A Study on the Impact of Continuous Nursing Intervention Based on Risk Stratification Algorithm on Self-Care Ability of Stoma Patients
Jing Ren, Qunbo Zhan, Hongfen Zhang
Hubei University of Chinese Medicine Wuhan City Chinese Medicine Hospital Wuhan No.1 Hospital
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摘要与影响
In this prospective controlled study we will test if there is an increased post-discharge self-care in enterostomy patients using our Risk-Stratified, Auditable Digital Continuous Care Platform. Platform provided micro learning modules and checklist rehearsals. Enabled photo / video based remote assessment and supported nurse triage with timestamped interactions. Patients were evaluated at discharge(T0) 2 weeks (T1), one month (T2) and three months(T3). Mainly we have ESCA scores related with health knowledge, nursing, self-concepts and self-care responsibilities. Secondary Outcomes: Complication Occurrence Rate, SF - 36 Quality of Life, STAI Anxiety Scores, Unplanned Care Utilization Rates. Platform group had more improvement as compared to routine discharge education especially for self-concept and responsibility which shows cumulative group × time effect. Fewer peristomal skin complication, better quality-of-life domain, less anxious after three-months of intervention. And these all point to that being some sort of closed loop that's got it, education, monitoring it's happening, correct early verification and get through your discharged.
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