喉癌手术出院患者电话回访式健康教育的实施

为探讨电话回访式健康教育在喉癌手术出院患者中的应用效果,对19例喉癌手术出院患者予电话回访式的健康教育,入院即建立回访登记本,回访护士在患者出院后定期对患者及家属进行疾病相关知识、饮食、活动、康复功能锻炼、休息、气管套管护理技巧、病情观察、心理疏导等内容的电话回访.19例随访中患者及家属均能有效地配合护理.带管出院患者无一例发生异物落入气管内,2例发生内套管脱出,得到及时处理.电话回访式健康教育,将医院健康教育延伸至出院患者的治疗康复过程中,搭建了患者与医院之间的桥梁,保证了健康教育效果.     

电话回访式健康教育对留置T管出院患者康复的影响

目的 探讨电话回访式健康教育对留置T管出院患者康复的影响.方法 将86例留置T管出院患者随机分为对照组和观察组,每组各43例,两组在住院期间均予常规的健康教育,观察组在此基础上给予电话回访式健康教育,出院前将所有资料作详细登记,责任护士利用电话在患者出院后定期对患者进行T管引流相关知识、饮食、服药、休息与活动、心理疏导及护理工作满意度等内容进行电话回访,提供咨询、帮助、指导等服务.结果 观察组T管引流效果及顺利拔管情况显著优于对照组(P＜0.05).两组患者对留置T管相关知识和技能的掌握、自我护理能力、遵医行为、满意度等方面的比较,差异有显著性(P＜0.05,P＜0.01).结论 电话回访式健康教育适应了护理模式的转变,对促进留置T管出院患者的康复及顺利拔管起到积极作用,同时也密切了护患关系,提高了护理工作的满意度,体现了护士的自我价值.     

出院健康回访对提高老年良性前列腺增生患者自我护理能力的效果

目的：探讨出院健康回访对提高老年良性前列腺增生患者自我护理能力的效果。方法选取收治的良性前列腺增生症患者62例,建立健康档案,有计划地进行电话或家庭随访,进行健康教育及行为指导,对比患者出院当日和出院后三个月复诊时自我护理能力评分。结果回访后患者自护责任感、自我概念、自我护理技能和总分均明显高于回访前（均P＜0.01）,健康知识水平评分高于回访前（P＜0.05）;回访后自我护理能力为高等的患者比例明显高于回访前（P＜0.01）。结论出院健康回访可有效地提高老年良性前列腺增生患者自我护理能力,提高患者的生活质量。     

电话回访式健康指导在脑卒中偏瘫出院患者中的应用

总结电话回访式健康指导在83例脑卒中偏瘫患者的应用,出院后7d、1个月通过电话回访对患者进行健康指导,内容包括心理护理、康复护理、呼吸道护理、预防便秘、泌尿系统的护理和皮肤护理,认为电话回访式健康指导是一种简单、高效的医疗服务举措,能促进患者的遵医行为,提高患者的身心护理能力,完善出院指导。     

电话回访式健康教育对糖尿病足患者疗效的影响

目的探讨电话回访式健康教育对糖尿病足患者健康行为和疗效的影响。方法将68例糖尿病足出院患者分成两组,观察组34例采用电话回访方式进行用药方法、饮食调护、自我监测能力、自我护理等方面的教育,对照组34例不予电话回访。6个月后对观察组和对照组进行健康行为和糖尿病足病变疗效评估。结果 6个月后,观察组用药依从性、饮食调护、自我监测能力和自我护理能力等健康行为优于对照组(P<0.05);糖尿病足病变疗效明显优于对照组(P<0.05)。结论电话回访式健康教育可促进糖尿病患者健康行为,提高其足病变疗效。     

电话回访式健康指导在人工髋关节置换术出院患者中的应用

目的：提高人工髋关节置换术患者对肢体关节康复认识和自我监测的护理能力。方法：将102例人工髋关节置换术出院患者的资料登记入册，于出院2周、1个月、3个月通过电话回访进行健康指导。结果：49例存在健康问题，需要接受医护人员指导和帮助。经电话回访式指导，存在问题均得到解决。结论：电话回访式健康指导是一种方便、高效率医疗服务措施，不仅促进患者的遵医行为，提高患者自信能力，还有利于完善出院指导。     

带外固定器出院骨折患者电话回访式健康教育的效果探讨

目的探讨电话回访式健康教育对下肢骨折患者带外固定器出院后的影响。方法将60例带器出院患者按出院顺序随机分为对照组和观察纽,每组各30倒,2组在住院期间均进行常规的健康教育和功能锻炼,观察组在此基础上给予出院电话回访：出院前,将患者资料作详细记录,由一专职护士在患者出院后,每月1次对患者就外固定器使用的相关知识、肢体功能锻炼、饮食、心理调适等内谷进行电话回访式健康教育等。结果观察纽患者对肢体功能锻炼、饮食、定期复片、心理调适等健康教育内容的掌握情况及患者满意度评价显著优于对照组（P〈0．05）。结论电话回访式健康教育,通过定期督促和交流提高患者的遵医行为和院外自我护理能力,时促进骨折患者预防并发症、进行功能锻炼,从而尽早达到骨折愈合起到积极作用。     

电话回访式健康指导在颈髓损伤出院患者中的应用

目的提高颈髓损伤患者对疾病康复及日常保健的认识和自我护理能力。方法将96例颈髓损伤出院患者的资料登记人册，于出院后7d、1个月通过电话回访进行健康指导。结果96例中93例获访，其中43例存在健康问题，需接受医护人员指导和帮助。经电话回访式健康指导，存在健康问题均得到不同程度的解决。讨论电话回访式健康指导是一种简便、高效的医疗服务举措，不仅促进患者的遵医行为，提高患者的身心独立能力，还有利于完善出院指导。     

留置双J管出院患者电话随访健康教育的效果观察

目的探讨采用电话随访方式对留罱双J管患者进行出院后健康教育的效果。方法将308例留置双J管的患者按出院单、双口随机分为观察组和对照组各154例。两组住院期间及出院前均进行常规健康教育，观察组在出院时建立电话随访卺记本，出院后由专人对患者进行饮食、服药、休息、活动等内容的电话随访，随访后1个月观察比较两组的置管并发症、自我护理情况、相关知识掌握情况。结果观察组电话随访率100％，对相关知识的掌握率、自我护理能力、置管并发症明显优于对照组（P〈0．05）。结论电话随访式健康教育将医院健康教育工作延伸到留置双J管患者家中，提高了健康教育效果，促进了患者的康复。     

电话回访联合心脏康复手册在院外老年慢性心力衰竭患者中的应用效果

目的探讨电话回访联合心脏康复手册在院外老年慢性心力衰竭患者中的应用效果。方法选取2017年9月至2018年12月于我院出院的40例慢性心力衰竭患者为研究对象,随机将其等分为观察组与对照组,对照组给予常规宣教,观察组患者在此基础上于出院前2 d发放自制心脏康复手册,并于出院后进行电话回访,12周后比较两组患者各项生活质量和自我护理能力得分。结果观察组患者出院后身体领域、其他领域及生活质量总分均优于出院前且优于对照组(P<0.05),自我护理行为得分优于出院前且优于对照组(P<0.05)。结论电话回访联合心脏康复手册能有效提高院外老年慢性心力衰竭患者的生存质量和自我护理能力,值得推广应用。     

电话回访预防长春瑞滨致迟发性静脉炎探讨

目的应用电话回访进行跟踪式的健康教育预防患者出院后长春瑞滨所致的迟发性静脉炎的效果观察。方法选择我科2005年5月～2007年3月间应用长春瑞滨治疗并在治疗后2d内出院的非小细胞肺癌患者129例,建立出院登记本并留取患者的电话,在患者出院后的第2天起由责任护士主动进行电话回访,询问患者静脉情况并认真记录,提醒或告知相应的处理方法。结果有效电话回访372次,及时发现静脉炎3例,占0．8％。电话回访后出院患者的满意度调查比回访前提升了8．8％。结论应用电话回访来指导出院后的患者和家属,可有效预防长春瑞滨静脉注射后所致的迟发性静脉炎,提升了护理服务的满意度。     

The effect of automated calls with telephone nurse follow-up on patient-centered outcomes of diabetes care: a randomized, controlled trial

OBJECTIVE: We evaluated the impact of automated telephone disease management (ATDM) calls with telephone nurse follow-up as a strategy for improving outcomes such as mental health, self-efficacy, satisfaction with care, and health-related quality of life (HRQL) among low-income patients with diabetes mellitus. RESEARCH DESIGN: This was a randomized, controlled trial. SUBJECTS: Two hundred forty-eight primarily English- and Spanish-speaking adults with diabetes enrolled at the time of visits to a county health care system. INTERVENTION: In addition to usual care, intervention patients received biweekly ATDM calls with telephone follow-up by a diabetes nurse educator. Patients used the ATDM calls to report information about their health and self-care and to access self-care education. The nurse used patients' ATDM reports to allocate her time according to their needs. MEASURES: Patient-centered outcomes were measured at 12 months via telephone interview. RESULTS: Compared with patients receiving usual care, intervention patients at follow-up reported fewer symptoms of depression (P = 0.023), greater self-efficacy to conduct self-care activities (P = 0.006), and fewer days in bed because of illness (P = 0.026). Among English-speaking patients, those receiving the intervention reported greater satisfaction with their health care overall and with the technical quality of the services they received, their choice of providers and continuity of care, their communication with providers, and the quality of their health outcomes (all P <0.042). Intervention and control patients had roughly equivalent scores for established measures of anxiety, diabetes-specific HRQL, and general HRQL. CONCLUSIONS: This intervention had several positive effects on patient-centered outcomes of care but no measurable effects on anxiety or HRQL.     

综合健康教育对居家脑卒中后瘫痪患者发生压疮的影响

目的 探讨综合健康教育对居家脑卒中后瘫痪患者发生压疮的影响.方法 选取2013年10月~2014年10月在该院消化内科和呼吸科住院的例脑卒中后瘫痪患者的照顾者46例为健康教育对象.采用在院期间面对面指导,发放压疮预防知识宣传手册和患者出院后电话随访指导的方式进行防压疮健康教育,比较患者入院前和出院后3个月照顾者的照顾行为和压疮发生率.结果 患者出院后3个月,照顾者的照顾行为明显优于入院前,差异有统计学意义(P<0.05);患者的压疮发生率明显低于入院前,差异有统计学意义(P<0.05).结论 综合健康教育可以改善居家脑卒中后瘫痪患者照顾者的照顾行为,降低患者的压疮发生率.     

Effect of telephone follow-up on surgical orthopedic recovery

We examined the effect of telephone follow-up on surgical orthopedic patients' postdischarge recovery. The sample consisted of 438 patients randomly assigned to receive routine care with or without telephone follow-up 24 to 72 hours after discharge (intervention). During the intervention, the nurse caller assessed each patient's status, identified problems, and provided needed follow-up care. Structured telephone interviews were conducted with all participants during the third week after their discharge. Key outcomes were self-reports of problems, progress, and unanticipated contact with the health care system. The primary self-reported problems were mood changes, constipation, pain, and swelling. Women and younger participants tended to report more problems. Availability of help was positively associated with progress. Although telephone follow-up did not affect the first two outcomes, it was associated with increased occurrence of health care contacts, as was living farther from the hospital. The study findings highlight the need to clearly explicate the requirements and outcomes for nurse-initiated telephone follow-up programs.     

Telephone follow-up of self-care behaviour after a single session education of patients with heart failure in primary health care.

BACKGROUND: Improved self-care behaviour is a goal in educational programmes for patients with heart failure, especially in regard to daily self-weighing and salt and fluid restriction. AIMS: The objectives of the present study were to: (1) describe self-care with special regard to daily self-weighing and salt and fluid restriction in patients with heart failure in primary health care, during one year of monthly telephone follow-up after a single session education, (2) to describe gender differences in regard to self-care and (3) to investigate if self-care was associated with health-related quality of life. METHODS: The present analysis is a subgroup analysis of a larger randomised trial. After one intensive educational session, a primary health care nurse evaluated 60 patients (mean age 79 years, 52% males, 60% in New York Heart Association class III-IV) by monthly telephone follow-up during 12 months. RESULTS: The intervention had no effect on quality of life measured by EuroQol 5D and no significant associations were found between quality of life and self-care behaviour. Self-care behaviour measured by The European Self-care Behaviour Scale remained unchanged throughout the study period. No significant gender differences were shown but women had a tendency to improve adherence to daily weight control between 3- and 12 months. CONCLUSION: The self-care behaviour and quality of life in patients with heart failure did not change during one year of monthly telephone follow-up after a single session education and this indicates a need for more extensive interventions to obtain improved self-care behaviour in these patients.     

连续性护理干预对冠状动脉旁路移植术后患者健康相关行为的影响

目的探讨对冠状动脉旁路移植术后患者实施连续性护理干预的效果。方法将73例冠状动脉旁路移植术后患者分为对照组（37例）和干预组（36例）。两组均实施常规护理，干预组患者同时接受研究者实施的连续性护理干预，包括出院前的健康相关行为宣教，出院后电话随访等。评价两组患者出院后4，8，12周的健康相关行为状况。结果 连续性护理干预能改善患者的营养、运动、药物管理、并发症管理行为，但不能改善压力应对和吸烟行为。结论连续性护理干预是一种安全、有效的干预方式，值得推广。     

连续护理对老年慢性病患者健康知识和自理能力的效果研究

目的探讨出院前综合评估干预和出院后连续护理对老年慢性病患者健康知识和自理能力的影响。方法将我院收治的老年慢性病患者200例随机分为研究组和对照组,两组各100例,对照组老年患者接受目前常规的治疗、康复和护理,干预组在此基础上实施由专业的健康教育护士、专科医生、康复师、营养师、老年患者家属或其他照顾者、保健医生等构成多学科综合评估干预和出院后为期6个月以健康教育为主的连续护理。6个月后测评两组患者参与健康教育,知识掌握、自理能力等改变情况。结果干预组94人、对照组93人完成研究,干预组患者出院后6月,参与健康教育的数量、知识掌握情况、自理能力明显优于对照组（P〈0．05）。结论实施出院前综合评估干预和出院后连续护理,能有效地提高老年慢性病患者健康教育的参与,改善和维持其日常生活能力。     

A study of the impact of discharge information for surgical patients

AIM OF THE STUDY: To establish whether the routine information surgical patients receive about the management of pain and wound care during their hospitalization is sufficient for them to care for themselves without seeking assistance from a health professional or health care agency. BACKGROUND: While there has been considerable evidence suggesting cost benefits of discharge information the health care environment is constantly changing. Contemporary issues such as increased patient participation, extensive use of technology, reduction in health care expenditure, and greater awareness of consumer rights necessitate further inquiry into the appropriateness of discharge information. METHOD: One hundred and fifty-eight adult patients discharged within a week of their operation participated in the study. A written questionnaire was distributed within 24 hours prior to discharge and a telephone interview conducted 1 to 2 weeks after discharge. At the time of discharge the majority of patients had received information. FINDINGS: Those patients who had received information were less likely to access a health facility than those who had not received information. However, the telephone interview, revealed that there was no evidence that patients who believed they were well informed within 24 hours of discharge about the management of their wound, still felt well informed 1 to 2 weeks later. CONCLUSION: Nurses need to be aware that patients who leave the hospital with little or no discharge information may not be confident in the management of their health condition and therefore may access a health facility, if even just for reassurance.     

院外延续宣教对糖尿病足中高危人群自护行为的影响研究

目的：探讨远程护理干预对2型糖尿病足中高危患者足部自护行为及血糖的影响。方法在2011年1～5月住院的糖尿病患者中,筛选出糖尿病足中高危患者60例为研究对象,随机分为对照组及干预组。对照组采取常规出院随访,干预组采取远程延续信函结合电话强化健康指导。比较两组患者在院时和出院2年后的足部自护行为、血糖值及糖尿病足危险因素评分。结果干预组患者干预前后的足部自护行为差异有显著意义（P＜0．05）,与对照组比较差异有显著意义（P＜0．05）。在血糖值、糖尿病足危险因素评分等方面比较两组差异无显著意义。结论针对性的远程宣教,可以提高糖尿病足中高危患者的足部自护行为,但宣教模式还可进一步完善。     

电话随访对肾移植患者的影响

目的 探讨电话随访对肾移植患者的影响.方法选择2002年7月-2007年11月在我院行肾移植术后患者31例进行电话随访.随访时间:出院后1个月内每周1次,出院后1-3个月2周随访1次,3～12个月每月随访1次,1年后每3个月随访1次,随访内容相同,并于电话随访前及6个月后对患者进行自我管理能力和自我效能水平的测评及抑郁、焦虑情况等测评.结果 31例患者电话随访前自我管理总分(7.24±0.93),随访后评分(8.32±0.86);随访前自我效能评分(6.47±2.51),随访后评分(7.96±2.53),经t检验,差异具有统计学意义.31例患者电话随访前及随访6个月后SAS、SDS测评结果,随访前后SAS评分(50.32±9.16),(42.53±6.32),SDS评分(53.63±11.81),(42.78±8.25),经t检验,差异具有统计学意义.结论 电话随访能及时准确给院外患者以医学健康指导,能及时发现早期并发症,明显提高患者的自我管理能力和自我效能水平,减轻患者的抑郁、焦虑情绪.