专职随访对捐献肾移植受者生活质量影响的研究

Effect of full-time follow-up on quality of life in recipients with transplantation of donated kidney

目的探讨专职随访对器官捐献肾移植受者生活质量的影响。方法将成人公民逝世后器官捐献肾移植受者192例随机分为对照组97例和试验组95例,对照组采用常规随访模式,试验组实施专职随访,运行科室-门诊-网络闭环随访管理。比较2组患者的非计划再入院率、自我护理能力评分、生活质量评分以及随访满意度情况。结果出院后6个月,试验组的非计划再入院率18.95%,低于对照组29.90%,差异有统计学意义(P<0.05);出院后1、6个月,试验组自我护理能力得分、生活质量得分、随访满意度均高于对照组,差异有统计学意义(P<0.05)。结论专职随访可有效降低肾移植受者非计划再入院率,提高自我护理能力,改善生活质量,并提升患者的满意度。

Objective To explore the effect of full-time follow-up on the quality of life in recipients with transplantation of donated kidney.Methods A total of 192 recipients with transplantation of donated kidney from the dead adult citizens were randomly divided into control group(n=97)and experimental group(n=95).The control group received routine follow-up,while the experimental group received full-time follow-up(closed follow-up management of patient-outpatient-internet cycle).Unplanned readmission rate,score of self-care ability,score of quality of life and satisfaction degree of follow-up were compared between two groups.Results At 6 months after discharge,the unplanned readmission rate in the experimental group was 18.95%,which was significantly lower than 29.90%in the control group(P<0.05);at 1 month and 6 months after discharge,the scores of self-care ability,quality of life and satisfaction degree of follow-up in the experimental group were significantly higher than those in the control group(P<0.05).Conclusion Full-time follow-up can effectively reduce the unplanned readmission rate of recipients with renal transplantation,enhance self-care ability,improve quality of life,and increase patients′satisfaction degrees.