电话回访对肝胆外科出院患者自我护理行为影响的研究

目的通过电话回访对肝胆外科出院患者进行健康教育,解决患者出院后存在的健康问题,以提高其自我护理能力,促进康复。方法建立患者健康档案,对出院后需要继续治疗或休息的患者进行电话回访式健康教育。于出院后1周开始对患者进行电话回访,持续一个月,根据患者的健康状况每周对患者进行1～2次健康教育,内容包括引流管护理、伤口护理、饮食休息指导等,对电话回访前和回访后患者的自我护理情况进行比较。结果经χ~2检验,回访前、后患者的自我护理能力的差异具有统计学意义(P<0.05)。结论电话回访式健康教育的开展体现了护理模式的转变,将医院健康教育工作延伸到出院患者的治疗康复过程中,能提高患者的自我护理能力,值得推广。

Study on the effect of through telephone follow - up on the self - care behaviors in discharged patients after liver and gall surgery

Objectives To offer health education by telephone follow-up tor the discharged patients after liver and gall surgery,in order to help them to deal with their health-related problems after they leave the hospital and improve their ability of self-care and promote the recnvery.Methods We set up patients'health records and provided health education through telephone follow-up tor the patients who need to continue treatment and rest after they leave the hospital.The first follow-up by telephone was offered in a week after they leave the hospital and continued with one or two times of telephone follow-up each week according to their health status,which lasted far a month.The contents of health education included tube care,wound care,diet and rest guidance,etc.Then the patients'ability of self-care were compared before and after telephone follow-up.Result The result of Chi-square test indicated that there was significant difference in the patients'ability of self-care before and after telephone follow-up(P<0.05).Conclusion The practice of health education through telephone follow-up reflected the change of nursing mode,which made the hospital health education to be broadened to the recovery,process after the patients leave the hospital and improved the patients'ability of self-care,and worth to be generalized.