家庭护理干预对结肠造口病人心理健康状况的影响  

作　　者：温咏珊[1] 覃惠英[1] 郑美春[1] 

机构地区：[1]中山大学肿瘤防治中心,广东广州510060

出　　处：《现代临床护理》2005年第4期9-12,共4页Modern Clinical Nursing

摘　　要：目的探讨家庭护理干预对提高结肠造口病人心理健康水平的效果。方法将出院一个月内的结肠造口病人86例随机分为实验组44例和对照组42例。对照组按常规定期复查,实验组在此基础上由有资格认证的造口治疗师以定期家访和电话访问的形式进行家庭护理干预,包括为病人及家属提供心理咨询、健康教育、护理指导等。干预前后采用症状自评量表(SCL-90)分别测评病人的心理状况。结果干预后实验组的心理健康水平高于干预前(P<0.05),高于对照组(P<0.05),差异有统计学意义。结论由有资格认证的造口治疗师提供的家庭护理干预能有效提高造口病人的心理健康水平。Objectives To explore the effects of home nursing care on mental health status of colostomy patients. Methods Eighty-six colostomy patients were randomly divided into two groups. The control group received routine follow-up in out-patient department of the hospital, Apart from the follow-up, the experimental group received home care by enterostomal therapist. The intervention included home visits and telephone interviews, in which the nurse provided instructions on care of the stoma, health education and psychological counseling for the patients and their family members. The intervention lasted three months time. Symptom Check List 90 （SCL-90） were measured prior to and after the intervention and the data were compared between the two groups. Results After home nursing interventions, the mental health status of experimental group patients were significantly improved, which were also much higher than the control group （P 〈 0.05）. Conclusions Home nursing intervention delivered by enterostomal therapist has effectively improved the mental health status of colostomy patients.

关 键 词：家庭护理 结肠造口病人 心理健康 造口治疗师 

分 类 号：R473.2[医药卫生—护理学]