“信息平台+自我护理模式”对经阴道自然腔道内镜手术出院患者健康状况的疗效研究
Study on the Efficacy of "Information Platform + Self-Care Model" on the Health Status of Discharged Patients Following Vaginal Natural Orifice Transluminal Endoscopic Surgery.
作者信息
Tian Tian, Guan Mei-Jun, Liu Li-Juan, Su Xiao-Qiu, Wang Hui, He Li
机构信息
Department of Gynecology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, 611731, People's Republic of China.
Department of Gynecological Day Surgery, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, 611731, People's Republic of China.
出版信息
Int J Womens Health. 2023 Jul 25;15:1185-1195. doi: 10.2147/IJWH.S416134. eCollection 2023.
OBJECTIVE
To discuss the impact of the "information platform + self-care model" on the health status of discharged patients following vaginal natural orifice transluminal endoscopic surgery (vNOTES).
METHODS
Patients underwent vNOTES at a tertiary specialized women's and children's hospital in Chengdu. They were randomly assigned to one of two groups-the intervention group (29 patients) and the control group (29 patients). The control group received standard education after discharge, while the intervention group received guidance based on an "information platform + self-care model" on discharge; a questionnaire survey was conducted for both groups one month after discharge.
RESULTS
The quality of life score in the intervention group was higher than that in the control group, and the difference was statistically significant ( < 0.05); the scores of the intervention group on dimensions such as vitality, general health perceptions, physical role functioning, social role functioning, emotional role functioning, and mental health, except for physical functioning ( = 0.034, = 0.973) and bodily pain ( = 1.470, = 0.141), were higher than those in the control group one month after discharge, and the difference was statistically significant ( < 0.05). There was no patient (0) in the intervention group who had an unscheduled visit/admission, and there was 1 patient (3.6%) in the control group who had unscheduled visit/admission; there were no statistical differences between the two groups in the number of patients who had an unscheduled visit/admission 1 month after discharge ( = 0.491).
CONCLUSION
The application of the "information platform + self-care model" can, to a certain extent, improve the health status of patients following vNOTES after discharge, and it can also reduce unscheduled visits/admissions, but more research with a larger sample size is required.
目的
探讨“信息平台+自我护理模式”对经阴道自然腔道内镜手术（vNOTES）出院患者健康状况的影响。
方法
在成都一家三级甲等妇女儿童医院接受vNOTES手术的患者。他们被随机分为两组——干预组（29例患者）和对照组（29例患者）。对照组出院后接受标准教育，而干预组出院时接受基于“信息平台+自我护理模式”的指导；出院1个月后对两组进行问卷调查。
结果
干预组生活质量得分高于对照组，差异有统计学意义（<0.05）；出院1个月后，干预组在活力、总体健康感知、身体角色功能、社会角色功能、情感角色功能和心理健康等维度上的得分，除身体功能（=0.034，=0.973）和身体疼痛（=1.470，=0.141）外，均高于对照组，差异有统计学意义（<0.05）。干预组无患者（0例）进行非计划访视/入院，对照组有1例患者（3.6%）进行非计划访视/入院；出院1个月后两组非计划访视/入院患者数量差异无统计学意义（=0.491）。
结论
“信息平台+自我护理模式”的应用在一定程度上可改善vNOTES术后出院患者的健康状况，还可减少非计划访视/入院情况，但需要更多大样本量的研究。
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