永久性膀胱造瘘病人自我护理的行为引导  

GUIDANCE OF SELF-CARE BEHAVIOUR IN PATIENTS WITH PERMANENT VESICOSTOMY

作　　者：李华伟[1] 董海静[2] 刘志梅[3] 姜云霞[1] 

机构地区：[1]青岛大学护理学院,山东青岛266021 [2]青岛市市立医院泌尿外科 [3]青岛市市立医院护理部

出　　处：《齐鲁医学杂志》2015年第3期345-347,350,共4页Medical Journal of Qilu

基　　金：青岛市医药科研指导计划项目(2012-WSZD038)

摘　　要：目的采用行动导向教学法对永久性膀胱造瘘病人进行健康教育,探讨其对病人自我护理能力的行为引导效果。方法将62例永久性膀胱造瘘病人随机分成观察组(32例)和对照组(30例),对照组进行一般健康教育,观察组采用行动导向教学法进行行为引导。1年后,采用生活质量综合评定量表(QOLI 74)、自我护理能力测定量表,评定两组病人的生活质量、自我护理能力,并比较两组病人置管1年内并发症的发生率。结果观察组病人QOLI 74得分和自护能力测定量表得分明显高于对照组(t=6.559、13.589,P<0.01)。观察组病人置管1年内并发症发生率明显低于对照组(χ2=5.645,P<0.05)。结论采用行动导向教学法对永久性膀胱造瘘病人进行行为引导,可改善病人的生活质量,提高病人的自我护理能力,降低置管并发症的发生率。Objective Employing action-oriented teaching method （AOTM） to offer health education for patients with permanent vesicostomy （PV） and assess its effect. Methods Sixty-two patients with PV were divided into observation group （n =32） and control group （n ：30） in random. The patients in the control group received general health education, and those in the observation group, AOTM was carried out to guide their behavior. One year later, Life Quality Inventory （QOLI 74） and self- care agency scale were used to assess the quality of life and self-care ability of patients in the two groups, and the complications of one year of indwelling catheter were compared. Results The scores of quality of life and self-care ability of patients in the observation group were significantly higher than that in the control group, the differences were statistically significant （t=6.559, 13.589,P〈0.01）, and the complication rate was lower （χ2 =5.645,P〈0.05）. Conclusion Applying action-oriented teaching method to guide patients with permanent vesicostomy can improve their quality of life, raise their self-care ability and decrease the incidence of indwelling-catheter-related complications.

关 键 词：膀胱造瘘术 病人教育(主题) 自我护理 

分 类 号：R473.52[医药卫生—护理学]