医护患一体化服务模式在膀胱全切患者居家护理中的应用

摘要

目的 观察并探讨医护患一体化服务模式在膀胱全切术患者术后康复中的作用效果.方法 随机选取在2015年8月-2017年8月期间,在本院泌尿外科接受治疗并进行了膀胱全切术的患者46例作为本次研究的观察对象,将其 随机分成2组,分别为观察组25例,对照组21例.2组在住院期间均 给予常规的护理及健康教育,并做好患者的出院指导.对照组在正常出院后不采取进一步的干预措施,观察组在出院 后对其进行为期3 个月的医护患一体化服务模式干预.观察并比较3个月后2组在护理前后对疾病的认知度, 以及能否接受自我形象改变的情况和心理状态 的变化;比较2组因 输尿管皮肤造口阻塞而需要回院接受治疗的情况.结果 干预结束后,观察组中可接受自我形象改变这一事实的人数所占比例明显高于对照组(P<0.05),观察组中因输尿管皮肤造口阻塞而需要回院接受 治疗的人数所占比例明显低于对照组(P<0.05);相较于对照组,护理 后观察组对疾病的认知度有显著提高(P<0.05);且观察组心理状态明显有所好转,而对照组心理状态并无明显改善.结论 医护患一体化服务模式对行膀胱全切术的患者的居家护理具有较好的疗效,对患者的康复起到了极大的促进作用.%Objective To observe and explore the effect of integrated servicemode of medical care in posto perative rehabilitation of patients with total cystectomy. Methods 46 patients from August 2015 to August 2017 with the treatment of total cystectomy in our hospital department of Urology were selected as the object of this study. They were randomly divided into two groups, 25 cases in the observation group and 21 cases in the control group, respectively. The patients of two groups were given routine care and health education, and do a good job of discharge guidance during hospitalization. The patients in the control gro up did not take further intervention after the normal discharge, while the observation group received the integrated service mode of medical care for 3 months after discharge. The awareness of disease and whether can accept self-image and mental state changes were observed and compared. The two groups of patients who needed to return to hospital for treatment due to the obstruction of ureteral skin stoma were also compared. Results After 3 months of medical and nursing integration, the proportion of patients who could accept self-image change in the observation group were significantly higher than those in the control group (P< 0.05). The numbers of patients who needed to return to hospital for treatment due to the obstruction of ureteral skin stoma in the observation group were significantly lower than those in the control group (P < 0.05). Compared with the control group, the cognition of the patients in the observation group was significantly improved after the nursing (P < 0.05). Moreover, the psychological state of patients in the observation group was obviously improved, while the psychological state of the control group was not significantly improved. Conclusions The integrated service mode of medical care has good curative effect on home care of patients undergoing total cystectomy, and plays a great role in promoting the rehabilitation of patients.