qq群在出院后肾脏疾病患者延续护理中的应用

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1、实用临床医学2013年第14卷第12期PracticalClinicalMedicine，2013．V0l14，No12·75·QQ群在出院后肾脏疾病患者延续护理中的应用龚艳，徐建梅，肖清英，万艳华(南昌大学第二附属医院肾内科，南昌330006)摘要：目的探讨QQ群在出院后肾脏疾病患者延续护理中的应用。方法将70例出院的肾脏疾病患者按随机数字表法分为2组：干预组和对照组．每组35例。2组均采用出院后常规护理。在此基础上．干预组采用QQ群延续护理。采用世界卫生组织生存质量测定简表(WHOQOL—BREF量表)、自制的疾病知识掌握度调查表和自制的对护士满意度调查表分别对2组出院时、出院6个月

2、后的生存质量、疾病知识掌握度和对护士满意度进行调查。结果干预组出院6个月后的生理领域、心理领域、生存质量综合得分、疾病知识掌握度得分和对护士满意率均明显高于对照组(均P<0．05)，干预组出院6个月后的社会关系领域、环境领域得分与对照组比较差异均无统计学意义(均尸>0．05)。结论应用QQ群对出院的肾脏疾病患者进行不间断的延续护理可取得较好的效果。合理利用了人力资源和时间资源，增进了护患感情，提高了患者的生存质量，丰富了优质护理内涵。关键词：QQ群；。肾脏疾病；延续护理；健康教育；心理指导；出院后中图分类号：R47；R692文献标志码：A文章编号：1009—8194(2013)12—00

3、75—04ApplicationofQQGroupinExtended-CarePatientswithKidneyDiseaseafterDischargefromHospitalGONGYan，XUJian-mei，XIAOQing-ying,WANYan-hua(DepartmentofNephrology，theSecondAffiliatedHospitalofNanchangUniversity，Nanchang330006，China)ABSTRACT：ObjectiveToexploretheapplicationofQQgroupinextended-carepatie

4、ntswithkidneydiseaseafterdischargefromhospita1．MethodsSeventydischargedpatientswithkidneydiseasewererandomlygivenroutinecare(controlgroup，n=35)orincombinationwithQQgroupextended-care(interventiongroup，n=35)．Thequalityoflife，understandingofdiseaseknowledgeandpatientsatisfactionwith‘nurseswereinves

5、tigatedatdischargeand6monthsafterdischargeusingtheWorldHealthOrganizationQualityofLifeShonForm(WHOQOL—BREF)．self-madediseaseknowledgeques-tionnairesandself-madenursingsatisfactionquestionnaires，respectively．ResultsAt6monthsafterdischarge，physiologicalandpsychologicalfieldscores，qualityoflifescore

6、s，diseaseknowledgescoresandnursingsatisfactionscoresininterventiongroupweresignificantlyhigherthanthoseincontrolgroup(P<0．05)．Therewerenosignificantdifferencesinsocialandenvironmentalfieldscoresbetweenthetwogroups(P>0．05)．ConclusionQQgroupisaneffectivewayforextendingcare．TheapplicationofQQgroupca

7、nsavemanpowerandtimeresources，improvenurse—patientrelationship，enhancethequalityoflifeofpatientsandenrichtheconnotationofnursing．KEYWORDS：QQgroup；kidneydisease；extended-care；healtheducation；psychologicalguidance；afterd