连续性护理对带T管出院患者自护能力及生活质量的影响.docVIP

连续性护理对带T管出院患者自护能力及生活质量的影响 　　[摘要] 目的 探讨连续性护理在带T管出院患者中的应用效果。 方法 将30例给予连续性护理的带T管出院患者设为观察组（2014年12月～2015年3月），30例给予常规护理的带T管出院患者设为对照组（2014年7～10月），比较两组出院后的自护能力、生活质量及焦虑情况。 结果 观察组1个月时的自我概念、自我责任、自我护理技能等方面的评分均高于对照组，差异有统计学意义（P0.05）。观察组出院后3个月的胃肠生活质量评分高于对照组，焦虑评分低于对照组，差异有统计学意义（P0.05）。 结论 连续性护理能够满足带T管出院患者的护理需求，提高自护能力和生活质量。 　　[关键词] 连续性护理；带T管出院；生活质量；自护能力 　　[中图分类号] R473.2 [文献标识码] B [文章编号] 1673-9701（2015）34-0139-03 　　Effect of continuous nursing on the life quality and anxiety of discharged patients with T tube 　　MA Chunyan LIU Jiefan 　　Department of Hepatobiliary Surgery， the Second Peoples Hospital of Changshu City in Jiangsu Province， Changshu 215500，China 　　[Abstract] Objective To investigate the effect of continuous nursing in discharge patients with T tube. Methods 30 cases of discharged patients with T tube given continuous nursing were selected as the observation group （December 2014 to March 2015）， another 30 cases given discharge guidance were selected as the control group （July to October 2014）， and the self-care ability， life quality and anxiety after discharge of two groups were compared. Results The scores of self-concept， self responsibility and self-care skill in the observation group at 2 weeks were higher than those in the control group（P0.05）. The gastrointestinal life quality score in the observation group at 2 weeks after discharge was higher than that in the control group， and the anxiety score was lower than that in the control group（P0.05）. Conclusion Continuous nursing can meet the needs of discharged patients with T tube； improve life quality and self-care ability. 　　[Key words] Continuous nursing； Discharged patients with T tube； Life quality； Self-care ability 　　胆道疾病是普外科比较常见的疾病，近年来随着生活压力的增大和饮食方式的改变，胆道疾病的发病率有逐渐上升的趋势。T管引流是胆道手术患者一项重要的治疗方法，其不仅可使胆汁进行较好的引流，降低胆总管压力，而且能够加快炎症消退。T管的拔出时间约为术后14～21 d，为了降低患者的经济压力，患者常于术后6 d带管出院[1]。但带管出院的患者由于缺乏护理知识，存在一定的护理隐患。连续性护理是医院护理的延续和扩展，其对提高疾病患者的治疗依从性、改善健康状态具有积极意义。为了提高带T管出院患者的自护能力和生活质量，我院对30例患者实施连续性护理，效果满意，现报道如下。 　　1 资料与方法