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目的:探究电话回访对提高肝胆外科出院患者自我护理能力的作用。方法:研究对象选取为2014年1月~2015年7月浙江省杭州市第一人民医院肝胆外科收治手术患者中的100例出院患者,采用数字表法随机分为观察组和对照组各50例,对照组除出院指导外,患者院外期间并不主动进行宣教。观察组患者则建立健康档案,主要采用电话回访形式了解患者的健康情况,并进行健康教育,从出院起维持1个月,根据患者的健康状况每周进行1~2次健康教育,内容包括引流管护理、饮食护理、伤口护理、生活护理等,比较两组患者回访前后的自我护理能力。结果:回访前两组患者在伤口处理能力、引流管处理能力、正确活动与休息、保持良好作息方面的认知情况比较并无显著差异(P>0.05);回访后观察组患者的各项认知均显著高于对照组(P<0.05)。结论:电话回访能够有效提高肝胆外科出院患者的自我护理能力,显著改善患者的认知状况。
Objective: To investigate the effect of telephone follow-up on improving self-care ability of discharged patients in hepatobiliary surgery. Methods: The subjects were selected from January 2014 to July 2015 in Hangzhou First People’s Hospital of Zhejiang Province, 100 patients admitted to surgery in patients with liver and gallbladder surgery were randomly divided into observation group and control group of 50 cases In the control group, except for the discharge guidance, the patients did not take the initiative to teach during the hospital. Patients in the observation group established a health file, which mainly used telephone interview to understand the patient’s health condition and conducted health education. The patients were kept for 1 month after discharge and 1 or 2 times a week for health education according to their health. The contents included drainage Tube care, dietary care, wound care, life care and so on. The self-care ability before and after the two groups were compared. Results: There was no significant difference in cognitive status between the two groups before the visit (P> 0.05) in terms of wound capacity, drainage capacity, correct activity and rest, and good work-rest (P> 0.05) Knowledge were significantly higher than the control group (P <0.05). Conclusion: The telephone interview can effectively improve the self-care ability of patients discharged from hepatobiliary surgery and significantly improve their cognitive status.