摘要
目的制订腹腔镜结直肠癌手术患者出院准备服务干预方案并探讨其临床应用效果。方法在文献回顾及现状调查的基础上,结合个人与家庭自我管理理论和过渡期理论构建干预方案。采用整群抽样选取腹腔镜结直肠癌手术患者,按科室分对照组56例与研究组60例。对照组接受普外科围手术期护理及常规出院指导,研究组在此基础上,采用自行制订的出院准备服务干预方案进行干预。结果两组出院前出院准备度得分、出院指导质量得分、术后4周并发症级别及非计划性再入院率比较,差异有统计学意义(P<0.05,P<0.01)。结论腹腔镜结直肠癌手术患者出院准备服务方案的制订和实施可改善护士出院指导质量,提高患者出院准备度水平,降低术后并发症发生率及非计划性再入院率。
Objective To construct an intervention program for discharge preparation services(DPS)for colorectal cancer patients undergoing laparoscopic surgery and to explore the effects of the intervention program.Methods An DPS intervention program was made based on literature review,survey study,and Individual and Family Self-management Theory,and Transitions Theory.Cluster sampling method was used to recruit colorectal cancer patients undergoing laparoscopic surgery,and the patients were divided based on the unit they were admitted into a control group(n=56),who received perioperative care and routine discharge teaching,and an intervention group(n=60),who additionally received DPS in pursuant to the DPS intervention program.Results There were significant differences in total score of readiness for hospital discharge,total score of the quality of discharge teaching,the severity degree of complications and unplanned readmission rate at 4 weeks after surgery between the two groups(P<0.05,P<0.01).Conclusion The DPS program can improve the quality of discharge teaching by nurses and patients′readiness for hospital discharge,and reduce complication rate and unplanned readmission rate.
作者
潘兰
刘东英
张振香
陈远远
赵明月
Pan Lan;Liu Dongying;Zhang Zhenxiang;Chen Yuanyuan;Zhao Mingyue(The Nursing and Health College of Zhengzhou University,Zhengzhou 450001,China)
出处
《护理学杂志》
CSCD
北大核心
2020年第14期1-5,共5页
Journal of Nursing Science
关键词
结直肠癌
腹腔镜手术
出院准备服务
再入院
并发症
出院指导
colorectal cancer
laparoscopic surgery
discharge preparation services
readmission
complication
discharge teaching
