| Objective:To develop a single J tube maintenance list for patients with Cutaneous Ureterostomy at home,and to explore the influence of the maintenance list on the quality of life,self-management ability,anxiety state and complications of patients with Cutaneous Ureterostomy at home,And develop new forms of continuing care services.Methods:Phase Ⅰ,development of maintenance checklist: a checklist research group was established to develop a single J tube maintenance checklist for patients with home Cutaneous Ureterostomy through literature review,combined with the basis of previous studies,using brainstorming method and modified Delphi method.In the second stage,Application of Single J Tube Maintenance List for Home Patients with Cutaneous Ureterostomy: In this study,a convenience sampling method was used to select Cutaneous Ureterostomy patients attending a tertiary care hospital in Nanchang City from October 2019 to April 2021 as the study population,numbered in the order of admission,the even-numbered group was the experimental group and the odd-numbered group was the control group,questionnaires were administered to patients who met the criteria for nadir discharge,patients in the experimental group were discharged from the hospital according to the Home Ureteral The patients in the experimental group were cared for according to the single J-tube maintenance checklist for Cutaneous Ureterostomy patients after discharge,and the control group was routinely cared for by applying the general information questionnaire,Function Assessment of Cancer Therapy Bladder cancer form,The Self-Management Scale for Patients with Cutaneous Ureterostomy,and the anxiety self-assessment scale before,at3 months,and at 6 months after discharge.SPSS 24.0 software was used to analyze the data.Statistical methods included descriptive analysis: independent sample t-test、rank sum test、chi-square test、 Fisher’s exact probability method and repeated measures analysis of variance.Results:1.The list of single J-tube maintenance for patients with Cutaneous Ureterostomy at home was developed,and 7 primary indicators such as "compliance",21 secondary indicators such as "review",and 46 tertiary indicators such as "urinalysis guidance" were established.2.In this study,the quality of life scores of the control group were(75.84±7.01)、(97.20±6.76)and(111.63±7.73)respectively before discharge and intervention for 3months in the experimental group.After 6 months of intervention,the quality of life scores were(73.41±6.11)、(111.78±5.89)and(133.92±7.93),respectively.There was no statistical significance in the total quality of life scores between the two groups before discharge(t=-1.867,P>0.05),the total quality of life scores of patients in the two groups at 3 months and 6 months of intervention differed(P<0.05),and the results of repeated measures ANOVA showed that the overall quality of life scores of patients in the experimental group at three different time points were higher than those in the control group,and the There was a difference in the results(F=541.770,P<0.001),an interaction between different intervention modalities and time factors(F=98.348,P<0.001),and a statistically significant difference between different intervention modalities on the total quality of life scores of patients(F=163.220,P<0.001).3.In this study,the self-management scores of the control group were(95.10±3.44)、(107.41±3.76)and(121.08±4.63)before discharge and intervention for3 months in the experimental group,respectively.The scores of self-management at 6months after intervention were(93.47±3.44)、(125.92±5.40)and(151.20±5.01),respectively.There was no statistical significance in the total scores of selfmanagement before discharge between the two groups(t=-2.389,P>0.05),and there was a difference between the total self-management scores of patients in the two groups at 3 months and 6 months of intervention(P<0.05),and the results of repeated measures ANOVA showed that the overall self-management scores of patients in the experimental group at three different time points were higher than those in the control group,and there was a There was a difference in the results(F=369.040,P<0.001),there was an interaction between different intervention modalities and time factors(F=44.23,P<0.001),and there was a statistically significant difference in the total selfmanagement scores of patients with different intervention modalities for patients(F=53.590,P<0.001).4.In this study,the SAS scores of patients in the two groups showed that the SAS scores of the control group were(62.56±5.99)、(57.53±4.84)and(48.03±2.48)after 3months of intervention before discharge,respectively,and that of the experimental group were(62.56±5.99)、(57.53±4.84)and(48.03±2.48)after 3 months of intervention before discharge.The scores of SAS at 6 months after intervention were(62.65±6.41)、(47.18±3.39)and(38.68±2.94),respectively.There was no significant difference in the total scores of SAS before discharge between the two groups(t=0.072,P>0.05),and there was a difference in the total SAS score between the two groups at 3months and 6 months of intervention(P<0.05),and the results of repeated measures ANOVA showed that the patients in the experimental group at three different time points Overall anxiety scores were lower than those of the control group and differed in outcome(F=574.291,P<0.001),and there was an interaction between different intervention modalities and time factors(F=95.150,P<0.001),indicating that the differences in the intervention modalities used by the two groups of patients had a statistically significant difference in the total anxiety scores of patients(F=76.177,P<0.001).5.The results showed that in the two groups of patients with the incidence of complications,the intervention of the control group was three months,and the complications of the six months of the intervention and the complications of the surrounding skin were 13.73%、49.02%、33.33% and 1.96%、27.45% and 31.37%,respectively,and the stoma complications and peristoma skin complications in the experimental group before discharge、3 months of intervention and 6 months of intervention complications were 11.76%、29.41%、15.69% and 5.88%、11.76%、13.73%,respectively.There was no significant difference in the incidence of complications before discharge between the two groups(P>0.05),and there was a difference in the incidence of complications between the two groups at 3 months and 6months of intervention(P<0.05).Conclusion:The single J-tube maintenance checklist for patients with Cutaneous Ureterostomy at home was developed with certain scientific and rational characteristics.Based on maintaining the listing of hospital patients nursing intervention,can promote the patient’s physical and mental recovery that occupy the home,improve postoperative life quality and self-management ability,improve the state of anxiety,reduce the incidence of complications,and the safety of the patients after discharge home adapt is of great significance,as well as the continuity of nursing service content and a more scientific standard process has important practical significance. |
PDF Full Text Request