基于互联网平台的延续护理在肠造口老年患者中的应用

Application of continuing nursing based on Internet platform in elderly patients with colostomy

目的:探讨基于互联网平台的延续护理在老年肠造口患者中的应用效果。方法:采用历史对照研究,将2015年7月至2016年7月的40例肠造口术后的老年患者作为对照组,2016年7月至2017年7月46例肠造口术后的老年患者作为实验组。对照组采取常规出院指导、电话随访,实验组利用互联网平台进行延续护理。对两组患者出院后第1个月、第3个月的造口并发症发生率及生活质量进行统计测量并比较。结果:患者出院后第1个月,实验组与对照组造口并发症分别为14%与56%,生活质量得分分别为(46.11±3.42)分、(39.87±1.17)分;患者出院后第3个月,实验组与对照组造口并发症发生率分别为7%、25%,生活质量得分分别为(51.59±2.30)分、(44.62±1.95)分。实验组患者造口并发症发生率低于对照组(P<0.05)、生活质量得分高于对照组(P<0.05)。结论:基于互联网平台的延续护理,能降低肠造口并发症的发生率,提高肠造口老年患者的生活质量。

Objective: To explore the application effect of extended nursing based on internet platform in elderly patients with enterostoma.Methods: A historical control study was conducted in 40 elderly patients after enterostomy from July 2015 to July 2016 as control group.From July 2016 to July 2017,46 cases of elderly patients after enterostomy patient as experimental group.Control group took regular discharge guidance and telephone follow-up,the experimental group used the internet platform for continuous nursing.The incidence and quality of life of ostomy in the first month and the third month after discharge from both groups were statistically measured and compared.Results: In the first month after discharge,the complications of the experimental group and the control group were 14%and 56%,respectively,and the quality of life scores were(46.11 ± 3.42) and(39.87 ± 1.17) points,respectively.In the third month after discharge,the experimental group and control group incidence of ostomy complications were 7% and 25%,quality of life scores were(51.59 ± 2.30) points,(44.62 ± 1.95) points.The incidence of colostomy in the experimental group was lower than that in the control group(P < 0.05),and the quality of life score was higher in the experimental group than in the control group(P < 0.05).Conclusion: Extensive nursing based on internet platform can reduce the incidence of complications of enterostoma and improve the quality of life in elderly patients with stoma.