Effect of telephone follow-up on self-management skills for Miles patients

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Objective To investigate whether telephone follow-up can help to improve Miles operation patient self-management capabilities,to improve quality of life and to improve patients' satisfaction.Methods The Miles operation patients were randomly divided into telephone follow-up group and conventional group.Both groups were given general surgical care; and telephone follow-up group was given support for lifestyle of outside,psychological and social competence weekly by full-time nurses through telephone follow-up.Patients in the two groups were investigated by self-management questionnaire 6 months later.Results Self-management skills of telephone follow-up group were significantly better than those of the conventional group (t =6.48,P ＜ 0.05 ).The score of postoperative adaptive capacity in follow-up group was (50.45 ±4.87) and (43.19 ±5.76) in conventional group; the score of self-management skills of patients had positive correlation with colostomy and adaptive capacity,social support,self-esteem score and cognitive symptoms management (r =0.45,0.39,0.37,0.33;P ＜0.0l ) ; The physician-patient and nurse-patient satisfaction after 6 months' intervention was 99.2％ in follow-up group and 94.2％ in conventional group,with significant difference (x2 =4.56,P ＜ 0.05).Conclusions Telephone follow-up can significantly improve self-management capacity,improve quality of life of Miles operation patients,and improve care and service satisfaction. Key words: Follow-up studies; Self-care; Miles operation