不同随访方式对留置双J管出院患者影响的效果观察

目的 探讨采用电话、Email、QQ随访方式对留置双J管患者进行出院后健康教育的效果.方法 将319例留置双J管患者随机分为对照组88例电话组89例,Email组70例和QQ组72例,4组患者在住院期间及出院前均进行常规健康教育,出院后由专人分别对电话组、Email组和QQ组患者进行电话、Email、QQ方式的随访,观察患者康复效果.结果 电话组、Email组和QQ组置管期间的并发症明显少于对照组,对置管期间并发症的预防及处理知识的掌握情况显著优于对照组.结论 多种出院随访的方式可供患者根据实际情况来进行选择,由于将医院健康教育延伸到患者家中,减少了各种并发症的发生,取得良好的社会效果,得到了患者及家属的好评.

Abstract：

Objective To explore the effect of health education through different postoperative follow-up method, including telephone、Email and QQ, on patients with indwelling D-J stents. Methods 319patients with indwelling D-J stents were divided into the control group(88 cases), the telephone group(89 cases), the Email group (70 cases) and the QQ group (72 cases). M1 patients received rourine health education during hospitalization and before discharge, the latter three groups received follow-up by telephone、Email and QQ after discharge respectively. The rehabilitation effect was observed in the four groups. Results The complication rates of the telephone group, the Email group and the QQ group was significantly less and the mastering of knowledge about prevention and handling of complication was better than the control group during the follow-up. Conclusions Different types of follow-up can be selected by patients according to their actual status. Decreasing complication rate, favorable social benefit and approval of the patients family members will be seen due to involvement of the patients family in health education.     

基于IMB模型的居家护理干预对乳腺癌化疗患者的康复作用

目的：探讨基于信息—动机—行为技巧(IMB)模型的居家护理干预对乳腺癌化疗患者的康复作用。方法：选取2022年5月至2022年10月桂林市某三甲医院日间治疗专区120名乳腺癌化疗患者,随机分成对照组和观察组,每组60例。对照组采用常规居家护理,观察组在常规居家护理基础上采用基于IMB模型的居家护理干预。采用一般自我效能感量表(GSES)、诺丁汉健康量表(NHP)、抑郁自评量表(SDS)和焦虑自评量表(SAS)评估患者的健康情况。结果：与对照组相比,观察组抑郁和焦虑评分均低于对照组,一般自我效能感评分和生活质量评分均高于对照组。结论：基于IMB模型的居家护理干预能够提升乳腺癌化疗患者的自我效能和生活质量,减轻焦虑和抑郁。