Effects of "Internet +" canal management led by special disease nurses in home care of patients after PTCD
10.3760/cma.j.cn115682-20230925-01248
- VernacularTitle:专病护士主导的"互联网+"管道管理在PTCD术后患者居家护理中的应用
- Author:
Cuiying LI
1
;
Erfang HAN
;
Qian ZHANG
;
Dan HU
;
Panliang WANG
Author Information
1. 郑州大学第一附属医院小儿外科一病区，郑州 450080
- Keywords:
Percutaneous transhepatic cholangial drainage;
Special disease nurses;
Internet +;
Canal nursing;
Home care
- From:
Chinese Journal of Modern Nursing
2024;30(15):2041-2046
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of "Internet +" canal management led by special disease nurses in home care of patients undergoing percutaneous transhepatic cholangial drainage (PTCD) .Methods:From March 2021 to December 2022, convenience sampling was used to select 120 patients who underwent PTCD and were discharged with drainage tubes at the First Affiliated Hospital of Zhengzhou University. The patients were divided into a control group and an observation group using a random number table method, with 60 cases in each group. The control group adopted the routine home follow-up management after PTCD, and the observation group adopted the"Internet +"canal management led by special disease nurses for home care, with the intervention of three months. This study used the Chronic Disease Self-Management Scale (CDSMS) to evaluate the self-management ability and self-efficacy of two groups of patients, and recorded and compared the incidence of canal-related complications, unplanned readmission rate, and unplanned return visit rate between the two groups.Results:One patient in the control group died, and a total of 119 patients completed the study. The total score of CDSMS, self-management behavior score, and self-efficacy score of the two groups of patients after intervention were higher than those before intervention, and the differences were statistically significant ( P<0.05) . After intervention, the total CDSMS score, self-management behavior score, and self-efficacy score of the observation group were higher than those of the control group, and the differences were statistically significant ( P<0.05) . In the observation group and the control group, the total incidences of canal-related complications were 18.33% (11/60) and 44.07% (26/59) , and the unplanned readmission rates were 6.67% (4/60) and 23.73% (14/59) , and the unplanned return visit rates were 10.00% (6/60) and 35.59% (21/59) , respectively, and the differences were statistically significant ( P<0.05) . Conclusions:The "Internet +"canal management led by special disease nurses can effectively improve the self-management ability and self-efficacy of PTCD patients at home, reduce the incidence of canal-related complications, unplanned readmission rate and return visit rate.
