延续护理在机器人辅助腹腔镜膀胱全切尿流改道术患者中的应用效果

Application effect of Continuation Nursing in Robot Assisted Laparoscopic Radical Cystectomy and Urinary Diversion Surgery

目的探讨延续护理在机器人辅助腹腔镜膀胱全切尿流改道术患者中的应用效果。方法 2009年1月至2014年3月,建立病区延续护理团队,规范延续护理形式,细化延续护理内容。便利抽样法选取在解放军总医院海南分院泌尿外科采用机器人辅助腹腔镜膀胱全切尿流改道术后出院患者70例为研究对象,患者出院时、出院后1、3个月分别采用疾病知识调查表及生活质量综合评定问卷表对其进行测评。结果患者出院时对所患疾病相关知识掌握欠佳,随着延续护理的持续,患者对疾病康复知识掌握情况较出院时有提高;出院3个月后患者的生活质量评分远低于出院时及出院后1个月,差异均有统计学意义(均P<0.05)。结论延续护理可提高患者的认知水平和生活质量,降低并发症的发生率和二次入院率,减轻家庭经济负担、节省医疗资源,提高了患者及家属对医护人员的信任度及医院的知名度。

Objective To explore the application effect of continuation nursing in robot assisted laparoscopic radical cystectomy and urinary diversion surgery.Methods To establish the ward continued nursing team, standardizing the continued nursing forms,refinement of continuing nursing content.By convenience sampling,70 cases of robot assisted laparoscopic radical cystectomy and urinary diversion surgery were selected,and investigated by using the knowledge of disease questionnaire and general quality of life assessment questionnaire when discharge and 1 and 3 months after discharge.Results Patients were lack of disease relevant knowledge when discharge,with the continues of the continuation nursing,patients’mastery level of relevant knowledge was getting better compared with the time of discharge.The score of quality of life at three month of discharge were lower than the time of discharge and first month of discharge （all P 〈0.05）.Conclusion Continuing nursing can improve patient’s cognitive level and the quality of life,reduce the incidence of complications and twice admission rate,reduce the financial burden on families,save medical resources and improve the trust degree of patients to the medical staffs and the reputation of the hospital.