“互联网+健康行为管理”延续性护理干预对急性胰腺炎患者生命质量等相关影响评价(1)
【摘要】目的 探討“互联网+健康行为管理”延续性护理干预模式对急性胰腺炎出院患者医嘱依从性、复发率及生命质量的影响结果。方法 选取我院普外科2017年01月～2019年12月急性胰腺炎患者52例，随机分为对照组和观察组，各26例。两组患者出院后分别给予周期为6个月的健康行为管理干预，内容分别包括保持生活规律、保持健康饮食和戒烟戒酒。对照组采取常规出院健康宣教和定期电话回访干预模式，观察组实施“互联网+健康行为管理”延续性护理干预模式。对比两组干预前后的医嘱依从性、生活质量(SF-36)及干预期内复发率。结果 干预6个月后，观察组医嘱依从性(按时服药、复诊、健康行为养成)均明显优于对照组，差异有统计学意义(P<0.05);观察组出院半年内复发率及再入院率均明显低于对照组，差异有统计学意义(P<0.05)。干预前，两组生活质量总评分比较无明显差异，差异无统计学意义(P>0.05);干预6个月内，观察组各时间段的生活质量总评分均明显优于对照组，差异有统计学意义(P<0.05)。结论 “互联网+健康行为管理”延续性护理干预模式，可明显提高急性胰腺炎出院患者医嘱依从性，养成良好的健康行为，有效改善患者生命质量，降低恢复期内复发率及再入院率。
【关键词】急性胰腺炎;互联网+;健康行为;延续护理;生活质量;依从性;复发
【中图分类号】R473 【文献标识码】A 【文章编号】ISSN.2095.6681.2020.30..03
Evaluation of "Internet + Healthy Behavior Management" Continuous Nursing Intervention on the Quality of Life of Patients with Acute Pancreatitis
ZHOU Chun-hong
(Department of general surgery， Lianshui people's Hospital，Jiangsu Province Huaian City 223400，China)
【Abstract】Objective To explore the effect of the "internet + healthy behavior management" continuous nursing intervention model on the compliance of medical orders， recurrence rate and quality of life of patients with acute pancreatitis discharged from hospital.Methods A total of 52 patients with acute pancreatitis from January 2017 to December 2019 in our general surgery department were randomly divided into a control group and an observation group，with 26 cases in each group.Two groups of patients were given health behavior management interventions with a period of 6 months after discharge from hospital.The contents included maintaining the regularity of life，maintaining a healthy diet and quitting smoking and alcohol.The control group adopted the routine discharge health education and regular telephone return visit intervention model，and the observation group implemented the "Internet + health behavior management" continuous nursing intervention model. The medical order compliance，quality of life (SF-36) and recurrence rate during the intervention period were compared between the two groups before and after intervention.Results After 6 months of intervention，the observation group's compliance with medical orders (medication on time， follow-up visits， and healthy behavior development) were significantly better than the control group (P<0.05); the relapse rate and re-admission rate of the observation group within six months after discharge were significantly lower than the control group Group (P<0.05).Before intervention， there was no significant difference in the total quality of life scores between the two groups (P>0.05);within 6 months of intervention，the total quality of life scores of the observation group at each time period were significantly better than the control group (P<0.05).Conclusion The "internet + healthy behavior management" continuous nursing intervention model can significantly improve the compliance of patients with acute pancreatitis discharged from hospital， develop good health behaviors， effectively improve the quality of life of patients， and reduce the relapse rate and readmission rate during the recovery period., http://www.100md.com(周春红)
【关键词】急性胰腺炎;互联网+;健康行为;延续护理;生活质量;依从性;复发
【中图分类号】R473 【文献标识码】A 【文章编号】ISSN.2095.6681.2020.30..03
Evaluation of "Internet + Healthy Behavior Management" Continuous Nursing Intervention on the Quality of Life of Patients with Acute Pancreatitis
ZHOU Chun-hong
(Department of general surgery， Lianshui people's Hospital，Jiangsu Province Huaian City 223400，China)
【Abstract】Objective To explore the effect of the "internet + healthy behavior management" continuous nursing intervention model on the compliance of medical orders， recurrence rate and quality of life of patients with acute pancreatitis discharged from hospital.Methods A total of 52 patients with acute pancreatitis from January 2017 to December 2019 in our general surgery department were randomly divided into a control group and an observation group，with 26 cases in each group.Two groups of patients were given health behavior management interventions with a period of 6 months after discharge from hospital.The contents included maintaining the regularity of life，maintaining a healthy diet and quitting smoking and alcohol.The control group adopted the routine discharge health education and regular telephone return visit intervention model，and the observation group implemented the "Internet + health behavior management" continuous nursing intervention model. The medical order compliance，quality of life (SF-36) and recurrence rate during the intervention period were compared between the two groups before and after intervention.Results After 6 months of intervention，the observation group's compliance with medical orders (medication on time， follow-up visits， and healthy behavior development) were significantly better than the control group (P<0.05); the relapse rate and re-admission rate of the observation group within six months after discharge were significantly lower than the control group Group (P<0.05).Before intervention， there was no significant difference in the total quality of life scores between the two groups (P>0.05);within 6 months of intervention，the total quality of life scores of the observation group at each time period were significantly better than the control group (P<0.05).Conclusion The "internet + healthy behavior management" continuous nursing intervention model can significantly improve the compliance of patients with acute pancreatitis discharged from hospital， develop good health behaviors， effectively improve the quality of life of patients， and reduce the relapse rate and readmission rate during the recovery period., http://www.100md.com(周春红)