Effect of full-time follow-up on quality of life in recipients with transplantation of donated kidney
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摘要:目的
探讨专职随访对器官捐献肾移植受者生活质量的影响。
方法将成人公民逝世后器官捐献肾移植受者192例随机分为对照组97例和试验组95例, 对照组采用常规随访模式,试验组实施专职随访,运行科室-门诊-网络闭环随访管理。比较2组患者的非计划再入院率、自我护理能力评分、生活质量评分以及随访满意度情况。
结果出院后6个月,试验组的非计划再入院率18.95%,低于对照组29.90%,差异有统计学意义(P<0.05); 出院后1、6个月,试验组自我护理能力得分、生活质量得分、随访满意度均高于对照组,差异有统计学意义(P<0.05)。
结论专职随访可有效降低肾移植受者非计划再入院率,提高自我护理能力,改善生活质量,并提升患者的满意度。
Abstract:ObjectiveTo explore the effect of full-time follow-up on the quality of life in recipients with transplantation of donated kidney.
MethodsA total of 192 recipients with transplantation of donated kidney from the dead adult citizens were randomly divided into control group (n=97) and experimental group (n=95). The control group received routine follow-up, while the experimental group received full-time follow-up (closed follow-up management of patient-outpatient-internet cycle). Unplanned readmission rate, score of self-care ability, score of quality of life and satisfaction degree of follow-up were compared between two groups.
ResultsAt 6 months after discharge, the unplanned readmission rate in the experimental group was 18.95%, which was significantly lower than 29.90% in the control group (P < 0.05); at 1 month and 6 months after discharge, the scores of self-care ability, quality of life and satisfaction degree of follow-up in the experimental group were significantly higher than those in the control group (P < 0.05).
ConclusionFull-time follow-up can effectively reduce the unplanned readmission rate of recipients with renal transplantation, enhance self-care ability, improve quality of life, and increase patients'satisfaction degrees.
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Keywords:
- full-time follow-up /
- organ donation /
- renal transplantation /
- quality of life /
- self-care ability
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表 1 2组患者自我护理能力评分比较(x±s)
分 组别 n 出院时 出院后1个月 出院后6个月 对照组 97 88.68±4.36 99.21±2.41* 109.19±0.98* 试验组 95 88.70±4.23 102.94±3.33*# 113.08±2.73*# 与出院时比较, * P<0.05; 与对照组比较, #P<0.05。 表 2 2组生活质量评分(x±s)
分 组别 n 出院时 出院后1个月 出院后6个月 对照组 97 118.93±16.99 125.11±12.16* 138.18±14.65* 试验组 95 119.01±17.84 130.57±15.85*# 147.50±15.88*# 与出院时比较, * P<0.05; 与对照组比较, #P<0.05。 表 3 2组随访满意度比较(x±s)
分 组别 n 出院时 出院后1个月 出院后6个月 对照组 97 93.98±1.12 94.29±0.88* 94.94±1.05* 试验组 95 94.00±1.50 95.90±0.61*# 97.54±0.85*# 与出院时比较, * P<0.05; 与对照组比较, #P<0.05。 -
[1] GARCIA M F, BRAVIN A M, GARCIA P D, et al. Behavioral measures to reduce non-adherence in renal transplant recipients: a prospective randomized controlled trial[J]. Int Urol Nephrol, 2015, 47(11): 1899-1905. doi: 10.1007/s11255-015-1104-z
[2] 高佩娟, 崔娟, 陶冶. 肠道菌群与肾移植[J]. 肾脏病与透析肾移植杂志, 2020, 29(1): 83-87. doi: 10.3969/j.issn.1006-298X.2020.01.017 [3] 王薇薇, 戴琳峰. 延续性护理对心脏死亡器官捐献肾移植患者生存质量的影响[J]. 实用临床医药杂志, 2018, 22(18): 18-20, 31. doi: 10.7619/jcmp.201818006 [4] TAVARES M G, CRISTELLI M P, IVANI DE PAULA M, et al. Early hospital readmission after kidney transplantation under a public health care system[J]. Clin Transplant, 2019, 33(3): e13467. doi: 10.1111/ctr.13467
[5] 王亚鹏. 社区高血压患者自我护理能力及治疗依从性分析[J]. 现代医药卫生, 2020, 36(3): 400-403. doi: 10.3969/j.issn.1009-5519.2020.03.025 [6] 韩健乐, 王长安, 刘金瑞. 肾移植随访质量规范化建设要点分析[J]. 实用器官移植电子杂志, 2020, 8(2): 151-153. doi: 10.3969/j.issn.2095-5332.2020.02.018 [7] 车宇琦, 亓蕊, 苏继芬. 专职随访对直肠癌造口患者出院自我护理能力的影响[J]. 解放军护理杂志, 2019, 36(5): 38-41, 46. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL201905014.htm [8] 杨思锐, 王小青, 曹亚雨, 等. 国内肾移植延续护理现状与发展[J]. 全科护理, 2021, 19(3): 343-345. https://www.cnki.com.cn/Article/CJFDTOTAL-JTHS202103019.htm [9] 杨廷忠, 黄汉腾. 社会转型中城市居民心理压力的流行病学研究[J]. 中华流行病学杂志, 2003, 24(9): 760-764. doi: 10.3760/j.issn:0254-6450.2003.09.004 [10] 付迎欣. 肾移植术后随访规范(2019版)[J]. 器官移植, 2019, 10(6): 667-671. doi: 10.3969/j.issn.1674-7445.2019.06.006 [11] 时翠勤, 李虹. 基于奥马哈系统的延续护理对血液透析患者自护能力及生活质量的影响[J]. 实用医药杂志, 2020, 37(4): 369-372. https://www.cnki.com.cn/Article/CJFDTOTAL-QEYY202004029.htm [12] 张作记. 行为医学量表手册[M]. 北京: 中华医学电子音像出版社, 2005: 1-11. [13] 李浩, 杨婧芝, 梁国标, 等. 人体器官捐献肾移植术21例报告[J]. 贵州医药, 2019, 43(3): 382-384. https://www.cnki.com.cn/Article/CJFDTOTAL-GZYI201903016.htm [14] ZHAO L, YAN J, YANG G L, et al. A study on adherence to follow-up, quality of life, and associated factors among renal transplant recipients in China[J]. Transplant Proc, 2017, 49(6): 1285-1290. doi: 10.1016/j.transproceed.2017.03.086
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