延续护理对留置T管出院患者焦虑状态和自我护理能力的效果评价

Effects of continuing nursing care on the anxiety state and self-care ability of discharged patients with indwelling the T-tube

目的研究延续护理对胆总管结石术后留置T管出院患者焦虑状态和自我护理能力的影响效果。方法因胆总管结石行胆总管切开取石术留置T管的患者108例,随机分为常规护理组(对照组)和延续护理组(观察组),每组54例。观察组在包含常规护理的基础上增加延续护理干预,比较2组患者焦虑状态[焦虑自评量表(SAS)、汉密尔顿焦虑量表(HAMA)]和自我护理能力测量表(ESCA)的差异、出院带管期间出现管道相关并发症的发生率以及对住院期间和出院期间护理满意度的评价。结果在实施延续护理干预前2组患者的SAS评分和HAMA评分差异无统计学意义(P>0.05),而在实施延续护理干预后,观察组患者的SAS评分和HAMA评分显著低于对照组,且自我护理能力明显提高(P<0.01);发生导管堵塞和出现导管周围皮肤感染的发生率较对照组明显降低(P<0.05);2组患者对住院期间护理满意度评分差异无统计学意义(P>0.05),而观察组患者对出院期间护理的满意度评分较对照组高(P<0.01)。结论延续护理可有效改善留置T管出院患者的焦虑状态,提高患者的自我护理能力,减少管道相关并发症的发生,提高护理的满意度,值得临床推广应用。

Objective To investigate the effects of continuing nursing care on the anxiety state and self-care ability of discharged patients with indwelling the T-tube after operation of common bile duct stones.Methods A total of 108 patients with indwelling T-tube after operation of common bile duct incision and stone removal in our hospital from January 2017 to December 2018 were randomly divided into the routine care group(control group)and the continuing nursing care group(observation group),with 54 cases in each group.The patients in observation group,on the basis of conventional nursing,were treated by continuing nursing intervention.The anxiety status and self-care ability and evaluated by means of and disc SAS self-rating anxiety scale,HAMA and ESCA,moreover,the incidence rate of tube-related complications after discharging from hospital and nursing satisfaction degree during hospitalization were observed and compared between the two groups.Results Before nursing intervention,there were no significant differences in SAS scores and HAMA scores between the two groups(P>0.05).After nursing intervention,the SAS scores and HAMA scores in observation group were significantly lower than those in control group,and the self-care ability was significantly improved(P<0.01).The incidence rates of catheter blockage and skin infection around the catheter in observation group were significantly lower than those in control group(P<0.05).There were no significant differences in the nursing satisfaction degree scores during hospitalization between the two groups(P>0.05),moreover,the nursing satisfaction degree scores after discharging from hospital in observation group were significantly higher than those in control group(P<0.01).Conclusion Continuing nursing care can effectively relieve the anxiety state of patients with indwelling T-tube after discharging from hospital,improve the self-care ability of patients,reduce the incidence of tube-related complications,and increase the nursing satisfaction degree,therefor,which is worthy of clinical application and promotion.