延续护理服务对造口患者出院后自我护理能力的影响  

Influence of continuing care on discharged ostomy patients' ability of self-caring

作　　者：杨明莹[1] 张丽霞[1] 王俊 杨倩蓉[1] 古启启[1] 袁薇[1] 倪红[1] 

机构地区：[1] 昆明医科大学第二附属医院护理部,650101 [2] 泌尿外科

出　　处：《中国护理管理》2014年第2期154-156,共3页Chinese Nursing Management

基　　金：国家自然科学基金(81260374)

摘　　要：目的:探讨延续护理服务对造口患者出院后疾病知识掌握情况及自我护理能力的影响。方法:便利选取我院收治的永久性结肠造口和膀胱全切回肠代膀胱造口患者共100例作为研究对象,成立延续护理服务小组,通过电话随访、造口护理门诊随访、家庭随访、造口患者联谊会等方式对患者进行延续护理,采用自制的疾病知识掌握情况调查表及自我护理能力测定量表,对实施延续护理前、后患者的相关情况进行评价和比较。结果 :患者在造口袋更换、自我监测、合理饮食等方面的知识水平和自我护理能力均有所提高,与实施延续护理服务前相比差异有统计学意义(P<0.05)。结论:延续护理服务可提高造口患者的疾病知识掌握程度及自我护理能力,从而提高患者的生命质量。Objective：To explore the influence of continuing care on discharged ostomy patients,ability of self-caring. Methods：Totally 100 postoperative patients were included. A continuing care service team was set up and standardized the content and processes of nursing by ostomy outpatient service, telephone follow-up, family visit and sodality of ostomy patients. Exercise of self-care agency scale was used to assess and compare the patients＇ quality of life before and after continuing care. Results：By implementing the continuing care, patients＇ ability of changing ostomy bag, rationalizing diet, self-monitoring and self-caring were increased, and the difference was statistically signiifcant （P〈0.05）. Conclusion：Continuing care can improve ostomy patients＇ quality of life.

关 键 词：造口 延续护理 自我护理能力 

分 类 号：R47[医药卫生—护理学]