基于“护+”APP的上门护理服务在肝胆外科T管出院患者中的应用

Application of Home Care Service Based on "Nursing+" APP in Patients with Hepatic and Biliary Surgery T-tube Discharge

目的探讨基于"护+"APP的上门护理服务在肝胆外科T管出院患者中的应用效果。方法于2017年11月~2018年10月在我院肝胆外科手术治疗后带管出院并接受"护+"APP上门护理服务的长沙市区患者中随机选取62例纳入实验组,同时从带管出院未接受"护+"APP的上门护理服务的长沙市区患者中随机选取62例纳入对照组。对照组接受常规的出院指导,实验组在对照组基础上接受"护+"APP的上门延续护理服务。比较两组患者并发症发生情况(发热、管道堵塞、管道脱落、胆道出血)、感染发生率、护理知识掌握程度、焦虑评分及生活质量。结果实验组并发症发生率为3.23%,感染发生率为1.61%,低于对照组的19.35%、12.90%,差异有统计学意义(P<0.05);实验组焦虑评分低于对照组,差异有统计学意义(P<0.05);实验组生理功能、症状学、社会活动与日常生活能力、精神状态以及治疗评价得分均高于对照组,差异有统计学意义(P<0.05);实验组患者护理知识掌握程度高于对照组(96.77%vs 75.81%),差异有统计学意义(P<0.05)。结论"护+"APP的上门护理服务的建立对于促进肝胆外科术后带管出院患者的康复有着明显的效果,能够降低患者并发症及感染发生率,改善患者焦虑等不良情绪,提高患者生活质量,提高患者对护理知识的掌握程度,进而改善患者预后。

Objective To explore the application effect of on-site nursing service based on"Nursing+"APP in patients with T-tube discharge from hepatobiliary surgery.Methods From November 2017 to October 2018,62 patients in Changsha City who were discharged from the hospital after undergoing hepatobiliary surgery and received"Nursing+"APP on-site nursing services were randomly selected from the experimental group.Among the patients in Changsha who were discharged from the hospital who did not receive the"Nursing+"APP home care service,62 patients were randomly selected into the control group.The control group received routine discharge guidance,and the experimental group received the on-site continuation care service of"Nursing+"APP on the basis of the control group.Complications(fever,tube blockage,tube detachment,biliary tract hemorrhage),incidence of infection,knowledge of nursing knowledge,anxiety score,and quality of life were compared between the two groups.Results The incidence of complications in the experimental group was 3.23%,and the incidence of infection was 1.61%,which was lower than 19.35%and12.90%of the control group,the difference was statistically significant(P<0.05).The anxiety score of the experimental group was lower than that of the control group,the difference was statistically significant(P<0.05).The physiological function,symptomology,social activities and daily living ability,mental state and treatment evaluation scores of the experimental group were higher than the control group,the difference was statistically significant(P<0.05);The mastery of nursing knowledge in the group was higher than that in the control group(96.77%vs 75.81%),the difference was statistically significant(P<0.05).Conclusion The establishment of"Nursing+"APP on-site nursing service has obvious effects on promoting the rehabilitation of patients discharged from the hospital after hepatobiliary surgery.It can reduce the incidence of complications and infections,improve the anxiety of patients and improve their lives quality,improve the patient’s mastery of nursing knowledge,and thus improve patient prognosis.