延续护理在携T管出院患者中实施效果的评价

目的：探讨延续护理干预在携T管出院患者中实施的效果。方法采用随机数字表法将符合入选条件的病例分为研究组和对照组各35例。研究组在出院后给予延续护理干预；对照组出院后予以随机电话随访。以胃肠生存质量问卷表（ GIQLI）、焦虑自评量表（ SAS）、T管护理知识调查问卷、满意度调查表的评定为主要指标，分别在出院前3d、来院拔管时对干预效果进行评价。结果干预后研究组GIQLI得分为（123．5±177;10．6）分，明显高于对照组的（113．6±177;13．8），两组比较差异有统计学意义（t＝3．60，P＜0．01）。干预后研究组SAS得分为（48．21±177;3．45）分，显著低于对照组的（60．26±177;4．73）分，差异有统计学意义（t ＝-7．68，P＜0．01）。干预后研究组 T 管护理知识问卷调查得分为（17．5±177;2．6）分，明显高于对照组的（12．5±177;3．2）分，差异有统计学意义（t＝7．67，P＜0．01）。研究组患者的住院护理满意度和出院护理满意度评分分别为（89．50±177;8．55），（90．14±177;7．20）分，分别高于对照组的（82．43±177;7．15），（73．49±177;6．95）分，两组比较差异均有统计学意义（t值分别为4．63，10．25；P＜0．01）。结论延续护理可以保证患者出院后的生命安全，缓解其焦虑情绪，提高出院后生活质量和满意度，对构建和谐护患关系有重要意义。

Evaluation of the implementation effect of continuing nursing care in discharged patients with carrying the T-tube

Objective To explore the effect of implementing continuing nursing care in discharged patients with carrying the T-tube.Methods Seventy patients who met the inclusion criteria were randomly divided into the experimental group and control group , each with 35 cases.The experimental group received the continuing nursing care after discharge , and the control group received the telephone follow-up after discharge . The intervention effect was evaluated by gastrointestinal quality of life index （ GIQLI ） , self-rating anxiety scale （SAS）, T tube nursing knowledge questionnaire and satisfaction questionnaire three days before discharge and the day of extubation in the hospital .Results The score of GIQLI was （123.5 ±177;10.6） in the experimental group after the intervention, which was significantly higher than （113.6 ±177;13.8） in the control group, and the difference was statistically significant （t=3.60, P＆lt;0.01）.The score of SAS was （48.21 ±177;3.45） in the experimental group after the intervention , which was significantly lower than （60.26 ±177;4.73） in the control group, and the difference was statistically significant （t=-7.68, P＆lt;0.01）.The score of T tube nursing knowledge questionnaire was （ 17.5 ±177;2.6 ） in the experimental group after the intervention , which was significantly higher than （12.5 ±177;3.2） in the control group, and the difference was statistically significant （t=7.67, P＆lt;0.01）.The scores of nursing satisfaction in the hospitalization and discharge were （89.50 ±177;8.55）, （90.14 ±177;7.20） in the experimental group, which were higher than （82.43 ±177;7.15）, （73.49 ±177;6.95） in the control group, and the differences were statistically significant （t =4.63, 10.25, respectively; P＆lt;0.01）. Conclusions Continuing nursing care has important significance to ensure safety of patients after discharge , relieve the anxiety , improve quality of life and satisfaction after discharge , and build the harmonious nurse-patient relationship .