摘要
目的探讨延续性护理对慢性化脓性中耳炎术后出院患者的影响。方法将198例慢性化脓性中耳炎术后患者按出院单、双日随机分为对照组98例和观察组100例。出院前对两组患者进行常规出院指导,观察组患者出院后采用电话随访,现场咨询,建立QQ群等延续性健康教育。出院6个月后比较两组患者相关知识掌握率、继发性鼓膜穿孔发生率及复诊率情况。结果出院6个月后,两组患者对相关知识掌握率情况比较,均P<0.05,差异具有统计学意义,观察组患者对相关知识掌握情况明显优于对照组;两组患者继发性鼓膜穿孔发生率比较,P>0.05,差异无统计学意义;两组患者出院后第2周、第3周复诊率比较,均P>0.05,差异无统计学意义;两组患者出院后第1个月、第2个月、第3个月、第6个月复诊率比较,均P<0.05,差异具有统计学意义,观察组患者复诊率明显高于对照组。结论通过采用延续性护理对慢性化脓性中耳炎术后出院患者进行延续性护理,可提高患者相关知识掌握率及复诊率,从而提高患者自我护理能力,促进患者康复。
Objective To investigate the effect of continued nursing on postoperative outcomes of discharged patients withchronic suppurative otitis media. Methods Toally 198 discharged patients were randomized into the control group （n=98） and the observation group （n= 100）. The patients in both groups received normal health education and additionally the continued nursing was used in the observation group for health education by way of phone call follow-up,on-the-spot consultation and QQ consultation.The mastery of related knowledge and skills, incidence of secondary tympanic membrane and readmission rate were compared. Results Six months after discharge,the observation group was significantly better than those the control group in the mastery of related knowledge and skills （P〈0.05）. The incidence of secondary tympanic membrane perforation was not statistically significant between the groups（P〉 0.05）. The readmission rate at the second week and the third week between the two groups had no statistically significant difference （P〉 0.05）. However,the readmission rate at the first, second,third and sixth month were statistically different （P〈0.05）. Conclusion Continued nursing to the postoperative discharged patients with chronic suppurative otitis media can improve the follow-up rate after discharge and self-nursing capacity,and as a result promote their recovery.
出处
《现代临床护理》
2016年第12期37-40,共4页
Modern Clinical Nursing
关键词
慢性化脓性中耳炎
延续性护理
健康教育
chronic suppurative otitis media
continued nursing
health education
