团队管理模式在提高肠造口患者出院准备度和出院指导质量中的应用效果

Effects of team management model in improving the readiness of discharge and guidance quality of enterostomy patients

目的:探讨团队管理模式对外伤后行肠造口患者出院准备度、出院指导质量的影响。方法:采用便利抽样法,选取2017年7月—2019年6月温州医科大学附属第一医院结直肠肛门外科收治的68例肠造口患者为研究对象,分为观察组(36例)和对照组(32例)。观察组采用基于团队管理模式的医护造口专业管理,贯穿住院及出院后系统化管理,对照组采用医护常规管理模式。比较两组患者出院准备度量表、出院指导质量量表得分情况。结果:观察组患者出院准备度量表得分(89.72±8.56)分,高于对照组的(77.42±10.69)分,两组得分比较差异有统计学意义(P<0.001)。观察组患者出院指导质量评价量表总分为(149.08±10.31)分,高于对照组的(130.09±19.69)分,两组得分比较差异有统计学意义(P<0.001)。结论:采取基于团队管理模式的医护造口专业管理贯穿住院及出院后系统化管理,可提高患者出院准备度和出院指导质量。

Objective To explore the influence of team management model on discharge preparation and quality of discharge guidance for patients undergoing enterostomy after trauma.Methods Convenient sampling method was used to select 68 patients with enterostomy who were admitted to the Department of Colorectal and Anal Surgery,the First Affiliated Hospital of Wenzhou Medical University from July 2017 to June 2019,they were divided into observation group(36 cases)and control group(32 cases).The observation group adopted a team management model for professional management of medical stoma throughout hospitalization and post-discharge systematic management,while the control group adopted a conventional medical management model.The scores of Readiness for Hospital Discharge Scale(RHDS)and Quality of Discharge Teaching Scale(QDTS)were compared between the two groups.Results The score of RHDS of the observation group was(89.72±8.56),which was higher than that(77.42±10.69)of the control group,the difference between the two groups was statistically significant(P<0.001).The score of QDTS of the observation group was(149.08±10.31),which was higher than that(130.09±19.69)of the control group,the difference between the two groups was statistically significant(P<0.05).Conclusions The professional management of medical stoma based on the team management model throughout hospitalization and systemic management after discharge can improve the readiness for discharge and the quality of the guidance for discharge of patients.