尿道下裂术后患儿健康教育移动平台的构建与应用
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摘要
目的构建尿道下裂术后患儿健康教育移动平台,并探讨其在尿道下裂术后患儿中应用效果。方法选取我院泌尿外科收治的尿道下裂术后患儿80例,通过构建和应用健康教育移动平台为术后出院患儿及其家长进行延续护理,包含患者、宣教课程、预约治疗、微信咨询及评价5个模块。结果运用健康教育移动平台对尿道下裂术后80例患儿进行延续护理6个月,2例失访,78例患儿出院6个月内尿瘘4例,均在6个月后再次手术修复尿瘘而治愈,尿道狭窄4例,给予定期尿道扩张,患儿排尿困难的症状均得到改善。结论健康教育移动平台应用于尿道下裂术后患儿延续护理中,可及时解决患儿居家护理中出现的问题,有利于保障患儿术后护理的延续性,可提高患儿家属的护理知识,降低患儿尿瘘及尿道狭窄等并发症的发生。
Objective To develop a mobile-based health education platform for children after hypospadias repair and explore its application effect.Methods A mobile-based health education platform that consisted of 5 sections including patients,health education courses,appointment,consultation and assessment was developed and 80 children and their families obtained extended nursing from the platform after the discharge.Results Extending nursing was performed for 6 months by using the platform and 2 of the patients lost to follow-up.Of the left 78 children,4 cases of urinary fistula within 6 months after the discharge had the surgery and recovered and another 4 cases of urethral stricture were carried out urethra dilatation.Conclusion The developed mobile-based health education platform is effective for extended nursing for the improvement of nursing knowledge of families and reducing the incidence of complications such as urinary fistula and urethral stricture.
Objective To develop a mobile-based health education platform for children after hypospadias repair and explore its application effect.Methods A mobile-based health education platform that consisted of 5 sections including patients,health education courses,appointment,consultation and assessment was developed and 80 children and their families obtained extended nursing from the platform after the discharge.Results Extending nursing was performed for 6 months by using the platform and 2 of the patients lost to follow-up.Of the left 78 children,4 cases of urinary fistula within 6 months after the discharge had the surgery and recovered and another 4 cases of urethral stricture were carried out urethra dilatation.Conclusion The developed mobile-based health education platform is effective for extended nursing for the improvement of nursing knowledge of families and reducing the incidence of complications such as urinary fistula and urethral stricture.
引文
[1]徐月敏.尿道修复重建外科学[M].北京:人民卫生出版社2010:41.
[2]范志强,刘中华,周瑞锦,等.横行带蒂双面包皮皮瓣法一期修复尿道下裂[J].中华整形外科杂志,2010,26(4):307-308DOI:10.3760/cma.j.issn.10094598.2010.04.022.
[3]吕军,金玉明,聂海波,等.尿道下裂矫治术支架引流方式的改良[J].中华医学杂志,2011,91(46):3278-3280.DOI:103760/cma.j.issn.0376-2491.2011.46.011.
[4]陈细明,廖贤平,王海坤,等.尿道下裂一期修复术后并发症防治[J].中国医师进修杂志,2011,34(14):20-21.DOI:103760/cmmj.issn.1673-4904.2011.14.008.
[5]李森恺.实用尿道下裂手术[M].北京:中国协和大学出版社,2015:280.
[6]李棚,曾艳,冯波,等.预防性护理对小儿尿道下裂术后并发症的干预效果观察[J].广西医科大学学报,2017,34(3):466-470.DOI:10.16190/j.cnki.45-1211/r.2017.03.038.
[7]石彩晓,段娟,朱淑萍,等.尿道下裂术后患儿家庭护理的需求调查[J].中华护理杂志,2015,50(4):420-422.DOI:103761/j.issn.0254-1769.2015.04.008.
[8]尚少梅.国外延续护理的发展及启示[J].中华现代护理杂志,2014,20(1):1-3.DOI:10.3760/j.issn.1674-2907.2014.01001.
[9]杨倩蓉,杨明莹,王剑松,等.我国延续护理的应用研究现状[J].护理学报,2014,21(9):17-19.
[10]Mood L C,Neunzert C,Tadesse R,et al.Centering the Concept of Transitional Care:A Teaching-learing Innovation[J].J Nure Educ,2014,53(5):287-290.DOI:10.3928/0148 4834-20140422-01.
[11]覃桂荣.出院患者延续护理的现状及发展趋势[J].护理学杂志,2012,27(3):89-91.DOI:10.3870/hlxzz.2012.03.089.
[12]那彦群.2014版中国泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社,2014:616.
[13]王飞杰,王志霞,王璐,等.两种不同尿道支架管冲洗方法对小儿尿道下裂术后并发症的护理研究[J].中国实用护理杂志,2018,34(1):1-4.DOI:10.3760/cma.j.issn.1672-7088.2018.01.001.
[14]吴萍凤,陈小莲,刘晓姝,等.综合护理干预对尿道下裂术后患儿尿瘘发生的影响[J].护理学报,2011,18(9B):34-36.DOI:10.3969/jissn.1008-9969.2011.18.013.
[15]张晓利,越丽霞,郭梅闪.复杂性尿道下裂行舌黏膜尿道成形术患者的护理[J].中国实用护理杂志,2012,28(14):33-34.DOI:10.3760/cma.j.issn.1672-7088.2012.14.070.
[16]刘中华,范志强,皇甫学军.舌黏膜尿道成形术治疗复杂性尿道下裂[J].中华整形外科杂志,2012,28(6):440-443DOI:10.3760/cma.j.issn.1009-4598.2012.06.010.
[17]刘国昌,袁继炎,周学锋,许凯.尿道下裂术后尿道狭窄的预防及再手术术式选择[J].临床泌尿外科杂志,2004,19(2)93-94.
[18]王园园,沈娟,钱湘云.网络互动式健康教育对慢性乙型肝炎患者生活质量的影响[J].中国实用护理杂志,201430(3):69-71.DOI:10.3760/cma.j.issn.1672-2014.03.034.
[2]范志强,刘中华,周瑞锦,等.横行带蒂双面包皮皮瓣法一期修复尿道下裂[J].中华整形外科杂志,2010,26(4):307-308DOI:10.3760/cma.j.issn.10094598.2010.04.022.
[3]吕军,金玉明,聂海波,等.尿道下裂矫治术支架引流方式的改良[J].中华医学杂志,2011,91(46):3278-3280.DOI:103760/cma.j.issn.0376-2491.2011.46.011.
[4]陈细明,廖贤平,王海坤,等.尿道下裂一期修复术后并发症防治[J].中国医师进修杂志,2011,34(14):20-21.DOI:103760/cmmj.issn.1673-4904.2011.14.008.
[5]李森恺.实用尿道下裂手术[M].北京:中国协和大学出版社,2015:280.
[6]李棚,曾艳,冯波,等.预防性护理对小儿尿道下裂术后并发症的干预效果观察[J].广西医科大学学报,2017,34(3):466-470.DOI:10.16190/j.cnki.45-1211/r.2017.03.038.
[7]石彩晓,段娟,朱淑萍,等.尿道下裂术后患儿家庭护理的需求调查[J].中华护理杂志,2015,50(4):420-422.DOI:103761/j.issn.0254-1769.2015.04.008.
[8]尚少梅.国外延续护理的发展及启示[J].中华现代护理杂志,2014,20(1):1-3.DOI:10.3760/j.issn.1674-2907.2014.01001.
[9]杨倩蓉,杨明莹,王剑松,等.我国延续护理的应用研究现状[J].护理学报,2014,21(9):17-19.
[10]Mood L C,Neunzert C,Tadesse R,et al.Centering the Concept of Transitional Care:A Teaching-learing Innovation[J].J Nure Educ,2014,53(5):287-290.DOI:10.3928/0148 4834-20140422-01.
[11]覃桂荣.出院患者延续护理的现状及发展趋势[J].护理学杂志,2012,27(3):89-91.DOI:10.3870/hlxzz.2012.03.089.
[12]那彦群.2014版中国泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社,2014:616.
[13]王飞杰,王志霞,王璐,等.两种不同尿道支架管冲洗方法对小儿尿道下裂术后并发症的护理研究[J].中国实用护理杂志,2018,34(1):1-4.DOI:10.3760/cma.j.issn.1672-7088.2018.01.001.
[14]吴萍凤,陈小莲,刘晓姝,等.综合护理干预对尿道下裂术后患儿尿瘘发生的影响[J].护理学报,2011,18(9B):34-36.DOI:10.3969/jissn.1008-9969.2011.18.013.
[15]张晓利,越丽霞,郭梅闪.复杂性尿道下裂行舌黏膜尿道成形术患者的护理[J].中国实用护理杂志,2012,28(14):33-34.DOI:10.3760/cma.j.issn.1672-7088.2012.14.070.
[16]刘中华,范志强,皇甫学军.舌黏膜尿道成形术治疗复杂性尿道下裂[J].中华整形外科杂志,2012,28(6):440-443DOI:10.3760/cma.j.issn.1009-4598.2012.06.010.
[17]刘国昌,袁继炎,周学锋,许凯.尿道下裂术后尿道狭窄的预防及再手术术式选择[J].临床泌尿外科杂志,2004,19(2)93-94.
[18]王园园,沈娟,钱湘云.网络互动式健康教育对慢性乙型肝炎患者生活质量的影响[J].中国实用护理杂志,201430(3):69-71.DOI:10.3760/cma.j.issn.1672-2014.03.034.