基于互联网平台的4C延续性护理模式在肠造口患者中的应用

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Abstract Objective To explore the application effect of 4C continuous nursing model based on internet platform in patients with enterostomy. Methods A total of 96 patients with enterostomy admitted to the Department of Colorectal Surgery and the Department of Gastroenterology and Intestinal Surgery in the Third Affiliated Hospital of Kunming Medical University from December 2019 to August 2020 were selected, according to the random number table method, they were divided into control group and experimental group, with 48 cases in each group. The control group was given routine care, and the experimental group was given 4C continuous nursing model based on the internet platform, the quality of life, self-care ability, and the incidence of ostomy complications were compared between the two groups before discharge, one month and three months after discharge. Results Overall analysis showed that there were statistically significant differences between groups, time points and interaction of quality of life evaluation at one and three months after discharge before discharge (P ＜ 0.05). In addition to social health, the scores and total scores of physical, psychological and mental health of the control group were all higher than before discharge three months after discharge, and the scores of mental health and total scores of three months after discharge were higher than that of one month after discharge, and the scores of one month after discharge were higher than that of before discharge, the differences were statistically significant (P ＜ 0.05). The scores of quality of life in the experimental group one and three months after discharge were higher than those before discharge, and the scores of psychological, social and mental health at three months after discharge were higher than those at one month after discharge, with statistical significance (P ＜ 0.05), comparison between groups: except the mental health score one month after discharge, the other dimensions and total scores of the experimental group were higher than those of the control group one and three months after discharge, and the differences were statistically significant (P ＜ 0.05). There were statistically significant differences in the scoring time, inter-group and interaction of self-care ability between the two groups (P ＜ 0.05), further pairwise comparison and intra-group comparison: there was no statistically significant difference at each time point in the control group (P ＞ 0.05). In the experimental group, the scores of self-care concept, self-care responsibility, self-care skills, health knowledge level and total score were all higher than those before discharge, with statistical significance (P ＜ 0.05). Comparison between groups: there was no significant difference between the two groups before discharge (P ＞ 0.05). The scores and total scores of the experimental group were higher than those of the control group in the same period except for self-care responsibility and self-care skills one month after discharge (P ＜ 0.05). The incidence of total ostomy complications in the experimental group was lower than that in the control group one month and three morehs after discharge, the difference was statistically significant (P ＜ 0.05). Conclusion The 4C continuous nursing model based on the internet platform is helpful to improve the self-care ability of enterostomy patients, reduce the complications of enterostomy, and improve the quality of life.

Key words： Enterostomy Continuous care Internet Case management Home follow-up

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	WANG Shuaiying1 LIU Qin1 LUAN Tao2 WANG Qingxi3 XIAO Meiyu3 HAN Yuan1

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WANG Shuaiying1 LIU Qin1 LUAN Tao2 WANG Qingxi3 XIAO Meiyu3 HAN Yuan1. Application of 4C continuous nursing model based on internet platform in patients with enterostomy[J]. 中国医药导报, 2021, 18(26): 165-169.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I26/165

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