移动平台APP在肠造口病人术后延续性护理中的应用

The application value of mobile platform APP in the continuous nursing of patients with enterostomy

目的:建立通过移动平台APP为肠造口病人提供延续性护理的新模式并评价其应用效果。方法:选取胃肠外科实施肠造口手术病人66例,随机分为观察组和对照组,各33例。对照组采用常规术后护理及出院时宣教,观察组在常规护理基础上,出院后采用"健康乐"手机APP进行护理干预。分别在出院时及出院1个月后,利用造口自我护理量表早期版、造口适应性量表、造口相关自我效能问卷,比较2组病人在造口自我护理、造口适应性及造口相关自我效能方面的变化。结果:出院时2组病人的造口自我护理、造口适应能力和造口相关自我效能得分差异均无统计学意义(P>0.05)。出院1个月后,观察组病人的造口自我护理总分明显高于对照组(P<0.01),造口适应能力总分和3个维度得分均高于对照组(P<0.05~P<0.01),造口相关自我效能量表总分和各维度及功能性领域得分均高于对照组(P<0.05~P<0.01)。结论:基于移动平台APP技术的造口延续性护理模式能够明显提高病人的自护能力、造口适应能力及造口自我相关效能,改善病人的生存质量,并提高护理人员的服务效率。

Objective:To establish a new model of continuous nursing for patients with enterostomy,and evaluate its effects.Methods:Sixty-six patients treated with enterostomy in gastrointestinal surgery department were randomly divided into the observation group and control group(33 cases each group).The control group were nursed with routine postoperative nursing and nursing guidance before discharge,and the observation group were nursed with routine nursing combined with nursing intervention of mobile platform APP before discharge.The ostomy self-care,ostomy adaptability and ostomy related self-efficacy in two groups were investigated using stoma self-early stage version(SSCS-early stage version),Ostomy Adjustment Scale(OAS)and Stoma Self-Efficacy Scale at the time of discharge and after a month of discharge,and compared between two groups.Results:There was no statistical significance in the scores of the ostomy self-care,ostomy adaptability and ostomy related self-efficacy between two groups at the time of discharge(P>0.05).After 1 month of discharge,the score of the ostomy self-care in observation group was significantly higher than that in control group(P<0.01),the scores of three dimensions and total score of OAS in observation group were higher than those in control group(P<0.01 to P<0.05).The total score of ostomy related self-efficacy,score of each dimension and score of functional field in observation group were higher than those in control group(P<0.01 to P<0.05).Conclusions:The continuous nursing care mode based on mobile platform APP technology can significantly improve the self-care ability,stoma adaptability,self-related efficacy of stoma and quality of life of patients,and improve the service efficiency of nursing staff.