膀胱肿瘤腹壁造口患者出院后的延续护理

摘要

Abstract：Objective To investigate the effect of Wechat and telephone follow-up in continuing care of bladder cancer patients with an ostomy after discharge from the hospital. Methods Totally 50 bladder cancer patients with an ostomy were assigned to the control group and the study group, with 25 cases in each group. Patients of both two group received routine care and health education based on telephone follow-up, and those in the study group were given continuing care intervention by using Wechat. The self-care ability and social adjustment of patients were evaluated at three months after discharge. Results 〓Patients in the study group achieved higher scores of self-willingness(6.23±0.93 vs. 4.38±0.71, P0.05), health knowledge level(12.37±0.86 vs. 5.86±0.43, P0.05)and self-care ability(17.67±0.58 vs. 8.42±0.17, P0.05)compared with those in the control group. The scores of positive emotion and social psychological adjustment were increased in both two groups after intervention(P0.05), and the score of negative emotion was decreased in both two groups after intervention(P0.05). Patients of the study group had a higher level of social psychological adjustment compared with those in the control group(P0.05). Conclusion The continuing care by Wechat and telephone follow-up is effective to improve the self-care ability of bladder cancer patients with an ostomy after discharge from the hospital.