肝内门体分流术后运用互联网进行综合护理的实施效果
| 作者: |
1,2尹五青,
2宁松毅
1 江苏大学鼓楼临床医学院消化科，南京 210008 2 江苏大学医学院，江苏 镇江 212013 |
| 通讯: |
宁松毅
Email: nsy@ujs.edu.cn |
| DOI: | 10.3978/j.issn.2095-6959.2020.12.027 |
摘要
目的：探讨对肝内门体分流术后出院患者运用互联网进行综合护理的实施效果。方法：采用方便抽样法，选取2018年6月至2019年6月在南京大学医学院附属鼓楼医院消化科行肝内门体分流术的肝病患者120例，按入院时间分为两组：2018年6至12月的患者作为对照组，实施常规护理及出院后1，3，6个月进行电话随访；2019年1至6月的患者作为实验组，制订出院计划，运用互联网综合护理对患者进行干预，以自我护理能力测量表(Exercise of Self-Care Agency Scale，ESCA)与健康调查量表(Short form 36 Health Survey Questionnaire，SF-36)评价两组患者的自我护理能力及生存质量的改善情况。结果：入院时实验组和对照组自我护理能力的4个维度及总评分差异无统计学意义(P>0.05)，干预6个月后，实验组自我护理能力的4个维度及总分均高于对照组，差异有统计学意义(P<0.01)；入院时实验组生存质量的8个维度评分与对照组差异无统计学意义(P>0.05)，干预6个月后，实验组生存质量的8个维度评分均高于对照组，差异有统计学意义(P<0.05)。结论：运用互联网进行综合护理能明显提高经颈静脉肝内门体分流术(transjugular intrahepatic portal systemic shunts，TIPS)患者的自我护理能力，从而形成有效的自我管理能力，提高患者的生活质量。
关键词：
经颈静脉肝内门体分流术；出院计划；自我护理能力；生活质量
Effect of implementing comprehensive nursing by using Internet after transjugular intrahepatic portal systemic shunts
CorrespondingAuthor: NING Songyi Email: nsy@ujs.edu.cn
DOI: 10.3978/j.issn.2095-6959.2020.12.027
Abstract
Objective: To discuss the effect of the implementation of discharge plan under the background of “Internet+” on the nursing effect of liver disease patients after transjugular intrahepatic portal shunt. Methods: A total of 120 liver disease patients who received transjugular intrahepatic portal systemic shunts (TIPS) in gastroenterology department of Nanjing Drum Tower Hospital from June 2018 to June 2019 were selected. Patients from June to December 2018 were treated as the control group, and were given routine nursing and telephone follow-up after discharge. Patients from January to June 2019 were treated as the experimental group. Discharge plan was made for the patients and intervention was carried out according to the discharge plan process. The Exercise of Self-Care Agency Scale (ESCA) and Short form 36 Health Survey Questionnaire (SF-36) were used to evaluate the improvement of the self-care ability and quality of life of the patients in the two groups 6 months after discharge. Results: There were no statistically significant differences in the four dimensions and total scores of self-care ability between the experimental group and the control group at admission (P>0.05). After 6 months of intervention, the four dimensions and total scores of self-care ability of the experimental group were higher than that of the control group, and the difference was statistically significant (P<0.01). There was no statistically significant difference in the eight dimensions of quality of life score between the experimental group and the control group at admission (P>0.05). After 6 months of intervention, the scores on all 8 dimensions of quality of life in the experimental group were higher than those in the control group, and the difference was statistically significant (P<0.05). Conclusion: The implementation of personalized discharge plan under the background of “Internet+” can significantly improve the self-care ability of patients with TIPS, thus forming effective self-management ability and improving the quality life of patients.
Keywords：
transjugular intrahepatic portal systemic shunts; discharge plan; self-care ability; the quality of life