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目的探讨微信延续性护理干预对留置双J管患者的护理效果。方法选取2013年1月—2017年1月收治的留置双J管患者84例,随机分为观察组(43例)和对照组(41例),对照组实施常规护理,观察组给予微信式延续护理,分析患者出院3个月后生活质量,记录并发症。计量资料比较采用t检验,计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果出院3个月后,观察组生活质量评分总分、环境、生理、社会、心理评分[(59.2±4.1)、(15.4±1.9)、(14.8±1.3)、(14.7±1.4)、(15.2±1.3)分]高于对照组[(44.5±4.6)、(11.5±2.6)、(10.5±1.8)、(11.2±1.5)、(11.5±1.5)分],差异有统计学意义(均P<0.05)。观察组血尿、感染、双J管移位或脱落、腰胀痛、尿路刺激征等并发症发生率(7.0%、2.3%、2.3%、4.7%、2.3%)低于对照组(29.3%、17.1%、19.5%、22.0%、14.6%),差异有统计学意义(均P<0.05)。结论微信式延续性护理能改善留置双J管患者生活质量,降低并发症。
Objective To investigate the effect of WeChat continuous nursing intervention on patients with double-J tube indwelling. Methods Totally 84 patients with lumbar J-tube admitted between January 2013 and January 2017 were randomly divided into the observation group (43 cases) and the control group (41 cases). The control group received routine nursing and the observation group received the WeChat continuation Nursing, analysis of patient quality of life after 3 months of discharge, record complications. Measurement data were compared using t test, count data were compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results After discharge for 3 months, the scores of environmental quality, physical status, social status and psychology in the observation group [(59.2 ± 4.1), (15.4 ± 1.9), (14.8 ± 1.3), (14.7 ± 1.4), (15.2 ± 1.3) in the control group were significantly higher than those in the control group (44.5 ± 4.6, 11.5 ± 2.6, 10.5 ± 1.8, 11.2 ± 1.5, 11.5 ± 1.5) <0.05). The complication rates of hematuria, infection, displacement of double J tube, complications such as lumbar pain and urinary tract irritation in the observation group were lower than those in the control group (29.3%, 2.3%, 2.3%, 4.7%, 2.3% , 17.1%, 19.5%, 22.0% and 14.6%, respectively), the difference was statistically significant (all P <0.05). Conclusion WeChat continuous nursing can improve the quality of life and reduce the complications in patients with double J tube.