CAJ | 학술논문

目的：探讨腹膜透析置管术后患者出院电话访问管理的效果。方法将67例腹膜透析置管术后患者，按随机数字表法随机分为干预组34例和对照组33例。对照组出院时给予常规健康教育，干预组在出院后给予电话跟踪访问，共5次，采用腹膜透析知识测评问卷、健康相关生活质量问卷、患者满意度调查表对两组患者进行调查，评价电话访问的效果。结果干预组知识掌握程度为优52．9％，良38．2％，差8．8％，对照组分别为24．2％，30．3％，45．5％，两组比较差异有统计学意义（ Z＝-3．252， P＝0．001）；干预组患者睡眠、躯体活动、精力、疼痛、情绪反应、社会孤独感得分分别为（10．6±6．3），（8.9±5．2），（22．3±0．5），（18．6±7．3），（13．6±9．3），（15．7±7．6）分，均低于对照组，差异有统计学意义（t值分别为5．436，6．532，7．674，8．213，6．567，7．324；P＜0．01）；干预组患者对科主任、、主诊医师、普通护士满意度均高于对照组，差异有统计学意义（P＜0．05）。结论对腹膜透析患者出院后进行电话跟踪访问和指导，可以提升患者腹膜透析相关知识和技能，对患者的生活质量和医护人员的满意度均起到积极作用。
목적：탐토복막투석치관술후환자출원전화방문관리적효과。방법장67례복막투석치관술후환자，안수궤수자표법수궤분위간예조34례화대조조33례。대조조출원시급여상규건강교육，간예조재출원후급여전화근종방문，공5차，채용복막투석지식측평문권、건강상관생활질량문권、환자만의도조사표대량조환자진행조사，평개전화방문적효과。결과간예조지식장악정도위우52．9％，량38．2％，차8．8％，대조조분별위24．2％，30．3％，45．5％，량조비교차이유통계학의의（ Z＝-3．252， P＝0．001）；간예조환자수면、구체활동、정력、동통、정서반응、사회고독감득분분별위（10．6±6．3），（8.9±5．2），（22．3±0．5），（18．6±7．3），（13．6±9．3），（15．7±7．6）분，균저우대조조，차이유통계학의의（t치분별위5．436，6．532，7．674，8．213，6．567，7．324；P＜0．01）；간예조환자대과주임、、주진의사、보통호사만의도균고우대조조，차이유통계학의의（P＜0．05）。결론대복막투석환자출원후진행전화근종방문화지도，가이제승환자복막투석상관지식화기능，대환자적생활질량화의호인원적만의도균기도적겁작용。
Objective To observe the effect of telephone visit for discharged patients with peritoneal dialysis catheter after surgery .Methods Sixty-seven patients with peritoneal dialysis catheter after surgery were chosen and were divided into the intervention group ( n=34 ) and the control group ( n=33 ) according to the random table .The control group received the routine health education at discharge , and the intervention group received the telephone visit ( 5 times ) after discharge .The effect of telephone visit was evaluated by the peritoneal dialysis knowledge assessment questionnaire , Nottingham health questionnarres and patient satisfaction questionnaire.Results The percent of the excellent, good, bad degrees of mastering the knowledge were respectively 52.9%, 38.2%, 8.8% in the intervention group, and were 24.2%, 30.3%, 45.5% in the control group, and the difference was statistically significant (Z=-3.252,P=0.001).The scores of sleep, physical activity, energy, pain, emotional reactions, social loneliness were respectively (10.6 ±6.3), (8.9 ±5.2), (22.3 ±0.5), (18.6 ±7.3), (13.6 ±9.3), (15.7 ±7.6) in the intervention group, and were lower than those in the control group , and the differences were statistically significant ( t =5.436,6.532,7.674, 8.213,6.567,7.324, respectively; P<0.01).The patient satisfaction in the intervention group was higher than that of the control group , and the satisfaction of director of department , the chief nurse , the attending doctor and the ordinary nurses were increased (P<0.05).Conclusions The telephone visit and guide for discharged patients with peritoneal dialysis catheter after surgery can increase their related knowledge and skill of peritoneal dialysis , and play a positive role in the life quality of patient and satisfaction with doctors and nurses .