妊娠糖尿病患者出院早期电话干预延续护理模式的探讨

Model Construction of Telephone Intervention Transitional Care among Early Discharged Gestational Patients with Diabetes

目的妊娠糖尿病患者出院早期电话干预延续护理模式的探讨。方法对54名妊娠糖尿病患者出院早期进行出院后1个月内的2～3次电话干预。由妊娠糖尿病专科护士记录电话干预的具体时间、每次电话干预持续时间,54名患者出院后1个月和3个月分别自评电话干预的效果。结果 3次电话的通话时间分别为(9.23±4.94)min、(8.15±4.93)min和(6.87±4.40)min,平均时间为(8.50±4.92)min;通3次电话的时间距离患者出院的天数分别为(8.71±4.72)天、(19.85±6.07)天和(29.65±4.45)天。54名患者出院后1个月和3个月对延续护理服务表示非常满意和满意的分别占98.10%和96.30%;认为妊娠糖尿病专科护士的支持很大和大的分别占96.30%和94.50%。结论电话干预是一种有效的出院后延续护理的方法。在具体的实施过程中必须满足一定的条件,同时应采取相应的措施以保证电话干预的次数和效果,对进行电话干预的护士应进行必要的培训,从而使电话干预的效益最大化。

Objective To figure out the Model Construction of Telephone Intervention Transitional Care among Early Discharged Gestational Patients with Diabetes.Methods 54 patients who had undergone colostomy operation from Third-Grade Class A hospitals received 2~3 telephone calls within one month post-discharge.Colostomy nurses recorded the specific time and phone duration of each call.The patients themselves evaluated the effect of telephone intervention.Results The time duration of three calls was（9.23±4.94）mins,（8.15±4.93）mins,（6.87± 4.40）mins respectively and the average time duration of all calls was（8.50±4.92）min.The days from discharge day of three telephone calls were（8.71± 4.72） days,（19.85± 6.07）days,（29.65±4.45）days respectively.About 96.30% and 98.10% patients evaluated their transitional care as very satisfactory of satisfactory and 96.30% and 94.50% patients thought their diabetes specialist nurses ＇support as very high or high at one month and three months after discharge respectively.Conclusion The telephone intervention is an effective method for transitional care after hospital discharge.The telephone intervention must satisfy certain conditions in implementation process and we should take appropriate measures the doses and effects of the intervention.The diabetes specialist nurses should receive necessary training before intervention to maximize the effects of intervention.