胆道外引流患者实施教育对出院后治疗依从性的影响

Effects of Education on Treatment Compliance of Biliary Extra-drainage Patients after Discharge from Hospital

目的探讨胆道外引流患者的出院培训计划对患者的自我管理能力的影响。方法随机选取100例患者作为试验组,在住院期间、出院前进行相关知识的系统培训及指导,对未培训的100例患者作为对照组。出院后每周电话或门诊随访,对试验组教育前后相关知识的掌握情况、试验组与对照组出院后的自我管理能力、治疗依从性和效果进行比较。结果胆道外引流患者在教育前胆道外引流知识测试合格率为20.0%,教育培训后达到81.0%(P<0.01);培训后能正确自我保护引流管、主动定期进行管道离心方向挤压、主动记录引流液情况、采取防逆行感染措施的患者比例试验组高于对照组(P<0.01);管道问题需医疗介入比例试验组低于对照组(P<0.05或P<0.01)。结论实施胆道外引流患者的出院培训教育计划,提高了患者自我管理能力及治疗依从性。

Objective To explore effects of training plan for discharge from hospital on self-management ability of biliary extra-drainage patients.Method 100 patients were chosen randomly to be the experimental group,and they were received systematic training and instruction about relevant knowledge when they were in hospital and before they discharged from hospital.100 patients were the control group with no training.The patients would receive calls or follow-ups every week after they discharged from hospital.As for the grasp of relevant knowledge before and after the training of experimental group,the self-management ability of experimental and control group after discharged from hospital and treatment compliance and efficacy,the results were compared.Results The percent of pass of the knowledge test of biliary extra-drainage before training was 20.0%,and after training it was 81.0%（P〈0.01）;after training,the proportion of patients in experimental group was higher than that in control group（P〈0.01） in the aspects of protecting drainage tube actively and correctly,extruding the tube in centrifugal direction actively and regularly,writing down the condition of drainage voluntarily and preventing retrograde infection;the proportion of medical intervention to tube problem was lower in experimental group than that in control group（P〈0.05 or P〈0.01）.Conclusion The training plan for discharge to biliary extra-drainage patients promotes self-management ability and treatment compliance of patients.