“医随”平台在膀胱灌注患者延续性护理中的应用效果

Application effect of"medical follow"platform in continuous care of bladder infusion patients

目的探讨“医随”平台在膀胱灌注延续性护理中对改善患者知识知晓率、自我护理能力和生活质量的作用。方法选取2021年8月至2023年12月揭阳市人民医院收治的80例行经尿道膀胱肿瘤电切术(transurethral resection of bladder tumor,TURBT)患者作为研究对象,进行回顾性分析,按照随机数字表法分为对照组与观察组,每组40例。对照组采用传统方式进行延续性护理,观察组采用“医随”随访平台进行延续性护理。比较两组膀胱灌注知识知晓率、出院前后自我护理能力、生活质量。结果出院6个月后,观察组膀胱灌注知识知晓率为100%(40/40),高于对照组的80%(32/40),差异有统计学意义(P<0.05)。出院时,两组自我护理能力测定量表(exercise of self-care agency scale,ESCA)评分比较,差异无统计学意义(P>0.05);出院6个月后,两组ESCA评分均高于出院时,且观察组高于对照组,差异有统计学意义(P<0.05)。出院时,两组功能、症状、总健康状况评分比较,差异无统计学意义(P>0.05);出院6个月后,观察组功能、症状评分低于对照组,总健康状况评分高于对照组,差异有统计学意义(P<0.05)。结论“医随”随访平台应用于膀胱灌注患者延续性护理中,可显著改善患者膀胱灌注知识知晓率,提高其自我护理能力和生活质量。

Objective To explore the application effect of the"medical follow"platform in the continuity care of bladder instillation patients in improving patients'knowledge awareness,self-care ability and quality of life.Methods Totally 80 patients undergoing transurethral resection of bladder tumor(TURBT)admitted from August 2021 to December 2023 were selected for retrospective analysis,and the patients were divided into control group and observation group according to random number table,with 40 cases in each group.The control group used the traditional continuation care,and the observation group used the"medical follow"follow-up platform.Knowledge awareness of bladder perfusion,self-care ability and quality of life were compared between the two groups.Results Six months after discharge,the awareness rate of bladder perfusion knowledge in the observation group was 100%(40/40)which was higher than 80%(32/40)in the control group,and there was statistically significant(P<0.05).At discharge,the exercise of self-care agency scale(ESCA)was not different(P>0.05);6 months after discharge,the ESCA scores of both groups were higher than at discharge,and the observation group was higher than the control group(P<0.05).At discharge,the functional,symptom and total health scores were different(P>0.05);6 months after discharge,the function and symptom scores of the observation group were lower than those of the control group,and the total health status score was higher than that of the control group,and the differences were statistically significant(all P<0.05).Conclusion The application of"medical follow"platform in the continuous care of bladder perfusion patients can significantly improve the knowledge rate of bladder perfusion and improve their self-care ability and quality of life.