| 金玉香,朱珠,栾伟.某三级医院外科手术出院患者术后伤口随访需求的研究[J].上海护理,2021,21(S1): |
| 某三级医院外科手术出院患者术后伤口随访需求的研究 |
| Study on the demand of postoperative wound follow-up of discharged patients in a tertiary hospital |
| DOI： |
| 中文关键词: 出院患者 术后随访 伤口 延续护理 |
| 英文关键词:Discharged patients Postoperative follow-up Wound Continuous care |
| 基金项目:上海申康医院发展中心临床管理优化项目 |
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| 中文摘要: |
| 目的 探讨手术病人出院后对手术伤口相关的随访需求,并对相关影响因素进行分析,为提高手术病人的延续护理质量提供参考。方法 在2020年10月-11月间采用便利抽样使用选取在上海交通大学医学院附属仁济医院南院区部分手术科室的住院患者194名,参照出院准备服务中心伤口部分调查内容自设的手术伤口出院评估表进行问卷调查。结果 194位术后患者46.4%为老年患者,且147位患者有不同程度的功能障碍。有27.8%及29.7%的患者白蛋白及前白蛋白指标异常,有高达51.8%的患者血糖异常。97.4%的患者出院后由家人进行主要照顾工作,患者的随访需求选择率依次是饮食指导、心理护理、自我观察、复诊随访建议、功能锻炼。结论 外科手术患者有较大的延续性护理的需求,且对延续性护理内容的需求有别于慢病患者,主要集中在复诊、疾病相关知识及饮食方面术后患者的。应结合患者需求角度构建有效的外科术后病人出院随访模式,使手术伤口得到延续护理,提高病人出院后的生活质量。 |
| 英文摘要: |
| Objective To explore the follow-up needs of surgical patients after discharge from hospital, and analyze the related influencing factors, so as to provide reference for improving the quality of continuous nursing care for surgical patients. Methods From October to November 2020, 194 inpatients in the South Hospital of Renji Hospital Affiliated to Shanghai Jiaotong University Medical College were selected by convenience sampling. The questionnaire survey was conducted according to the self-designed surgical wound discharge assessment form of the discharge preparation service center. Results Among 194 postoperative patients, 46.4% were elderly patients, and 147 patients had different degrees of dysfunction. 27.8% and 29.7% of patients had abnormal albumin and prealbumin, and 51.8% had abnormal blood glucose. 97.4% of the patients were mainly taken care of by their families after discharge. The selection rate of follow-up needs of patients was diet guidance, psychological nursing, self-observation, follow-up advice for follow-up visit and functional exercise. Conclusion Surgical patients have a greater demand for continuity of care, and the demand for continuity of care content is different from that of chronic disease patients, mainly focused on follow-up visit, disease-related knowledge and diet of postoperative patients. It is necessary to construct an effective follow-up model for postoperative patients based on the needs of patients, so that the surgical wound can be continuously cared and the quality of life of patients after discharge can be improved. |
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