出院随访对重症急性胰腺炎患者术后生活质量的影响

Telephone Follow-up Improves Quality of Life of Postoperative Patients with Severe Acute Pancreatitis

目的探讨出院随访对重症急性胰腺炎患者术后生活质量的影响。方法将2008年6月至2010年4月我科收治的109例重症急性胰腺炎行手术治疗后的患者随机分为随访组及对照组,对随访组患者于出院后1周、1月、3月、6月实施电话随访,对照组仅予常规出院指导。通过生活质量综合评定问卷得分情况评价两组患者的生活质量,并比较疾病相关知识的掌握情况和并发症的发生率。结果出院6个月后随访组的生活质量总分高于对照组,在躯体功能、心理功能、社会功能3个维度的得分均高于对照组,差异有统计学意义(P<0.05)。随访组对疾病相关知识的掌握高于对照组(P<0.05),空肠造瘘管堵管发生率低于对照组(P<0.05),疾病复发率低于对照组(P<0.05)。结论出院随访能明显改善重症急性胰腺炎患者术后的生活质量,减少并发症的发生。

Objective To evaluate the impact of telephone follow-up on the quality of life of postoperative patients with severe acute pancreatitis.Methods 109 postoperative patients with severe acute pancreatitis were divided into interventional and control groups randomly.Telephone follow-up was given to the patients in the interventional group 1 week,1 month,3 months and 6 months after discharge.The patients in the control group received routine discharge guidance only.The quality of life of the patients was assessed with the Generic Quality of Life Inventory 6 months after discharge.The disease-related knowledge and incidence of complications of the patients were also assessed.Results The patients who received telephone follow-up had greater quality of life scores in physical function,psychological function and social function than the controls（P0.05）.The interventional group also had better disease-related knowledge（P0.05） and lower incidence of complications such as jejuno-stoma tube plugging and recurrence than the control group（P0.05）.Conclusion Telephone follow-up improves the quality of life of postoperative patients with severe acute pancreatitis and reduces the incidence of complications.