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交互式随访项目对伊斯法罕医科大学附属医院外科病房出院患者造口适应情况的影响。

The effect of an interactive follow-up program on ostomy adjustment of inpatients after their discharge from surgical wards of the hospitals affiliated to Isfahan University of Medical Sciences.

作者信息

Hamidi Yaser, Moeini Mahin, Yousefi Hojatollah

机构信息

School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Ulcer Repair Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Int J Colorectal Dis. 2018 Sep;33(9):1295-1297. doi: 10.1007/s00384-018-3041-7. Epub 2018 Apr 7.

DOI:10.1007/s00384-018-3041-7
PMID:29627900
Abstract

PURPOSE

Ostomy patients suffer from many physical and mental problems, which can be solved to a large extent with the help of education and follow-up programs. These follow-ups can be done in person or on the telephone by the nurses, or even, by sending a text message that is an easier way for the patients to adapt to their condition. This study aimed to investigate the effect of an interactive follow-up program on the adjustment of ostomy inpatients after being discharged.

METHODS

This study is a clinical trial, conducted on 64 ostomy patients who were discharged from the surgical wards of the hospital affiliated to Isfahan University of Medical Sciences. Subjects in the experimental group participated in a 6-week follow-up program via text message. The information about the patients were collected by Olbrisch Ostomy Adjustment Scale.

RESULTS

The obtained results have suggested that 34.4% of the patients in the experimental group and 28.1% of the patients in the control group were female. Before the intervention, comparing the mean score of ostomy adjustment and its dimensions in the two groups showed no significant difference (P > 0.05). However, a significant difference was observed between the two groups immediately after the intervention (P < 0.05) and 1 month after the intervention, except for dimension of negative acceptance (P > 0.05).

CONCLUSIONS

The findings of this study suggested that using SMS can be considered as a proper tool or method for following up the ostomy patients.

摘要

目的

造口患者存在诸多身心问题,借助教育和随访计划可在很大程度上解决这些问题。这些随访可由护士亲自进行或通过电话进行,甚至通过发送短信进行,这对患者适应自身状况而言是一种更便捷的方式。本研究旨在探讨交互式随访计划对造口住院患者出院后适应情况的影响。

方法

本研究为一项临床试验,对64例从伊斯法罕医科大学附属医院外科病房出院的造口患者进行。实验组的受试者通过短信参与为期6周的随访计划。采用奥尔布里施造口适应量表收集患者信息。

结果

所得结果表明,实验组34.4%的患者和对照组28.1%的患者为女性。干预前,两组造口适应及其维度的平均得分比较无显著差异(P>0.05)。然而,干预后即刻两组之间存在显著差异(P<0.05),干预后1个月除消极接受维度外两组之间也存在显著差异(P>0.05)。

结论

本研究结果表明,使用短信可被视为随访造口患者的一种合适工具或方法。

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