目的 探讨基于智慧化康复随访平台的出院准备服务在头颈部肿瘤气管切开患者护理中的应用效果。方法 按时间先后顺序选取头颈部肿瘤气管切开患者84例,对照组42例患者实施常规护理指导和随访,观察组42例患者实施基于智慧化康复随访平台的出院准备服务方案。比较2组患者及其照顾者的出院准备度水平,患者的生活质量,及患者出院后3个月内的再入院情况、气管切开并发症发生情况。结果 观察组患者及其照顾者出院准备度评分均高于对照组（P<0.05）。出院后1个月患者生活质量明显高于对照组（P<0.05）。出院后3个月内再入院率与并发症发生率明显低于对照组（P<0.05）。结论 基于智慧化康复平台的出院准备服务的应用,有利于降低头颈部肿瘤气管切开患者出院后再入院率和居家并发症发生率,同时提升患者的出院准备度和患者生活质量。
Abstract
Objective To explore the application effect of discharge readiness services based on the intelligent rehabilitation follow-up platform for patients with head and neck cancer undergoing tracheostomy. Methods Eighty-four patients with head and neck cancer undergoing tracheostomy were selected. Forty-two patients in the control group received routine nursing guidance and follow-up, and another 42 patients in the observation group had discharge preparation service based on the intelligent rehabilitation follow-up platform. The discharge readiness of patients and their caregivers, patients' quality of life, readmission rate and tracheostomy complication rate within three months after discharge were compared between the two groups. Results Both patients and their caregivers in the observation group had significantly higher scores of Discharge Readiness Scale (P<0.05). The quality of life in the observation group was markedly improved (P<0.05), and the readmission rate and complication rate within three months after discharge were significantly lower than those in the control group (P<0.05). Conclusion The establishment and application of discharge readiness service based on the intelligent rehabilitation platform can effectively reduce readmission rate and home adverse event incidence in patients with head and neck cancer undergoing tracheostomy after discharge, while simultaneously improving discharge readiness and quality of life.
关键词
头颈部肿瘤 /
气管切开 /
智慧化康复随访平台 /
出院准备服务
Key words
head and neck cancer /
tracheotomy /
intelligent platform /
discharge readiness service
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基金
长三角科技创新共同体项目（2l002411300）; 交通大学医学院附属第九人民医院优秀护理人才计划（JYHRC22-P08）
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