首页|期刊导航|全科护理|Kirkpatrick四层评估模型在泌尿外科术后留置双J管病人出院教育培训中的应用

Kirkpatrick四层评估模型在泌尿外科术后留置双J管病人出院教育培训中的应用OA

Application of the Kirkpatrick Four-Level Evaluation Model in discharge education and training for patients with indwelling double-J catheters after urology surgery

中文摘要英文摘要

目的:探讨基于Kirkpatrick四层评估模型的泌尿外科术后留置双J管病人出院教育方案对病人出院准备度、出院指导质量及短期临床结局的影响.方法:采用随机对照试验设计,选取2024年1月—2025年1月医院泌尿外科术后留置双J管的156例病人为研究对象,采用随机数字表法将其分为研究组(n=78)和常规组(n=78).研究组实施基于Kirkpatrick模型的四阶段出院教育方案,常规组接受常规出院指导.比较两组出院准备度、出院指导质量评分及1个月内非计划性再入院率、急诊就诊率.结果:干预后研究组出院准备度各维度得分及出院指导质量总分显著高于常规组,研究组1个月内非计划性再入院率和急诊就诊率显著低于对照组(P<0.05).结论:基于Kirkpatrick四层评估模型的出院教育方案能有效提升留置双J管病人的出院准备度和指导质量,降低短期并发症相关再入院风险.

Objective:To investigate the impact of a discharge education program based on the Kirkpatrick four-level evaluation model on discharge readiness,quality of discharge guidance,and short-term clinical outcomes in urology patients with indwelling double-J stents.Methods:A randomized controlled trial design was adopted.A total of 156 patients with indwelling double-J catheters after urology surgery in our hospital from January 2024 to January 2025 were selected.The eligible research subjects were divided into the study group(n=78)and the conventional group(n=78)by the random number table method.The research group implemented a four-stage discharge education program based on the Kirkpatrick model,while the conventional group received conventional discharge guidance.The discharge readiness,discharge guidance quality score,unplanned readmission rate within one month and emergency visit rate of the two groups were compared.Results:After the intervention,the scores of each dimension of discharge readiness and the total score of discharge guidance quality in the study group were significantly higher than those in the conventional group.The unplanned readmission rate and emergency visit rate within one month in the study group were significantly lower than those in the control group(P<0.05).Conclusion:The discharge education program based on the Kirkpatrick four-level assessment model can effectively improve the discharge readiness and guidance quality of patients with indwelling double-J catheters,and reduce the risk of readmission related to short-term complications.

高桃;王丹;董丹花

215000,江苏省苏州市立医院215000,江苏省苏州市立医院215000,江苏省苏州市立医院

Kirkpatrick评估模型泌尿外科留置双J管出院教育出院准备度再入院率

Kirkpatrick evaluation modelurologyindwelling double-J stentdischarge educationdischarge readinessreadmission rate

《全科护理》 2026 (15)

2827-2832,6

10.12104/j.issn.1674-4748.2026.15.006

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