中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
1期
11-14
,共4页
老年人%健康状况指标%延续护理%依从性
老年人%健康狀況指標%延續護理%依從性
노년인%건강상황지표%연속호리%의종성
Elderly%Health status indicators%Continuing nursing care%Compliance
目的：探讨延续护理对体检肿瘤指标阳性老年人的应用效果。方法回顾原有的工作模式下体检首次发现肿瘤指标阳性的78例老年患者的复诊率、健康教育效果以及护理满意度，作为常规组。另78例首次发现肿瘤指标阳性的老年患者作为干预组实施延续护理模式，即：由团队确立复查方案，面对面或电话进行个体化健康教育，帮助患者预约检查时间并收集结果，及时反馈给主管医师，3个月后对入组患者进行评价。结果干预组的复诊率为91．03％（71/78），明显高于常规组的62．82％（49/78），差异有统计学意义（χ2＝17．478，P＜0．01）；干预组健康教育后知识水平得分（14．82±2．88）分，明显高于健康教育前的（6．76±0．75）分，差异有统计学意义（ t＝18．104，P＜0．01）；干预组实施延续护理后护理满意度得分为（34．10±1．19）分，明显高于实施前的（29．76±1．60）分，差异有统计学意义（t＝7．41，P＜0．01）。影响复诊依从性的因素是行动不便、健康教育以及患者对有创检查的抵触。92．3％（72/78）的患者认为护士有必要提供复查方面的健康教育服务，96．2％（75/78）的患者认为护士有必要提供复查的预约服务。结论抓住切入点对体检发现肿瘤指标阳性老年人实施延续护理，可满足患者的需求，提高患者的相关知识水平、满意度和复诊依从性，把体检早期发现、早期诊断、早期治疗的目的落到实处。
目的：探討延續護理對體檢腫瘤指標暘性老年人的應用效果。方法迴顧原有的工作模式下體檢首次髮現腫瘤指標暘性的78例老年患者的複診率、健康教育效果以及護理滿意度，作為常規組。另78例首次髮現腫瘤指標暘性的老年患者作為榦預組實施延續護理模式，即：由糰隊確立複查方案，麵對麵或電話進行箇體化健康教育，幫助患者預約檢查時間併收集結果，及時反饋給主管醫師，3箇月後對入組患者進行評價。結果榦預組的複診率為91．03％（71/78），明顯高于常規組的62．82％（49/78），差異有統計學意義（χ2＝17．478，P＜0．01）；榦預組健康教育後知識水平得分（14．82±2．88）分，明顯高于健康教育前的（6．76±0．75）分，差異有統計學意義（ t＝18．104，P＜0．01）；榦預組實施延續護理後護理滿意度得分為（34．10±1．19）分，明顯高于實施前的（29．76±1．60）分，差異有統計學意義（t＝7．41，P＜0．01）。影響複診依從性的因素是行動不便、健康教育以及患者對有創檢查的牴觸。92．3％（72/78）的患者認為護士有必要提供複查方麵的健康教育服務，96．2％（75/78）的患者認為護士有必要提供複查的預約服務。結論抓住切入點對體檢髮現腫瘤指標暘性老年人實施延續護理，可滿足患者的需求，提高患者的相關知識水平、滿意度和複診依從性，把體檢早期髮現、早期診斷、早期治療的目的落到實處。
목적：탐토연속호리대체검종류지표양성노년인적응용효과。방법회고원유적공작모식하체검수차발현종류지표양성적78례노년환자적복진솔、건강교육효과이급호리만의도，작위상규조。령78례수차발현종류지표양성적노년환자작위간예조실시연속호리모식，즉：유단대학립복사방안，면대면혹전화진행개체화건강교육，방조환자예약검사시간병수집결과，급시반궤급주관의사，3개월후대입조환자진행평개。결과간예조적복진솔위91．03％（71/78），명현고우상규조적62．82％（49/78），차이유통계학의의（χ2＝17．478，P＜0．01）；간예조건강교육후지식수평득분（14．82±2．88）분，명현고우건강교육전적（6．76±0．75）분，차이유통계학의의（ t＝18．104，P＜0．01）；간예조실시연속호리후호리만의도득분위（34．10±1．19）분，명현고우실시전적（29．76±1．60）분，차이유통계학의의（t＝7．41，P＜0．01）。영향복진의종성적인소시행동불편、건강교육이급환자대유창검사적저촉。92．3％（72/78）적환자인위호사유필요제공복사방면적건강교육복무，96．2％（75/78）적환자인위호사유필요제공복사적예약복무。결론조주절입점대체검발현종류지표양성노년인실시연속호리，가만족환자적수구，제고환자적상관지식수평、만의도화복진의종성，파체검조기발현、조기진단、조기치료적목적락도실처。
Objective To explore the application effect of the continuing nursing care in physical examination for the elderly with positive tumor marker .Methods Patients found a positive tumor marker in examination for the first time were selected .Control group ( n=78 ) received the original mode of care , while intervention group (n=78) received the continuing nursing care such as reviewing the program established by the team, face-to-face or telephone individualized health education , helping patients make an appointment time , and timely feedback to the physician in charge .After three months, the referral rates, health education and nursing satisfaction of patients were observed .Results Referral rate in the intervention group was significantly higher than that in the control group (91.03% vs 62.82%; χ2 =17.478,P <0.01).Before and after the intervention , the score of health education knowledge in the intervention group was significantly improved [(14.82 ±2.88) vs (6.76 ±0.75);t =18.104,P <0.01],and the nursing satisfaction was significantly increased [(34.10 ±1.19) vs (29.76 ±1.60);t =7.41,P <0.01].The important influencing factors of compliance were elderly with mobility , health education , and contradiction for the invasive examination .And 92.3%(72/78) of patients believed that nurses should provide service for review , and 96.2%(75/78) of patients believed that nurses should provide the service of making a review appointment .Conclusions Continuing nursing care for the elderly with positive tumor markers found in the examination can meet the needs of patients and improve the patients ’ level of knowledge , satisfaction and referral compliance , so as to achieve early detection , early diagnosis , and early treatment .
