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Hospital-community-family linkage management model for patients after enterostomy
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.
Chao-jun HU , Gui-fen LI , Xue-fang PAN . Hospital-community-family linkage management model for patients after enterostomy[J]. Chinese Journal of Nursing Education, 2022 , 19(2) : 172 -176 . DOI: 10.3761/j.issn.1672-9234.2022.02.014
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