出院后延续护理在永久性造口患者管理中的应用-中国护理管理.PDF

实践探索 Practice and Exploration 出院后延续护理在永久性造口患者管理 中的应用 谢玲女 蔡一波 洪小芳 杨方英 [ 摘 要] 我院通过电话随访、家庭访视、电话咨询、造口专科门诊的定期复诊、造口人阳光俱乐部活动等对44例永久性造 口患者实施出院后延续护理。44例患者均按计划完成各项出院后延续护理干预，效果满意，出院后1个月、6 个月时患者的造口 知识掌握情况优于出院时（P0.01），出院后3 个月时自我护理能力高于出院时（P0.01）。 [ 关键词 ] 造口；自我护理；延续护理 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2013.07.034 The application of transitional care in discharged colostomy patients management / XIE Ling-nü, CAI Yi-bo, HONG Xiao- fang, et al. // Colorectal Department, Zhejiang Cancer Hospital, Hangzhou, 310022 China /// Chinese Nursing Management- 2013,13(7): 100-102 [ ] Abstract This paper summarized the application and effect of transitional care in 44 discharged patients with a permanent colostomy. Transitional care included telephone follow-up, necessary home visit, telephone consultation initiated by patients, routine subsequent visit in stoma clinic, and ostomates club activities etc. Forty-four patients completed all of the transitional care as planned and the results were satisfactory. The stoma-related knowledge of 1 month and 6 month discharged colostomy patients were significantly better than those of 1 day before discharge (P﹤0.01). The self-care ability of 3 month discharged colostomy patients were significantly better than those of 1 day before discharge (P﹤0.01). [Key words] colostomy; self-care; transitional care 随着恶性肿瘤发病率的逐年升高, 能，取得了令人满意的效果，现报告如下。 包括造口的概念和类型、永久性造口的 低位直肠癌、膀胱癌等治疗后带来的永 1 资料与方法 必要性和目的、造口用品的种类和使用 久性造口患者数量也逐年增加,据统计, 方法。术后帮助患者重点掌握造口的自 1.1 患者一般资料 我国每年新增永久性造口患者约10万 [1]。 我护理技能,教育和示范的内容包括： 选择2011年5月至2012年6月收治 我国社区护理、家庭护理发展尚不成熟， 的永久性造口患者44例为研究对象。其