护理延伸服务对泌尿系结石患者自我管理的作用.pdf

中 国 医 药 指 南 2011 年 12 月第 9 卷 第 34 期 • 论 著 • 5 护理延伸服务对泌尿系结石患者自我管理的作用 嵇桃瑛 许梦清 王晓乐* 杨 芳 （上海市浦东新区公利医院，上海 200135 ） 摘要 目的 方法 【 】 评价护理延伸服务对泌尿系结石患者自我管理能力的作用。 将 116 例泌尿系结石患者随机分成观察组和对照组各 58 例， 住院期间均予以常规护理和健康宣教，观察组出院后分阶段、持续进行护理延伸服务（定期电话回访、家庭访视、群体教育、患者交流会）， 对患者自我管理能力进行干预；随访 2 年后观察两组在掌握疾病相关知识情况、自我管理能力、结石复发率方面的差异。结果 观察组患 者掌握疾病相关知识情况、自我管理能力等方面均优于对照组 , 结石复发率明显低于对照组，两组比较有显著性差异（P ＜0.01）。结论 护 理延伸服务可以提高患者自我管理能力，在一定程度上避免结石的反复发作。 关键词 【 】泌尿系结石；护理延伸服务；自我管理能力； 中图分类号：R473.6 文献标识码：B 文章编号：1671-8194（2011）34-0005-03 The Effect Role of Extended Care Services for the Self-management of Patients with Urinary Stone JI Tao-ying, XU Meng-qing, WANG Xiao-le, YANG Fang (Shanghai Pudong New Area Gongli Hospital, Shanghai 200135, China) [Abstract] Objective To evaluate the extended care services for patients with urinary stone the role of self-management skills. Method The 116 cases of urinary stone patients were divided into two groups, an experimetal group and a controled one each with 58 cases respectively,Both are taken routine care of and given health propaganda. after discharge from hospital including. on-going extended care services.ongoing (regular telephone interviews, home visits, group education, communication) to intervene the self-management of patients. After 2 years follow-up were observed in the control of disease-related knowledge, self-management skills, stone recurrence rate differences. Results The experimetal patients disease-related knowledge to master the situation, self-management skills were better than the control group, Stone recurrence rate was signifi cantly lower than the control group, Two groups had signifi cant