延续护理对永久性结肠造口患者生活质量的影响  

Effect of continuity nursing on quality of life in patients with permanent colostomy

作　　者：史亚丽[1] 吴爱须[1] 李彦平[1] 张玉荣[1] 王丽慧[1] 刘晓红[1] 

机构地区：[1]河北医科大学第二医院,石家庄市050000

出　　处：《护理实践与研究》2014年第5期19-21,共3页Nursing Practice and Research

摘　　要：目的:探讨延续护理对永久性结肠造口患者生活质量的影响。方法:选取在我院因结直肠癌行永久性结肠造口的患者95例作为研究对象,将患者随机分为观察组47例和对照组48例,对照组给予围手术期常规护理,观察组在此基础上由专业护士进行为期3个月的以电话访问、家庭访视、网络视频指导、专家讲座、组织造口联谊会等形式进行延续护理干预,以欧洲癌症研究与治疗组织的生活质量核心量表(中文版)评价两组患者出院后1,3个月时的生活质量。结果:延续护理干预3个月后观察组患者生活质量得分均高于对照组,差异有统计学意义(P<0.05)。结论:延续护理可以有效地改善永久性结肠造口患者的生活质量,值得在临床推广应用。Objective： To analyze the effect of continuity nursing on quality of life in patients with permanent colostomy. Methods： A total of 95 inpatients with the colorectal cancer undergoing permanent colostomy were randomly divided into observation group（ n = 47） and control group（ n = 48）. Patients in observation group were given continuity nursing after discharge,while their counterparts in the latter received routine guidance. continuity nursing included telephone interviews,home visiting,network video guide,expert lecture and ostomy sodality,in which the special nurses provided instructions on stoma care. The duration of the whole intervention lasted three months. Patients in both groups were administered with EORTC- Quality of Life Questionnaire- Core 30 on 1 and 3 months after discharge to compare scores of life quality. Results： Patients in observation group had significantly higher scores of life quality after intervention 3 months than control group（ P〈0. 05）. Conclusion： Continuity nursing can effectively improve quality of life in patients undergoing permanent colostomy.

关 键 词：永久性结肠造口 延续护理 生活质量 

分 类 号：R473.73[医药卫生—护理学]