월、3개월이1개조목적자평PTCD관자리상태화PTCD관자아호리량표진행측시.결과출원후1개월량조자평PTCD관자리상태적차이무통계학의의(x2=2.568,P>0.05),출원후3개월간예조자리상태호우대조조,차이유통계학의의(x2=6.300,P<0.05)；출원후1개월(t=2.431,P<0.05)화3개월(t=2.666,P<0.01)간예조환자자아호리총분명현고우대조조.결론전과호사조기진행전화간예시제고PTCD술환자PTCD관자리능력적유효조시,단시재전화간예적실시과정중응고필도중국적문화특점.
Objective To evaluate the effect of telephone intervention on PTCD-tube self-care of PTCD patients. Methods A total of 119 PTCD patients from our hospital were randomly assigned to either telephone intervention by Nurse Specialist therapist or routine health education condition after discharge. The patients were investigated by a questionnaire about PTCD-tube self-care status and PTCD-tube self-care scale before discharge, 1 month and 3 month after discharge. Results The self-reported PTCD-tube self-care status at 3 months after discharge in the experimental group was significantly better than that of control group(x2=6.300,P<0.05), but no significant difference was found between the two group at 1 month after discharge(x2=2.568,P>0.05). The PTCD-tube self-care scores at 1 month(t=2.431,P<0.05) and 3 months(t=2.666,P<0.01) after discharge in the experimental group were significantly higher than those in the controp group. Conclusions Telephone intervention by Nurse Specialist therapist should after discharge can effectively improve PTCD -tube self-care ability in PTCD patients, but actual application of telephone intervention should consider the culture characteristics of Chinese patients.
