专职随访对捐献肾移植受者生活质量影响的研究

李烟花; 濮世俊; 隋明星; 段亚哲; 陆小英

doi:10.7619/jcmp.20213474

专职随访对捐献肾移植受者生活质量影响的研究

Effect of full-time follow-up on quality of life in recipients with transplantation of donated kidney

摘要

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:
Objective To explore the effect of full-time follow-up on the quality of life in recipients with transplantation of donated kidney.
Methods A 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.
Results At 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).
Conclusion Full-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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