出院计划服务在尿路结石患者中的应用

The Application of Discharge Planning Service in Patients with Urinary Stones

目的评价出院计划服务在尿路结石患者中的应用效果。方法选取2013年1月至2014年1月在我院行碎石术患者111例,随机分为观察组(56例)和对照组(55例)。对照组给予常规尿路结石健康教育和随访,观察组在对照组基础上实施出院计划服务管理模式,干预时间为1年。比较两组结石相关知识掌握程度、遵医行为以及结石复发情况。结果观察组结石相关知识掌握程度、遵医行为以及结石复发情况均明显优于对照组,差异有统计学意义(P<0.05)。结论出院计划服务能有效提高尿路结石患者相关知识掌握程度和遵医行为,降低尿路结石的复发率,减轻患者的痛苦和医疗负担,提高患者的生活质量。

Objective To evaluate the application effect of discharge planning service in patients with urinary stones. Methods 111 cases of patients with urinary stones treated with lithotripsy in our hospital from January 2013 to January 2014 were selected and randomly divided into observation group （56 cases） and control group （55 cases）. The control group was given conventional health education and was followed up for one year, the observation group was given discharge planning service on the basis of control group and was followed up for one year. The mastering degree of related knowledge about stones, compliance behavior and calculi recurrence rate were compared between two groups. Results The mastering degree of related knowledge about stones, compliance behavior and calculi recurrence rate of observation group were significantly better than those of control group, with statistically significant difference （P〈0.05）. Conclusions For patients with urinary stones, discharge planning service can effectively improve the mastering degree of related knowledge about stones and compliance behavior, reduce the recurrence rate of stones, relieve pain in patients and medical burden, and improve patients＇ life quality.