作　　者： (）;

机构地区： 化州市人民医院

出　　处： 《中国医药指南》 2020年第18期217-218,共2页

摘　　要： 目的探讨个案管理的延伸护理服务在直肠广基息肉患者术后的应用价值。方法按照入院建档顺序将我院106例直肠广基息肉患者(2016年10月至2018年11月)分为观察组与对照组,每组53例。对照组实施常规护理,在此基础上观察组施以个案管理的延伸护理服务,两组均持续随访干预3个月。对比两组干预前后自护能力(ESCA评分)及生活质量(SF-36评分)变化、院外依从性。结果干预后两组ESCA评分及SF-36评分均较干预前提高,且观察组高于对照组(P均<0.05);观察组院外依从性90.57%(48/53)高于对照组73.58%(39/53)(χ~2=5.194,P<0.05)。结论给予直肠广基息肉患者个案管理的延伸护理服务,有利于提高患者术后自护能力及依从性,促进生活质量改善。 Objective To explore the value of extended management of case management in postoperative patients with rectal polyposis.Methods According to the order of admission,106 patients with rectal polyposis(October 2016 to November 2018)were divided into observation group and control group,with 53 cases in each group.The control group was given routine care.On this basis,the observation group was given case-based extended care services.Both groups were followed up for 3 months.The self-care ability(ESCA score)and quality of life(SF-36 score)changes,out-of-hospital compliance were compared between the two groups.Results After intervention,the ESCA scores and SF-36 scores of the two groups were higher than those before the intervention,and the observation group was higher than that of the control group(P<0.05).The outpatient compliance of the observation group was 90.57%(48/53)higher than that of the control group 73.58%(39/53)(χ2=5.194,P<0.05).Conclusion The extended care service for case management of rectal polyposis patients is benefi cial to improve postoperative self-care ability and compliance,improve quality of life.

关 键 词： 直肠广基息肉 个案管理的延伸护理服务 自护能力 生活质量

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