Application of Disease Management in Follow-up Visit to Patients with Colostomy
Author(s): XU Qing-qing, XIE Ling-nv
Pages: 43-46
Year: 2015 Issue: 6
Journal: Hospital Management Forum
Keyword: Disease management; Colostomy adjustment; Anxiety; Follow-up visit;
Abstract: Objective To discuss the application and effect of disease management mode in follow-up visit to patients with early permanent colostomy.MethodsThe study included 148 cases of permanent colostomy patients and divided them into control group (n=75) and study group (n=73) according to their discharge order. The control group received routine postoperative follow-up visits while the study group took disease management led by colostmers. Compared patients' colostomy adjustment and anxiety level between two groups six months later.Results (1) The OAI-20 scores of control group and study group patients were (57.60±9.87) and (50.21±10.68) respectively after intervention, both of which were improved compared with those of pre-intervention with statistically significant difference between two groups (t = 4.36, p = 0.0000). (2) After intervention, SAS scores of patients in control group and study group were (58.88±11.00) and (53.45±10.62) respectively, lower than before with statistically significant difference between two groups (t = 3.05, p = 0.002).Conclusion Disease management can improve the colostomy adjustment level of patients with early permanent colostomy and reduce their anxiety level.
Pages: 43-46
Year: 2015 Issue: 6
Journal: Hospital Management Forum
Keyword: Disease management; Colostomy adjustment; Anxiety; Follow-up visit;
Abstract: Objective To discuss the application and effect of disease management mode in follow-up visit to patients with early permanent colostomy.MethodsThe study included 148 cases of permanent colostomy patients and divided them into control group (n=75) and study group (n=73) according to their discharge order. The control group received routine postoperative follow-up visits while the study group took disease management led by colostmers. Compared patients' colostomy adjustment and anxiety level between two groups six months later.Results (1) The OAI-20 scores of control group and study group patients were (57.60±9.87) and (50.21±10.68) respectively after intervention, both of which were improved compared with those of pre-intervention with statistically significant difference between two groups (t = 4.36, p = 0.0000). (2) After intervention, SAS scores of patients in control group and study group were (58.88±11.00) and (53.45±10.62) respectively, lower than before with statistically significant difference between two groups (t = 3.05, p = 0.002).Conclusion Disease management can improve the colostomy adjustment level of patients with early permanent colostomy and reduce their anxiety level.
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