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