肠造口患者医院-社区-家庭联动管理模式的实践研究

doi:10.3761/j.issn.1672-9234.2022.02.014

摘要/Abstract

摘要：

目的探索肠造口患者医院-社区-家庭联动管理模式的实践方法及效果。方法基于医共体建立肠造口患者医院-社区-家庭联动管理模式,主要包括加强对患者家属的在院教育,医院-社区联合开展延伸服务,建立多途径的服务网。以应用医院-社区-家庭联动管理模式前（2018年6月—12月）45例行肠造口手术的患者为对照组,应用模式后（2019年6月—12月）的45例患者为试验组,干预3个月后,比较两组患者的术后家庭照护力、造口并发症发生率及造口护理费用。结果干预3个月后,试验组家庭照护力得分为（85.29±2.77）分,对照组为（66.71±4.39）分,差异有统计学意义（t=23.999,P<0.001）;试验组肠造口并发症的发生率为13%（6/45）,对照组为71%（32/45）,差异有统计学意义（ χ ²=30.789,P<0.001）;试验组造口护理费用为（645±47）元,对照组为（1 643±171）元,差异有统计学意义（t’= 37.756,P<0.001）。结论医院-社区-家庭联动管理模式能够提高肠造口患者家庭照护力,降低并发症发生率,节约造口护理费用。

关键词: 肠造口术, 出院后医疗, 费用, 医疗, 家庭护理（非专业）, 医院-社区-家庭联动管理模式

Abstract:

Objective To explore the effects of the hospital-community-family linkage management model for patients with enterostomy. Methods A hospital-community-family linkage management model was established based on the medical treatment combination. The model included strengthening health education for inpatients and their family members,providing extended services by hospital-community joints,and establishing service networks by multiple ways. Forty-five patients before the model application（June-December 2018） were assigned to the control group. Another 45 patients who were managed by the linkage model（June-December 2019） were assigned in the experimental group. The postoperative family care capacity,the incidence of stoma complications and the cost of stoma care were compared between the two groups 3 months after the intervention. Results The score of family care ability in the experimental group was （85.29±2.77）,and was （66.71±4.39） in the control group （t=23.999,P<0.001）. The incidence of intestinal stoma complications in the experimental group was 13%（6/45） and 71%（32/45） in the control group （ χ ²=30.789,P<0.001）. The cost of stoma care in the experimental group was （645±47） yuan,and（1 643±171） yuan in the control group（t’=37.756,P<0.001）. Conclusion The hospital-community-family linkage management model can improve the family care ability of patients with intestinal stoma,reduce the incidence of complications,and save the cost of stoma care.

Key words: Enterostomy, Aftercare, Fees, Medical, Home Nursing, Hospital-community-family linkage management model

胡超君, 李桂芬, 潘雪芳. 肠造口患者医院-社区-家庭联动管理模式的实践研究[J]. 中华护理教育, 2022, 19(2): 172-176.

HU Chao-jun, LI Gui-fen, PAN Xue-fang. Hospital-community-family linkage management model for patients after enterostomy[J]. Chinese Journal of Nursing Education, 2022, 19(2): 172-176.

图/表 1

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