经胆手术后带 T 管出院患者的护士主导的过渡护理计划的应用。
Application of a nurse-led transitional care programme for patients discharged with T-tubes after biliary surgery.
机构信息
Department of Traditional Chinese Medicine, General Hospital of Western Theater Command (Chengdu Military General Hospital), Chengdu, China.
Department of General Surgery, General Hospital of Western Theater Command (Chengdu Military General Hospital), Chengdu, China.
出版信息
Nurs Open. 2023 Jul;10(7):4570-4577. doi: 10.1002/nop2.1704. Epub 2023 Mar 2.
AIM
Nurse-led transitional care programmes (TCPs) have been shown to facilitate patient recovery in several illness settings, but its role among patients discharged with T-tubes remains uncertain. The aim of the study was to investigate the effects of a nurse-led TCP among patients discharged with T-tubes.
DESIGN
This retrospective cohort study was conducted at a tertiary medical centre.
METHODS
From January 2018 to December 2020, a total of 706 patients discharged with T-tubes after biliary surgery were included in the study. Patients were divided into a TCP group (n = 255) and a control group (n = 451) based on whether they participated in a TCP. The baseline characteristics, discharge readiness, self-care ability, transitional care quality and quality of life (QoL) were compared between the groups.
RESULTS
Self-care ability and transitional care quality were significantly higher in the TCP group. Patients in the TCP group also exhibited improved QoL and satisfaction. The results suggest that the incorporation of a nurse-led TCP among patients discharged with T-tubes after biliary surgery is feasible and effective. No Patient or Public Contribution.
目的
护士主导的过渡护理计划（TCP）已在多种疾病治疗环境中证明有助于患者康复，但在带 T 管出院的患者中，其作用仍不确定。本研究旨在调查护士主导的 TCP 对带 T 管出院患者的影响。
设计
这是一项在三级医疗中心进行的回顾性队列研究。
方法
2018 年 1 月至 2020 年 12 月，共有 706 名胆道手术后带 T 管出院的患者纳入本研究。根据是否参加 TCP，患者分为 TCP 组（n=255）和对照组（n=451）。比较两组患者的基线特征、出院准备情况、自我护理能力、过渡护理质量和生活质量（QoL）。
结果
TCP 组的自我护理能力和过渡护理质量显著提高。TCP 组患者的 QoL 和满意度也有所改善。结果表明，在胆道手术后带 T 管出院的患者中引入护士主导的 TCP 是可行且有效的。无患者或公众参与。
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