永久性肠造口患者延续护理服务需求调查与分析

目的调查永久性肠造口患者对提供延续性护理服务的人员、服务方式和服务时间段等的需求现状,旨在为开展具有连续性的延续护理服务提供支持。方法通过便利抽样法,选取2018年1—12月在山东省某三级甲等综合医院术后出院及门诊就诊的120例永久性肠造口患者作为研究对象,采用自行设计的永久性肠造口患者延续性护理服务需求调查问卷进行需求调查。结果对延续护理服务方式的需求排在前3位的是电话、门诊和家庭随访,对服务人员的需求排在前3位的是跨学科团队、医生和造口治疗师,对出院后获得延续护理服务持续时间需求最多的为3~6个月,对服务时间段需求最多的集中在18∶00—20∶00;在服务频次方面,电话随访集中为1周1次或2周1次,家庭随访集中为2周1次,门诊随访集中为2周1次或1月1次。结论临床医护人员应立足永久性肠造口患者对延续护理服务的主要需求,探索更优化的延续护理服务方案,促进优质高效的延续护理服务体系的建立。

Investigation and analysis of continuous nursing service needs in patients with permanent colostomy

Objective To explore the current needs for the personnel,service mode and service duration of continuous nursing services in patients with permanent colostomy and provide support for developing continuous nursing services.Methods Totally 120 patients with permanent colostomy who were discharged after surgery and attended outpatient services in a ClassⅢGrade A general hospital in Shandong province between January and December 2018 were selected by convenient sampling and investigated using a self-designed questionnaire for continuous nursing needs in patients with permanent colostomy.Results The top 3 needs for continuing nursing services were telephone,outpatient service,and home follow-up.The top 3 needs for service personnel were interdisciplinary teams,doctors,and stoma therapists.The most demanding service duration after discharge was 3 to 6 months.The most demanding service time was from 18∶00 to 20∶00.In terms of service frequency,the telephone follow-up was once a week or once every two weeks;the home follow-up was once every 2 weeks;and the outpatient follow-up was once every 2 weeks or once a month.Conclusions Clinical medical staff should explore more optimized continuous nursing service plans and promote the establishment of a high-quality and efficient continuous nursing service system based on the main needs of patients with permanent colostomy for continuous nursing services.