出院计划模式在高龄永久性膀胱造瘘病人中的应用及效果评价

Application and effect evaluation on discharge planning model in elderly patients with permanent cystostomy

[目的]探讨出院计划模式在高龄永久性膀胱造瘘病人中的应用效果。[方法]采用方便抽样法将符合标准的89例病人随机分为观察组和对照组,对照组采用泌尿外科常规护理及电话随访,观察组在常规护理的基础上实施出院计划模式进行延续护理,两组病人干预时间均为6个月。比较两组病人的自我护理能力、并发症发生率、非计划性入院率及家属关注度。[结果]观察组总体自我护理能力高于对照组(P<0.05),并发症发生率及非计划性入院率显著低于对照组(P<0.01)。[结论]出院计划模式应用于高龄永久性膀胱造瘘病人的延续护理中,提高了病人及家属的居家护理能力和生活质量,降低了并发症发病率及非计划入院率。

Objective： To discuss the application effect of discharge planning model in elderly patients with per-manent cystostomy. Methods： By convenience samplings total of 89 patients were enrolled and randomly divided into intervention group and control group. The patients in control group received routine nursing and phone call following - up;on the basis of routine nursing,the patients in observation group received continuity of care based on discharge planning model ; patients in both of in groups received intervention for 6 months. Results： The gen-eral self - care ability of patients in observation group was higher than that in control group（P〈0. 05）. The in-cidence of complications and unplanned hospital admission rate in intervention group were lower than those in control group（P〈0. 01）. Conclusions： Applied the discharge planning model for the elderly patients with perma-nent cystostomy improved the home care nursing ability and quality of life of patients and their families,and reduce the incidence of complications and unplanned hospital admission rate.