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目的:探索“互联网+健康宣教系统”在吻合器法包皮环切术后护理中应用的效果。方法:选择2022年1月至2022年7月我院门诊行吻合器法包皮环切术后的260例患者作为研究对象,随机分为研究组和对照组,每组各130例。对照组给予常规护理,研究组采用“互联网+健康宣教系统”进行“互联网+医疗护理服务”模式。对比患者在手术后24 h的疼痛程度和对手术的满意程度,并对这些患者进行定期的随访以监测术后并发症的发生情况以及吻合钉的脱落情况。结果:研究组患者术后疼痛评分、术后水肿、出血、感染等并发症发生率、术后吻合钉脱落时间明显低于对照组,研究组患者对医疗护理满意度明显高于对照组,两组间对比差异均具有统计学意义(P<0.05)。结论:对行包皮环切术患者术后应用“互联网+健康宣教系统”,可以提高包皮环切术患者相关知识掌握程度,提升患者的自我护理能力,有效降低术后并发症的发生,提高患者满意度。
Abstract:Objective: To explore the effect of the "internet + health education system" in nursing care after stapler circumcision. Methods: A total of 260 patients underwent stapler circumcision in the Outpatient Department of our hospital from January 2022 to July 2022, of whom 130 received routine nursing after operation(the control group), and the other 130 internet + medical nursing service based on the internet + health education system(the experimental group). We followed up the patients on the 1st, 3rd, 7th and 30th day after surgery, recorded their Visual Analogue Scale(VAS) scores within 24 hours postoperatively, their satisfaction scores with surgery and nursing, the incidence of complications and falloff of the stapler nails, and compared them between the two groups. Results: The postoperative VAS scores of the patients and the incidences of postoperative edema, bleeding, infection and other complications were significantly lower(P < 0.05), the falloff of the stapler nails markedly sooner, and the patients' satisfaction scores with surgery and nursing service remarkably higher(P < 0.05) in the experimental than in the control group(P < 0.05). Conclusion: The application of the internet + health education system in nursing care after stapler circumcision can impart relevant knowledge to the patients, enhance their self-care ability, effectively reduce postoperative complications, and improve the patients' satisfaction with surgery and nursing service.
[1] 中华医学会男科学分会,包茎和包皮过长及包皮相关疾病中国专家共识编写组.包茎和包皮过长及包皮相关疾病中国专家共识.中华男科学杂志,2021,27(9):845-852.
[2] 王军,陈贵友,张亚伟,等.小儿不同年龄阶段包皮环切术式选择及评价.临床外科杂志,2021,29(9):876-879.
[3] 杨介礼,陈庆存,王伟,等.两种不同类型一次性包皮切割缝合器治疗包皮过长和包茎的疗效及安全性比较.中国性科学,2016,25(1):33-35.
[4] 秦泽云,王云琳.一次性包皮环切缝合器对包茎或包皮过长患者并发症发生率及满意度的影响.临床医学工程,2023,30(5):589-590.
[5] 齐振阳,李保安,赵琪,等.系带精准定位定长包皮环切吻合器辅助包皮环切术的临床应用.临床研究,2023,31(10):96-98.
[6] 盛英丽,张春丽.品管圈活动在提升面瘫住院患者健康宣教内容执行率中的应用效果.护理研究,2023,37(6):1117-1120.
[7] 王艳艳,董芳妮.互联网+护理医疗服务在泌尿外科手术留置双J管患者延续护理中的应用效果评价.中国数字医学,2020,15(12):120-122,80.
[8] Moses S,Bailey RC,Ronald AR.Male circumcision:assessment of health benefits and risks.Sex Transm Infect,1998,74 (5):368-373.
[9] Wamai RG,Morris BJ,Waskett JH,et al.Criticisms of African trials fail to withstand scrutiny:Male circumcision does prevent HIV infection.J Law Med,2012,20 (1):93-123.
[10] 李影,孙圣文,刘勤.亲情快乐护理在小儿包皮环切术围术期中的应用.中国美容医学,2023,32(2):178-181.
[11] 陈元浩,李高,曾嵩,等.改良三段法行一次性包皮缝合器下包皮环切术的术后疗效研究.中国临床医生杂志,2023,51(8):952-955.
[12] 康建芳,昶辉,唐丽兰,等.“互联网+”延续护理在眼科日间手术患者中的应用.当代护士(下旬刊),2023,30(11):139-142.
[13] 朱姗姗,夏祎,缪迎霞,等.微信平台辅助下的延续性护理方式对脊髓损伤患者生存质量及康复的影响.颈腰痛杂志,2024,45(1):133-136.
[14] Hirshkowitz M,Moore CA.Sleep-related erectile activity.Neurol Clin,1996,14 (4):721-37.
[15] 许丽媛,赵培玉,李京,等.慢性疼痛患者延续护理质量现状的调查研究.中国疼痛医学杂志,2019,25(12):952-955.
[16] 陈建春.微信平台延续性护理模式在包皮环切吻合器术中的应用研究.实用临床护理学电子杂志,2019,4(50):161-162.
[17] 韩兴平,张玉琴,陈卓园园,等.基于云平台的个体化延续护理应用于中重度癌痛患者的效果分析.实用医院临床杂志,2020,17(5):141-144.
[18] 项彩萍.视频宣教结合远程指导在包皮环切术后家庭护理中的应用.安徽医专学报,2022,21(6):149-151.
[19] 郭晓丽,张丽,张敏敏,等.互联网在带状疱疹后神经痛患者延续性护理中的应用进展.中国疼痛医学杂志,2023,29(10):779-782.
基本信息:
DOI:10.13263/j.cnki.nja.2024.05.007
中图分类号:R473.6
引用信息:
[1]周岩岩,胡宽,王丽文等.“互联网+健康宣教系统”在吻合器法包皮环切术后护理中的应用[J].中华男科学杂志,2024,30(05):430-434.DOI:10.13263/j.cnki.nja.2024.05.007.
基金信息:
东部战区总医院院管课题(22LCZLXJS38)~~