基于互联网的多学科团队延伸护理在行永久性肠造口患者中的应用效果

Application effect of Internet-based extended nursing of multidisciplinary teamin patients with a permanent stoma

目的 探讨以互联网为基础的多学科团队延伸护理在行永久性肠造口出院患者中的应用效果。方法 采用便利抽样法抽取2020年11月至2021年10月于烟台毓璜顶医院行永久性肠造口的92例出院患者为研究对象,并按简单随机法分为对照组(45例)和观察组(47例)。对照组实施常规出院宣教和出院后电话随访,观察组在其基础上实施以互联网为基础的多学科团队延伸护理。比较2组患者的自我护理能力、造口相关知识掌握情况和生活质量,以及并发症发生率。结果 相较于出院当日,2组在干预3个月后的自我护理能力量表各维度评分和总分、造口相关知识掌握度各项评分和总分,以及生活质量核心问卷各维度评分均升高(P均<0.05);相较于对照组,观察组的上述指标评分均更高(P均<0.05)。干预期间,与对照组相比,观察组的并发症总发生率更低(P<0.05)。结论 以互联网为基础的多学科团队延伸护理能够显著提高行永久性肠造口患者出院后的自我护理能力和对造口相关知识的掌握程度,提升其生活质量,并预防并发症的发生。

Objective To explore the application effect of Internet-based extended nursing of multidisciplinary team in the patients discharged with a permanent stoma.Methods A total of 92 discharged patients who underwent permanent enterostomy at Yantai Yuhuangding Hospital from November 2020 to October 2021 were selected by convenience sampling.They were assigned into a control group(45 cases)and an observation group(47 cases)by simple random sampling.The control group carried out routine discharge education and telephone follow-up after discharge,and the observation group additionally carried out Internet-based extended nursing of multidisciplinary team.The self-care ability,mastery of stoma-related knowledge,quality of life,and complication rate of the two groups were compared.Results Compared with at discharge,the item scores and total score of the Exercise of Self-Care Agency Scale,the item scores and total score of the stoma-related knowledge,and the item scores of the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire in the two groups increased after 3 months of intervention(all P<0.05).Compared with the control group,the scores of the above indicators in the observation group were higher(all P<0.05).During the intervention period,the observation group had a lower complication rate than the control group(P<0.05).Conclusion Internet-based extended nursing of multidisciplinary team can significantly improve the self-care ability,mastery of stoma-related knowledge,and quality of life of patients discharged with a permanent stoma,and prevent the complications.