基于4C模式的出院计划在泌尿外科出院带管患者中的应用
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摘要
目的研究基于4C模式的出院计划在泌尿外科出院带管患者中的应用效果。方法将2017年3月1日至7月31日泌尿外科收住的155例出院带管患者设为对照组;8月1日至12月31日泌尿外科收住的151例患者设为观察组。对照组给予常规护理措施及出院后随访,观察组应用基于4C模式的出院计划实施干预。比较2组患者在出院时、出院1周后自我护理能力、焦虑、抑郁得分以及6个月内导管留置期间并发症发生率的差异。结果观察组患者出院时、出院1周后自我护理能力均显著高于对照组(P<0.01);焦虑、抑郁情绪均显著轻于对照组(P<0.01);观察组患者6个月内导管留置期间并发症发生率低于对照组(P<0.05)。结论在泌尿外科出院带管患者中应用基于4C模式的出院计划可有效提高出院带管患者自我护理能力,降低导管相关并发症发生率,减轻患者焦虑和抑郁情绪。
Objective To study the application effect of 4 C model-based discharge plan in discharged patients with catheter in Department of Urology. Methods A total of 155 discharged patients with catheter in Department of Urology from March 1 and July 31, 2017 were included into the control group and 151 patients admitted to Department of Urology from August 1 to December 31, 2017 were included into the observation group. The patients in the control group received the routine nursing measures and were followed up after discharge while the patients in the ob-servation group were applied 4 C model-based discharge plan for interventions. The differences of self-care ability,anxiety and depression scores at the time of discharge and one week after discharge, and the number of complications occurred during catheter indwelling within 6 months were compared between the two groups. Results The self-care ability of the patients in the observation group was significantly higher than that of the control group( P<0.01) at the time of discharge and one week after discharge. The anxiety and depression scores in the observation group were sig-nificantly less than those of the control group(P<0.01) at the time of discharge and one week after discharge. The incidence of complications during catheter indwelling in the observation group was significantly lower than that of the control group(P<0.05) within 6 months. Conclusion The application of 4 C model-based discharge plan can effectively improve the self-nursing ability; reduce the incidence of complications associated with catheterization; and re-lieve anxiety and depression in discharged patients with catheter.
Objective To study the application effect of 4 C model-based discharge plan in discharged patients with catheter in Department of Urology. Methods A total of 155 discharged patients with catheter in Department of Urology from March 1 and July 31, 2017 were included into the control group and 151 patients admitted to Department of Urology from August 1 to December 31, 2017 were included into the observation group. The patients in the control group received the routine nursing measures and were followed up after discharge while the patients in the ob-servation group were applied 4 C model-based discharge plan for interventions. The differences of self-care ability,anxiety and depression scores at the time of discharge and one week after discharge, and the number of complications occurred during catheter indwelling within 6 months were compared between the two groups. Results The self-care ability of the patients in the observation group was significantly higher than that of the control group( P<0.01) at the time of discharge and one week after discharge. The anxiety and depression scores in the observation group were sig-nificantly less than those of the control group(P<0.01) at the time of discharge and one week after discharge. The incidence of complications during catheter indwelling in the observation group was significantly lower than that of the control group(P<0.05) within 6 months. Conclusion The application of 4 C model-based discharge plan can effectively improve the self-nursing ability; reduce the incidence of complications associated with catheterization; and re-lieve anxiety and depression in discharged patients with catheter.
引文
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[11]刘文,张靖宇,于增艳,等.焦虑、抑郁与消极认知情绪调节策略关系的元分析[J].中国临床心理学杂志,2018,26(5):938-943.
[2]张龙秋,张秋生,盛.快速康复外科理念在泌尿外科患者围术期中的应用[J].中国护理管理,2015,15(7):872-875.
[3]刘丽,张金华,喻红玲.经尿道前列腺汽化电切术后半年内并发症的护理探讨[J].护理研究(下旬版),2014,28(2):717-718.
[4]王少玲,黄金月,周家仪.建立慢性阻塞性肺疾病延续护理的循证实践[J].中华护理杂志,2009,44(5):431-434.
[5]Griffith ML,Boord JB,Eden SK,et al.Clinical inertia of discharge planning among patients with poorly controlled diabetes mellitus[J].J Clin Endocrinol Metab,2019,97(6):2019-2026.
[6]史亚丽,吴爱须,李彦平,等.延续护理对永久性结肠造口病人自我护理能力的影响[J].护理研究,2014,28(5B)1686-1688.
[7]汪向东,王希林,马弘.心理卫生评定量表手册(增订版)[M]北京:中国心理卫生杂志社,1999:235-237.
[8]Monsen KA,Neely C,Oftedahl G,et al.Feasibility of encoding the Institute for Clinical Systems Improvement Depression Guideline using the Omaha System[J].J Biomed Inform,2012,45(4):719-725.
[9]彭易,王岚,邹静.奥马哈系统在慢病管理中的应用研究进展[J].中国护理管理,2015,15(12):1499-1501.
[10]梁百桂.自我管理教育对永久性耻骨上膀胱造瘘患者生活质量的影响[J].中国老年学杂志,2013,33(10):2433-2434.
[11]刘文,张靖宇,于增艳,等.焦虑、抑郁与消极认知情绪调节策略关系的元分析[J].中国临床心理学杂志,2018,26(5):938-943.