基于“互联网+”的延续护理在肠造口患者中的应用

Application of"Internet Plus"-based continuing care in patients with intestinal stoma

目的探讨基于“互联网+”的延续护理对肠造口患者的影响,以期为肠造口患者的护理服务提供参考。方法选取重庆医科大学附属第一医院2020年6月—2022年12月进行造口治疗的患者64例为研究对象。采用随机数字表法,将患者分为对照组和观察组,每组32例。对照组患者采取常规护理,观察组患者在对照组常规护理基础上采取延续护理干预。在患者出院后的第1、3个月于造口护理门诊随访时由护理小组成员对伤口进行评估,以确定是否发生并发症以及并发症的类型,同时指导患者和家属填写造口患者生活质量量表(Stoma-QOL)和照顾者负担量表(ZBI)。结果观察组患者出院后第1、3个月的肠道造口并发症发生率均低于对照组,差异均有统计学意义(P<0.05)。出院后第1、3个月,观察组患者Stoma-QOL中社会交往、与家属和朋友的关系、身心状况评分及总分均高于对照组,差异均有统计学意义(P<0.05)。出院后第1、3个月,观察组患者Stoma-QOL中造口袋的影响评分均低于对照组,差异均有统计学意义(P<0.05)。观察组造口患者照顾者出院后第1、3个月ZBI中角色负担、个人负担评分及总分均低于对照组,差异均有统计学意义(P<0.05)。出院后第3个月时,2组造口患者照顾者ZBI中角色负担、个人负担评分及总分均低于出院后第1个月时,差异均有统计学意义(P<0.05)。结论基于“互联网+”的延续护理在肠造口患者中的应用效果显著,可以降低患者并发症发生率,提高患者生活质量,减轻肠造口患者照顾者负担,值得推广应用。

Objective To explore the impact of continuing care based on"Internet Plus"in patients with intestinal stoma,and provide evidence for the care in these patients.Methods A total of 64 patients who underwent stoma treatment from June 2020 to December 2022 at the First Affiliated Hospital of Chongqing Medical University were selected as the study partici-pants,who were allocated to a control group(n=32)and an observation group(n=32)using a random number table.The control group received routine care,while the observation group received continuing care intervention based on the routine care in the control group.At the first and third months after discharge,the nursing team members assessed the wound dur-ing follow-up visits at the stoma care clinic to determine the occurrence and types of complications and guided patients and their families to complete the Stoma Quality of Life(Stoma-QOL)and Zarit Burden Interview(ZBI)scales.Results The incidence of intestinal stoma complications in the observation group at the first and third months after discharge was signifi-cantly lower than that in the control group(P<0.05).At the first and third months after discharge,the subscale(social interaction,relationship with family and friends,physical and mental status)and total scores in the Stoma-QOL scale were significantly higher in the observation group than in the control group(P<0.05).At the first and third months after dis-charge,the scores of the impact of the stoma bag in the Stoma-QOL scale were significantly lower in the observation group than in the control group(P<0.05).The subscale(role burden and personal burden)and total scores in the ZBI scale for caregivers of stoma patients in the observation group at the first and third months after discharge were significantly lower than those in the control group(P<0.05).At the third month after discharge,the subscale(role burden and personal bur-den)and total scores in the ZBI scale for caregivers in both groups were significantly lower than those at the first month after discharge(P<0.05).Conclusion The application of continuing care based on"Internet Plus"in patients with intestinal stoma has marked effects,including reducing the incidence of complications,raising patients'quality of life,and reducing the burden on caregivers of stoma patients,holding promise for a wider application.