Effects of nursing intervention based on the PRECEDE-PROCEED model combined with WeChat on patients discharged with T-tube after biliary surgery
10.3760/cma.j.cn115682-20191008-03584
- VernacularTitle:基于格林模式联合微信平台的护理干预在胆道术后带T管出院患者中的应用效果
- Author:
Shimei ZHANG
1
;
Baomei XUE
;
Na LI
;
Dongxia YANG
Author Information
1. 青岛大学附属医院西海岸院区肝胆胰外科，青岛 266555
- Keywords:
Biliary calculus;
T-tube;
Quality of life;
Self-management;
PRECEDE-PROCEED model;
WeChat;
Home care;
Catheter management
- From:
Chinese Journal of Modern Nursing
2020;26(19):2593-2597
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of nursing intervention based on the PRECEDE-PROCEED model combined with WeChat on patients discharged with T-tube after biliary surgery.Methods:Totally 120 patients discharged with T-tube after biliary surgery in the Department of Hepatopancreatobiliary Surgery at a ClassⅢ Grade A hospital in Qingdao from June 2018 to June 2019 were selected by convenient sampling and randomized into an experimental group and a control group, with 60 patients in each group. Patients in the experimental group received nursing care based on the PRECEDE-PROCEED model combined with WeChat, while patients in the control group received routine discharge management nursing interventions. T-tube Maintenance Knowledge Questionnaire, Self-management Behavior Questionnaire, Quality of Life Questionnaires and Patient Satisfaction Questionnaire were used to evaluate the T-tube maintenance knowledge, management ability, quality of life level and satisfaction, the incidence of complications in the two groups were recorded.Results:The T-tube maintenance knowledge level, self-management behavior, quality of life score and satisfaction of the experimental group were higher than those of the control group, and the differences were statistically significant ( P< 0.05) . The incidence of complications in the experimental group was lower than that in the control group, the difference was statistically significant ( P<0.05) . Conclusions:Nursing intervention based on the PRECEDE-PROCEED model combined with WeChat can effectively improve the level of catheter management for patients discharged with T-tube, improve patients' self-management behavior, reduce the incidence of catheter-related complications, and improve the quality of life and satisfaction of patients.
