"互联网+"结直肠癌造口术后早期分级随访管理模式的应用效果

Application effect of "Internet+" early grading follow-up management mode after enterostomy for colorectal neoplasms

目的分析"互联网+"结直肠癌造口术后早期分级随访管理模式的应用效果。方法将丽水市中心医院行结直肠癌造口术后186例患者作为研究对象,于2019年1月至2020年2月入组的患者作为对照组,2020年3月至2021年4月入组的患者作为观察组,每组93例。对照组采取常规随访措施,观察组运用"互联网+"对结直肠癌造口患者进行早期分级随访管理,比较2组患者出院3个月的按时随访反馈情况、造口周围皮肤状况、造口并发症发生率、随访期间的护理满意度。结果对照组超过计划随访时间2 d未反馈率为20.43%(19/93),观察组为7.53%(7/93),差异有统计学意义(χ^(2)=6.44,P<0.05);观察组患者出院3个月的造口周围皮肤状况评分为(2.53±0.78)分,优于对照组的(4.02±1.13)分,差异有统计学意义(t=10.47,P<0.05);观察组出院3个月造口并发症发生率为9.68%(9/93),低于对照组的21.51%(20/93),差异有统计学意义(χ^(2)=4.94,P<0.05);观察组对随访期间的护理满意度为98.92%(92/93),高于对照组的91.40%(85/93),差异有统计学意义(χ^(2)=4.20,P<0.05)。结论"互联网+"早期分级随访管理模式能改善结直肠癌造口术后的随访效果及造口周围皮肤状况,减少造口并发症发生率,提高护理满意度。

Objective To analyze the application effect of"Internet+"early grading follow-up management mode after enterostomy for colorectal neoplasms.Methods The 186 patients who underwent enterostomy for colorectal neoplasms in Lishui Central Hospital were selected as the research objects.The patients enrolled from January 2019 to February 2020 served as the control group,and the patients enrolled from March 2020 to April 2021 served as the observation group,with 93 patients in each group.Routine follow-up measures were taken in the control group,while"Internet+"was used in the observation group for early grading follow-up management of patients with enterostomy for colorectal neoplasms.The timely follow-up feedback,score of skin condition around stoma,incidence of stoma complications and nursing satisfaction during follow-up were compared between the two groups.Results The two-day non feedback rate in the control group was 20.43%(19/93)and that in the observation group was 7.53%(7/93),the difference was statistically significant(χ^(2)=6.44,P<0.05).The score of skin condition around stoma in the observation group was(2.53±0.78)points 3 months after discharge,which was significantly better than that in the control group 4.02±1.13,the difference was statistically significant(t=10.47,P<0.05).The incidence of stoma complications in the observation group was 9.68%(9/93),which was lower than that in the control group 21.51%(20/93),the difference was statistically significant(χ^(2)=4.94,P<0.05).The nursing satisfaction in the observation group was 98.92%(92/93),which was significantly higher than that in the control group 91.40%(85/93),the difference was statistically significant(χ^(2)=4.20,P<0.05).Conclusions"Internet+"early grading follow-up management model can significantly improve the follow-up effect after enterostomy for colorectal neoplasms,improve the skin condition around stoma,reduce stoma complications and improve nursing satisfaction.