摘要
目的建立肝移植患者出院准备服务流程,探讨其在临床实践中的应用效果。方法选取2015年7月至2016年12月行原位肝移植术后患者141例为对照组,给予常规护理及出院宣教指导;以2017年1月至2018年5月行原位肝移植术后患者135例为干预组,多学科团队制定出院准备服务流程,责任护士于干预组患者围术期不同阶段实施出院准备服务。结果干预组住院时间及30 d内再入院率显著短于和低于对照组(P<0.05,P<0.01);干预组家属出院时照护能力得分显著高于入院时(P<0.01)。结论出院准备服务流程的应用有利于缩短肝移植患者住院时间,降低30 d内再入院率,提高家属照护能力。
Objective To establish a discharge preparation service model for liver transplantation patients,and to explore its effects in clinical practice.Methods According to historical controlled study design,141 patients who received orthotopic liver transplantation from July 2015 to December 2016 were selected as the control group,who received routine nursing and discharge guidance,while 135 patients who received orthotopic liver transplantation from January 2017 to May 2018 were selected as the intervention group,who received nursing care at different perioperative stages pursuant to a discharge preparation service model,which was formed through the effort of a multidisciplinary team.Results The length of hospital stay and the readmission rate within 30 days in the intervention group were significantly shorter and lower than the control group(P<0.05,P<0.01).In the intervention group,the total caring ability scores of the family members measured at discharge were significantly higher than at admission(P<0.01).Conclusion The discharge preparation service model shortens the length of hospital stay of liver transplantation patients,reduces the readmission rate within 30 days,and improves the caring ability of family members.
作者
于颖
王春丽
雷雪雪
Yu Ying;Wang Chunli;Lei Xuexue(st Division of Department of Hepatobiliary Pancreatic Sugery,The First Hospital of Jilin University,Changchun 130021,China)
出处
《护理学杂志》
CSCD
北大核心
2020年第4期30-33,共4页
Journal of Nursing Science
关键词
肝移植
出院准备服务
多学科团队
出院安全
居家护理
家属
照护能力
liver transplantation
discharge preparation service
multidisciplinary team
discharge safety
home care
family member
caring ability
作者简介
于颖:女,本科,副主任护师,护士长;通信作者:雷雪雪,344718655@qq.com。
