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张蓉,周小青.延续护理方案在高龄经皮内镜下胃/空肠造口术出院患者中的应用[J].上海护理,2016,16(2):
延续护理方案在高龄经皮内镜下胃/空肠造口术出院患者中的应用
Application of continuity of care in the discharged very elderly percutaneous endoscopic gastronomy/jejunostomy patients
DOI：
中文关键词:  经皮内镜下胃/空肠造口术  高龄  延续护理  干预
英文关键词:percutaneous endoscopic gastronomy/jejunostomy  advanced age  continuing care  intervention
基金项目:
作者单位E-mail
张蓉 南京军区南京总医院 干部病房二科 bingguo1130@qq.com 
周小青* 南京军区南京总医院 干休所 1310475299@qq.com 
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中文摘要:
      摘要：目的：探讨延续性护理在高龄经皮内镜下胃/空肠造口术出院患者中的实施效果。方法：选取2012年3月—2014年6月间在我院行经皮内镜下胃/空肠造口术治疗的高龄患者68例，采用随机数字表法分成对照组和观察组，对照组、观察组各34例，对照组出院后采用常规护理宣教及门诊随访；针对观察组患者，科室成立导管管理小组，出院后给予患者定期家庭访视及电话随访。在干预一年后，比较两组患者出院期间导管并发症情况，并评估患者照护者导管护理知识及技能掌握情况、及患者及照护者的护理满意度。结果：出院一年内，观察组患者的造口感染、堵管、腹泻、造口旁渗漏等导管相关并发症发生率均低于对照组，差异具有统计学意义（P均<0.05）；且观察组患者照护者的导管护理知识及技能掌握情况及满意度均优于对照组，差异有统计学意义（P均＜0.01）。结论：延续护理方案的实施可有效控制高龄PEG/J患者出院期间并发症的发生，且有助于提高患者照护者的家庭护理能力，进而促进提出院患者满意度的提升。
英文摘要:
      Abstract: Objective To explore the effects of continuing care in the discharged very elderly percutaneous endoscopic gastronomy/jejunostomy (PEG/J) patients. Methods Sixty seven very elderly PEG/J patients were enrolled from March 2012 to June 2014 and were randomly divided into observation group and control group. The observation group containing 34 patients received continuity of care including regular home visits, telephone interviews and the like after discharge, while 34 patients in control group only received conventional outpatient follow-up. Differences related to catheter complications, catheter nursing skills, catheter nursing theory and patient satisfaction were compared after one year. Results In aspects of catheter complications, The difference of stoma infection, blockage, diarrhea and stoma leakage was statistically significant (P<0.05) . Catheter nursing skills, catheter nursing theory and patient satisfaction were also statistically significant (P<0.01) between the two groups. Conclusion Continuing care can alleviate catheter complications of the very elderly PEG/J patients and improve the nursing ability of family caregivers and life quality and degree of satisfaction of patients at discharge.
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主管单位：上海市卫生健康委员会   主办单位：上海市护理学会  出版：《上海护理》编辑部
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