硅油填充术出院患者远程护理服务需求及遵医行为调查分析

Investigation and Analysis of Distance Care Service Needs and Compliance Behaviors of Discharged Patients after Silicone Oil Tamponade

摘要: 目的：通过对玻璃体切除联合硅油填充术出院患者护理服务需求及遵医行为现状调查，为开展远程护理服务和健康教育提供依据。方法：采用自行设计的调查问卷，包括一般资料、远程服务需求和遵医行为三大部分，对我院92例玻璃体切除联合硅油填充术出院患者进行问卷调查。结果：本研究患者中，出院后远程护理服务需求调查结果显示：患者愿意通过微信(51.1%)和电话(68.5%)获取信息、时间为工作日白天(68.5%)、时间间隔为每周一次(58.7%)以及主要的信息需求为特殊体位、复诊、用药、术后康复等相关内容，遵医行为调查显示：执行最差的为坚持保持体位，最好的为坚持用药。结论：硅油填充术后出院患者遵医行为不甚理想，医护人员应重视、加强健康教育，结合患者的需求特点，通过远程护理服务提高遵医行为依从性，减少术后并发症，提高手术成功率。

Abstract: Objective: An investigation was done to the nursing needs and compliance behaviors of the dis-charged patients with vitrectomy combined with silicone oil filling, and it could provide basis for developing remote nursing service and health education. Methods: A self-designed questionnaire, including three parts of general data, remote service needs and compliance behaviors, was used to investigate 92 cases of discharged patients from our hospital with vitrectomy combined with sili-cone oil filling. Results: In this study, the results of remote nursing needs survey of discharge pa-tients showed that patients were willing to get information through WeChat (51.1%) and telephone (68.5%), the time for obtaining information is working day (68.5%), the time interval for obtaining information is once a week (58.7%), and the main information needs were special position, revisit, medication, postoperative recovery, etc. According to the survey of compliance behavior, the worst way is to insist on maintaining position, and the best is to insist on medication. Conclusion: The compliance behavior of the discharged patients after silicone oil filling was not ideal. The medical staff should pay more attention to the health education, combined with the needs of the patients, improve compliance by remote nursing service, reduce postoperative complications and improve the success rate of operation.