摘要
目的探讨延续性护理对胆道探查术后携T管出院患者自护能力的影响,并分析影响自护能力的因素。方法选取2016年4月至2018年4月间于空军军医大学第一附属医院接受胆道探查术后携T管出院患者116例作为研究对象,按照随机数表法分为观察组和对照组,每组58例。出院后(干预前)至再次入院拔管(干预后)时对照组患者予常规护理干预,观察组患者在对照组基础上予延续性护理干预,比较两组患者干预前后的自护能力(采用自我护理能力实施量表(ESCA)评估),并用Logistic回归分析法分析影响自护能力的因素。结果干预前,两组患者的ESCA得分比较差异无统计学意义(P>0.05);观察组患者干预后的ESCA得分为(131.82±13.92)分,明显高于干预前的(98.05±10.41)分,对照组干预后ESCA得分为(115.23±11.52)分,明显高于干预前的(97.21±9.74)分,且观察组患者干预后的ESCA得分明显高于对照组干预后的ESCA得分,差异均具有统计学意义(P<0.05);多元Logistic回归分析结果表明,年龄、文化程度、T管留置时间、Barthel指数为患者自护能力的影响因素(P<0.05)。结论与胆道探查术后携T管出院患者自护能力有关的影响因素为年龄、文化程度、T管留置时间、Barthel指数,延续性护理干预可提高患者的自护能力。
Objective To explore the effect of continuous nursing on the self-care ability of patients with T-tube discharge after biliary exploration,and to analyze the factors affecting self-care ability of patients.Methods A total of 116 patients were selected as subjects,who underwent biliary exploration at the First Affiliated Hospital of Air Force Medical University from April 2016 to April 2018 and discharged with T-tube.They were divided into observation group and control group according to the random number table method,with 58 cases in each group.During the period from discharge(before intervention)to re-admission(after intervention),patients in the control group were given routine nursing intervention,while patients in the observation group were given continuous nursing intervention on the basis of the control group.Patient's self-care ability was assessed using the exercise of self-care agency scale(ESCA).The self-care ability of the two groups before and after intervention was compared,and the factors affecting self-care ability were analyzed by logistic regression analysis.Results Before intervention,there was no significant difference in ESCA scores between the two groups(P>0.05).The ESCA score of the observation group was(131.82±13.92)points after intervention,which was significantly higher than(98.05±10.41)points before intervention,and the ESCA score of the control group was(115.23±11.52)points after intervention,which was significantly higher than(97.21±9.74)points before intervention.In addition,the ESCA score after intervention was significantly higher in the observation group than in the control group;all differences were statistically significant(P<0.05).The results of multivariate logistic regression analysis showed that age,education level,T-tube indwelling time,and Barthel index were the influencing factors of patients'self-care ability(P<0.05).Conclusion The influencing factors related to the self-care ability of patients with T-tube discharge after biliary exploration are age,education level,T
作者
侯小娟
白洁
周璇
刘海静
HOU Xiao-juan;BAI Jie;ZHOU Xuan;LIU Hai-jing(Department of Hepatobiliary Pancreatic Splenic Surgery,the First Affiliated Hospital of Air Force Medical University,Xi'an 710032,Shaanxi,CHINA;Department of Ultrasound Medical Diagnosis,the First Affiliated Hospital of Air Force Medical University,Xi'an 710032,Shaanxi,CHINA;Department of Ultrasound Medical Diagnosis,Shaanxi Province Geriatric Hospital,Xi'an 710048,Shaanxi,CHINA)
出处
《海南医学》
CAS
2019年第18期2445-2448,共4页
Hainan Medical Journal
基金
陕西省重点研发计划(编号:2017ZDXM-SF-048)
关键词
胆道探查术
T型引流管
自护能力
影响因素
延续性护理
Biliary exploration
T-type drainage tube
Self-care ability
Influencing factor
Continuous nursing
