[1]朱红平.阶梯式健康教育对腹部术后留置腹腔引流管患者干预效果及非计划性拔管率的影响[J].医学信息,2023,36(13):170-173.[doi:10.3969/j.issn.1006-1959.2023.13.038]
　ZHU Hong-ping.Effect of Ladder-model Health Education on the Intervention Effect and Unplanned Extubation Rate of Patients with Indwelling Abdominal Drainage Tube After Abdominal Surgery[J].Journal of Medical Information,2023,36(13):170-173.[doi:10.3969/j.issn.1006-1959.2023.13.038]
点击复制

阶梯式健康教育对腹部术后留置腹腔引流管患者干预效果及非计划性拔管率的影响()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年13期
页码:
170-173
栏目:
护理研究
出版日期:
2023-07-01

文章信息/Info

Title:
Effect of Ladder-model Health Education on the Intervention Effect and Unplanned Extubation Rate of Patients with Indwelling Abdominal Drainage Tube After Abdominal Surgery
文章编号:
1006-1959（2023）13-0170-04
作者:
朱红平
（修水县第一人民医院外科，江西 修水 332400）
Author(s):
ZHU Hong-ping
(Surgery Department of the First People’s Hospital of Xiushui County,Xiushui 332400,Jiangxi,China)
关键词:
腹部手术; 腹腔引流管; 阶梯式健康教育; 非计划性拔管率; 遵医行为
Keywords:
Abdominal surgery; Abdominal drainage tube; Ladder-model health education; Unplanned extubation rate; Medical compliance behavior
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2023.13.038
文献标志码:
A
摘要:
目的 研究阶梯式健康教育对腹部术后留置腹腔引流管患者干预效果及非计划性拔管率的影响。方法 以2019年12月-2022年1月于修水县第一人民医院行腹部手术治疗并留置腹腔引流管的62例患者为研究对象，按照随机数字表法分为对照组（31例）和观察组（31例），对照组行常规护理，观察组在其基础上给予阶梯式健康教育，比较两组知识知晓率、遵医行为、自护能力[自我护理能力测定量表（ESCA）]、非计划性拔管率及腹腔引流并发症发生情况。结果 观察组干预后腹腔引流知识知晓率高于对照组（P＜0.05）；观察组遵医优良率高于对照组（P＜0.05）；观察组干预后ESCA评分高于对照组（P＜0.05）；观察组非计划性拔管率小于对照组（P＜0.05）；观察组腹腔引流并发症发生率小于对照组（P＜0.05）。结论 阶梯式健康教育可提高腹部术后留置腹腔引流管患者的相关认知水平，改善其遵医行为与自护能力，降低非计划性拔管率，减少置管期并发症。
Abstract:
Objective To study the effect of ladder-model health education on the intervention effect and unplanned extubation rate of patients with indwelling abdominal drainage tube after abdominal surgery.Methods A total of 62 patients who underwent abdominal surgery and indwelling abdominal drainage tube in the First People’s Hospital of Xiushui County from December 2019 to January 2022 were selected as the research objects. According to the random number table method, they were divided into control group (31 patients) and observation group (31 patients). The control group received routine nursing, and the observation group was given ladder-model health education on the basis of the control group. The knowledge awareness rate, compliance behavior, self-care ability [Exercise of Self-care Agency Scale (ESCA)], unplanned extubation rate and abdominal drainage complications were compared between the two groups.Results The awareness rate of abdominal drainage knowledge in the observation group was higher than that in the control group (P<0.05). The excellent and good rate of compliance in the observation group was higher than that in the control group (P<0.05). After intervention, the ESCA score of the observation group was higher than that of the control group (P<0.05). The unplanned extubation rate of the observation group was lower than that of the control group (P<0.05). The incidence of abdominal drainage complications in the observation group was lower than that in the control group (P<0.05).Conclusion Ladder-model health education can improve the cognitive level of patients with indwelling abdominal drainage tube after abdominal surgery, improve their compliance behavior and self-care ability, reduce unplanned extubation rate and complications during catheterization.

参考文献/References:

[1]易勇,刘高,尹毅锐,等.肝右叶切除术后不同腹腔引流管放置的随机对照研究[J].中华肝胆外科杂志,2019,25(7):497-500.[2]于雅倩,朱炳鸿,孙丙辉,等.妇科恶性肿瘤患者腹腔镜下腹膜后淋巴结切除术后放置引流管的必要性分析[J].山东医药,2021,61(17):49-51.[3]吴敏华.影响外科非计划性拔除留置胃管的相关因素及护理对策[J].基层医学论坛,2019,23(21):2970-2972.[4]张燕,吴桂丽,范冠华.基于关联规则的住院患者非计划性拔管危险因素分析[J].护理学杂志,2021,36(9):44-46.[5]刘捷,丁福.基于目标管理法减少住院患者非计划性拔管长效机制的建立及效果评价[J].中华现代护理杂志,2021,27(6):784-788.[6]孙健,谷虹,佐品,等.知信行健康教育对腹部手术病人早期离床活动的影响[J].蚌埠医学院学报,2020,45(11):1587-1589.[7]肖利平.阶段性健康教育对老年食管癌病人心理状态及术后配合行为的影响研究[J].现代消化及介入诊疗,2018,23(1):141-142.[8]Guo L,Ulrika S,Jacqueline MC,et al.Testing and comparing two self-care-related instruments among older Chinese adults[J].PLoS One,2017,12(8):e0182792.[9]肖广远,周君,陈炳荣,等.腹腔引流管拔管相关并发症的处理及预防[J].肝胆胰外科杂志,2021,33(4):213-215,222.[10]Li Z,Zhao L,Cheng Y,et al.Abdominal drainage to prevent intra-peritoneal abscess after open appendectomy for complicated appendicitis[J].Cochrane Database of Systematic Reviews,2018,5(5):CD010168.[11]李静,娄小平,鲁丰华.61例腹腔引流管脱管原因分析及护理对策[J].中国临床护理,2021,13(12):769-771.[12]吴琼,杨亚楠,魏学龄.综合护理干预在胆道疾病术后T型引流管有效护理中的应用[J].贵州医药,2019,43(11):1823-1824.[13]Chao CM,Lai CC,Chan KS,et al.Multidisciplinary interventions and continuous quality improvement to reduce unplanned extubation in adult intensive care units: A 15-year experience[J].Medicine,2017,96(27):e6877.[14]陈丽娟.腹腔镜胆囊切除术放置引流管护理效果分析[J].中国卫生标准管理,2015(20):207-208.[15]余黎君,龚竹云,赵婷.体验式健康教育模式在老年胸、腹部手术患者中的应用效果[J].解放军护理杂志,2017,34(18):67-69.[16]楚晓飞,何爱莲,卢峰育.阶段式健康教育联合呼吸功能锻炼在食管癌手术患者中的应用[J].中华现代护理杂志,2021,27(10):1367-1370.[17]杨爱娣,杨丽娜,白晓霞.导入式健康教育对手术患者健康认知及负性情绪的影响[J].中国健康教育,2017,33(8):722-725.[18]罗静,眭文洁,樊沙静,等.胸管自护体验式健康教育对肺结节患者术后胸管自护能力的影响[J].护士进修杂志,2021,36(5):450-454.[19]王桂春,智冰清,王娟,等.视频健康教育在LPD患者围手术期快速康复中的应用[J].河北医药,2021,43(3):418-421.[20]商之涵,夏丽燕,卢岳青.应用微视频对术后携带腹腔引流管患者实施延续性健康教育的实践与效果[J].护理管理杂志,2020,20(8):605-608.[21]滕晓菊,杨雨薇,张先翠,等.非计划性拔管护理不良事件成因分析及管理对策[J].中日友好医院学报,2022,36(1):37-38.[22]张雅红.胸外术后患者管道意外拔出原因及护理干预措施分析[J].中国药物与临床,2021,21(6):1041-1043.[23]高俊芳,殷蓉.肝癌术后未放置腹腔引流管的护理应用效果[J].实用临床医药杂志,2017,21(8):86-88,92.

相似文献/References:

[1]刘汉建,王明星,刘瑞林,等.经鼻型肠梗阻导管应用于腹部术后早期粘连性肠梗阻胃肠减压的临床研究[J].医学信息,2021,34(21):88.[doi:10.3969/j.issn.1006-1959.2021.21.022]
　LIU Han-jian,WANG Ming-xing,LIU Rui-lin,et al.Clinical Study of Nasal Intestinal Obstruction Catheter in Early Postoperative Adhesive Intestinal Obstruction Gastrointestinal Decompression[J].Journal of Medical Information,2021,34(13):88.[doi:10.3969/j.issn.1006-1959.2021.21.022]
[2]孙 强,佘丽丽,黄敏红.全麻腹腔镜手术对老年腹部手术患者血流动力学、镇静效果及认知功能的影响[J].医学信息,2023,36(23):46.[doi:10.3969/j.issn.1006-1959.2023.23.011]
　SUN Qiang,SHE Li-li,HUANG Min-hong.Effects of General Anesthesia Laparoscopic Surgery on Hemodynamics,Sedative Effect and Cognitive Function in Elderly Patients Undergoing Abdominal Surgery[J].Journal of Medical Information,2023,36(13):46.[doi:10.3969/j.issn.1006-1959.2023.23.011]

更新日期/Last Update: 1900-01-01