造口评分表在提高肠造口患者远期生活质量中的应用效果观察  

Effect of enterostomy scale on future quality of life of colostomy patients

作　　者：滕莉[1] 胡欢[1] 王辉[1] 张涛[1] 桂韵[1] 

机构地区：[1]武汉市中心医院胃肠外科,430014

出　　处：《中华现代护理杂志》2013年第24期2903-2906,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨自制造口评分表对出院后肠造口患者远期生活质量的影响.方法 按照随机数字法将194例肠造口患者随机分为观察组和对照组,观察组在住院期间即与护士共同使用造口评分表直至延续出院后患者独立使用,而对照组采用常规护理,未使用造口评分表.对两组患者在出院后l,3,6个月分别进行电话随访及上门随访,比较两组患者SF-36得分及并发症发生情况.结果 观察组患者并发症发生率为15.5％,明显低于对照组的38.1％,差异有统计学意义（x2 =12.56,P＜0.01）.干预前两组患者SF-36各维度得分比较,差异均无统计学意义（P＞0.05）；干预6个月后SF-36量表调查显示,观察组患者的生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、健康变化得分分别为（89.39 ±5.42）,（85.30±5.86）,（84.07±5.83）,（77.80±6.19）,（67.82±6.46）,（84.71±6.35）,（49.68±4.65）分,均高于对照组的（84.27 ±3.18）,（82.91±3.34）,（82.12±3.19）,（74.39±4.99）,（66.21±4.68）,（77.64±5.55）,（47.39±4.39）分,差异均有统计学意义（t分别为8.595,3.731,3.069,5.064,2.197,9.763,5.626；P＜0.05）,而在情感职能、精神健康的得分差异无统计学意义（P＞0.05）.结论 通过使用造口评分表能明显减少肠造口并发症的发生,大大提高肠造口患者的生活质量.Objective To explore the influence of self-designed enterostomy scale on future quality of life of colostomy patients after discharge.Methods Totals of 194 colostomy patients were randomly divided into the observation group and the control group.The observation group used enterostomy scale together with nurses during hospitalization and alone after discharge,while the control group did not use the scale.Telephone follow-ups and visits were conducted 1,3 and 6 months after discharge,and SF-36 score and complications were compared between two groups.Results The rate of complication was 15.5％ in the observation group,obviously lower than 38.1％ in the control group,and the difference was statistically significant （x2 =12.56,P＜0.01）.There were no statistically significant differences on SF-36 scores between two groups before intervention（P ＞ 0.05）.After 6 months of intervention,the score of physical function,physical role,body pain,general health,vitality,social function and health change was respectively （89.39 ± 5.42）,（85.30 ± 5.86）,（84.07 ± 5.83）,（77.80 ± 6.19）,（67.82 ± 6.46）,（84.71 ± 6.35）,（49.68 ± 4.65） in the observation group,（84.27 ± 3.18）,（82.91 ± 3.34）,（82.12 ± 3.19）,（74.39 ± 4.99）,（66.21 ± 4.68）,（77.64 ± 5.55）,（47.39 ± 4.39） in the control group,and the differences were statistically significant （t =8.595,3.731,3.069,5.064,2.197,9.763,5.626,respectively; P ＜ 0.05）.And there was no statistically significant difference on emotion role and mental health （P ＞ 0.05）.Conclusions Application of enterostomy scale can reduce the rate of complications as well as improve the quality of life for colostomy patients.

关 键 词：肠造口术 生活质量 并发症 造口评分表 

分 类 号：R473.73[医药卫生—护理学]