互联网+电话随访在术后出院胆囊切除患者中的效果

Effects of Internet plus telephone follow-up nursing in patients after cholecystectomy

目的探究互联网+电话随访在术后出院胆囊切除患者中的效果研究.方法选取2014-01/2017-01在天津市第五中心医院进行胆囊切除的患者98例,依据随机数字表分观察组49例行互联网+电话随访,对照组49例行电话随访,随访3 mo期间统计患者的并发症情况,3 mo后发放量表统计患者的护理满意度、焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Selfrating Depression Scale,SDS)与生命质量量表得分.结果护理3 m o后,观察组护理满意度得分高于对照组(76.22±7.98 vs 65.43±10.74),SAS(35.13±5.12 v s 44.64±6.71)、SDS(32.05±4.54 vs 40.21±5.78)得分低于对照组,差异具有统计学意义(P<0.05);观察组在生理功能(83.12±9.01 vs 70.19±8.21)、生理职能(85.08±7.46 vs 77.16±7.91)及社会功能(88.62±9.52 vs 80.32±9.65)得分高于对照组,差异具有统计学意义(P<0.05);护理3 mo期间,观察组并发症总数3例(6.12%)远远低于对照组8例(16.33%),差异具有统计学意义(P<0.05).结论互联网+电话随访的护理模式能获得认可,能改善患者的焦虑、抑郁的心理,提高生命质量,利于病情的康复.

AIM To evaluate the effects of Internet plus telephone follow-up nursing in patients aftercholecystectomy.METHODS Ninety-eight patients with cholecystolithiasis who underwent cholecystectomy from January2014 to January 2017 at our hospital were randomly divided into either an observation group（49 cases） to receive Internet plus telephone follow-up nursing, or a control group（49 cases） to receive telephone followup nursing. The patients were followed for 3mo. The nursing satisfaction scale, Self-rating Anxiety Scale（SAS）, Self-rating Depression Scale and the quality of life scale（SF-36） were used to assess and compare the satisfaction to nursing care, anxiety, depression and quality in the two groups, respectively.RESULTS After 3 mo of nursing, the satisfaction to nursing, SAS and SDS scores were significantly better in the observation group than in the control group（76.22 ± 7.98 vs 65.43± 10.74, 35.13 ± 5.12 vs 44.64 ± 6.71, 32.05 ±4.54 vs 40.21 ± 5.78, P〈0.05）. The scores of physiological function, physiological role and social function were signifi cantly higher in the observation group than in the control group（83.12 ± 9.01 vs 70.19 ± 8.21, 85.08 ±7.46 vs 77.16 ± 7.91, 88.62 ± 9.52 vs 80.32 ±9.65, P〈0.05）. The rate of complications in the observation group was significantly lower than that of the control group（6.12% vs16.33%, P〈0.05）.CONCLUSION Internet plus telephone follow-up nursing can improve patients＇ anxiety, depression,and quality of life, and is conducive to the rehabilitation of the disease.