CAJ | 학술논문

目的：探讨电话随访对留置双 J 管出院患者遵医行为的影响。方法：将194例留置双 J 管出院患者随机分为对照组96例，观察组98例，两组患者住院期间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，出院后由专人负责电话随访，了解患者最近的情况及遵医行为，并给予指导。拔管时对两组患者置管并发症、相关知识的掌握情况及自我护理情况进行比较。结果：观察组电话随访率为100%。观察组对相关知识的掌握情况、自我护理能力优于对照组（P <0.05），置管并发症明显少于对照组（P <0.05）。结论：电话随访可将医院的健康教育工作延伸到留置双 J 管患者家中，提高出院患者的遵医行为，能有效降低患者置管期间并发症的发生，促进患者康复。
목적：탐토전화수방대류치쌍 J 관출원환자준의행위적영향。방법：장194례류치쌍 J 관출원환자수궤분위대조조96례，관찰조98례，량조환자주원기간균진행상규건강교육，관찰조재출원시건립전화수방등기본，출원후유전인부책전화수방，료해환자최근적정황급준의행위，병급여지도。발관시대량조환자치관병발증、상관지식적장악정황급자아호리정황진행비교。결과：관찰조전화수방솔위100%。관찰조대상관지식적장악정황、자아호리능력우우대조조（P <0.05），치관병발증명현소우대조조（P <0.05）。결론：전화수방가장의원적건강교육공작연신도류치쌍 J 관환자가중，제고출원환자적준의행위，능유효강저환자치관기간병발증적발생，촉진환자강복。
Objective To explore the effect of telephone follow - up on compliance behavior of discharged patients with indwelling double J tube. Method 194 patients with indwelling double J tube were randomly divided into control group( 96 cases)and observation group(98 cases)after discharged from hospital. Both groups received conventional health education during hospitalization,The observation group registered for telephone follow - up at hospital discharge,received telephone interviews for recent situation and compliance behavior, and given guidance. Tube - related complications,related knowledge and self - care were compared between the two groups when extubated double J tube. Results All the patients in the observation group were followed up by telephone. Observation group to grasp the related knowledge and self - care was better than the control group(P < 0. 05),tube - related complications were significantly less than the control group(P < 0. 05). Conclusion Telephone follow - up can extend health education home of patients with indwelling double J tube,improve compliance behavior of discharged patients,reduce the incidence of complications in patients effectively during catheterization,and promote the rehabilitation of patients.