远程随访在乳腺良性肿瘤日间手术患者延续护理中的可行性调查分析

摘要

目的:探讨远程随访在乳腺良性肿瘤日间手术患者延续护理中的可行性及影响因素.方法:采用便利抽样法选取2017年10-12月本院收治的乳腺良性肿瘤微创手术患者100例.参照Juan Jose Segura-Sampedro满意度调查问卷自制"乳腺良性肿瘤日间手术患者远程随访可行性"调查问卷进行现场调查及自制"乳腺良性肿瘤日间手术患者术后症状"调查问卷应用微信平台进行调查.结果:可行性调查中排在前三位的分别为:患者拥有智能手机、患者手机拥有网络功能及远程随访节省就医费用,均为100.0%;100例患者术后均进行远程随访,远程随访成功67例(67%),失败33例(33%),单因素分析显示,患者术后远程随访成功率与病灶数量、肿瘤直径无关(P>0.05),与年龄、婚育、文化程度有关(P<0.05);术后患者不适症状排在前三位的分别为:术后切口疼痛、皮肤瘙痒及睡眠不佳.结论:对乳腺良性肿瘤日间手术患者进行远程随访切实可行,由于实施过程中存在影响因素,患者手术当天与第1天出现不同类型的不适,进行远程随访有着必要性意义.%Obective:To explore the feasibility and influencing factors of remote follow-up in continuous nursing care of patients with benign breast tumor undergoing day surgery.Method:A total of 100 patients with benign breast tumors underwent minimally invasive surgery in our hospital from October to December 2017 were selected by convenient sampling method.Referring to Juan Jose Segura-Sampedro Satisfaction Questionnaire,"Feasibility of long-distance follow-up of patients with benign breast tumors during daytime surgery" questionnaire made by ourselves,on-the-spot investigation and "Postoperative symptoms of patients with benign breast tumors after daytime surgery" questionnaire made by ourselves were carried out using the Weixin platform.Result:The top three in the feasibility survey were:patients with smart phones,patients with mobile phone network functions and remote follow-up saving medical expenses,all of which were 100%.100 patients were followed up remotely, 67 cases(67%) were successful,and 33 cases(33%) failed,univariate analysis showed that the success rate of remote follow-up was not related to the number of lesions and tumor diameter(P>0.05),but related to age, marital status and educational level(P<0.05).The top three discomfort symptoms were pain in incision,itching and poor sleep.Conclusion:Remote follow-up of patients with benign breast tumors during day surgery is feasible, there are influencing factors in the implementation process.patients have different types of discomfort on the day of surgery and on the first day,so it is necessary to carry out remote follow-up.