摘要
目的探讨院前信息化管理模式在胃肠道肿瘤患者中的应用效果。方法将在青岛大学附属医院门诊预约住院的胃肠道肿瘤患者451例按随机数字表法分为对照组225例和试验组226例。对照组按照常规流程处理,试验组实施院前信息化管理,通过微信公众号、Heals移动健康教育系统、电话沟通、微信群等方式对患者进行个体化的评估及健康教育。结果实施院前信息管理模式后试验组患者焦虑、抑郁情绪评分分别为(55.89±15.53)、(56.19±17.87)分,优于对照组患者的(60.84±15.42)、(62.28±19.67)分,差异有统计学意义(t=3.40、3.43,均P<0.01)。入院相关知识知晓率(74%~93%)及对院前健康教育满意度亦高于对照组(χ^(2)值为5.84~20.28,均P<0.05);试验组预约患者办理住院率为91.15%(206/226),显著高于对照组的81.78%(184/225),差异有统计学意义(χ^(2)=8.47,P<0.05);二次住院率为8.41%(19/226),显著少于对照组的19.11%(43/225),差异有统计学意义(χ^(2)=10.90,P<0.01)。结论院前信息化教育管理模式能提高胃肠道肿瘤患者入院相关知识知晓率,提高患者对院前教育管理的满意度,降低二次住院率,缩短术前平均住院日,值得临床进一步推广和应用。
Objective To explore the application effect of pre-hospital information publicity and education management model in patients with gastrointestinal tumors.Methods The inpatients with gastrointestinal tumors who made an appointment in the outpatient department of the Affiliated Hospital of Qingdao University were randomly divided into 225 cases in the control group and 226 cases in the experimental group.The control group was treated according to the routine process,the experimental group implemented pre hospital information education and management,and the patients were individually assessed and health education through the official account of WeChat,Heals mobile education system,telephone communication and WeChat group.Results After the implementation of pre-hospital information management model,the anxiety and depression scores of patients in the experiment group were(55.89±15.53)and(56.19±17.87),which were significantly better than those in the control group,(60.84±15.42)and(62.28±19.67)(t=3.40,3.43,both P<0.01).The awareness rate of admission related knowledge(74%to 93%)and satisfaction with pre-hospital publicity and education management in the experimental group were also higher than control group(χ^(2) values were 5.84-20.28,all P<0.05).The hospitalization rate of patients in the experimental group was 91.15%(206/226),which was significantly higher than that in thecontrol group,81.78%(184/225),the difference was significant(χ^(2)=8.47,P<0.01).The secondary hospitalization rate in the experimental group was 8.41%(19/226),which was significantly lower than that in the control group,19.11%(43/225)(χ^(2)=10.90,P<0.01).Conclusion The pre-hospital information publicity and education management model can improve the awareness rate of patients′admission related knowledge,improve patients′satisfaction with pre hospital publicity and education management,reduce the secondary hospitalization rate and shorten the average preoperative hospital stay,which is worthy of further promotion and application in clini
作者
郑学风
李银玲
张惠
修红
Zheng Xuefeng;Li Yinling;Zhang Hui;Xiu Hong(Gastrointestinal Surgery,the Affiliated Hospital of Qingdao University,Qingdao 266555,China;Nursing Department,the Affiliated Hospital of Qingdao University,Qingdao 266555,China)
出处
《中国实用护理杂志》
2022年第26期2032-2036,共5页
Chinese Journal of Practical Nursing
关键词
肿瘤
管理模式
信息化
院前
Tumor
Management mode
Informatization
Pre-hospital
