协同护理对结肠造口患者自我护理能力和造口皮肤的影响  

The Effects of Collaborative Nursing on Self-care Ability and Colostomy Skin for Patients with Colostomy

作　　者：黄春艳[1] 

机构地区：[1]公安县人民医院胃镜室,湖北公安434300

出　　处：《湖北民族学院学报（医学版）》2015年第2期44-46,49,共4页Journal of Hubei Minzu University(Medical Edition)

摘　　要：目的研究协同护理模式对结肠造口患者自我护理能力和造口皮肤的影响。方法 96例低位直肠癌行Miles手术患者随机分为干预组和对照组,每组各48例,对照组实施常规护理,干预组在对照组基础上开展协同护理,分别在不同时点采用一般情况调查表、自我护理能力实施量表(ESCA)、造口自我护理能力量表和造口皮肤评估工具(DET评分),所得数据行统计学处理。结果干预组术后1周和出院后1月ESCA评分明显高于对照组(P<0.05),术后1周和出院后1月干预组自我护理能力量表总分、自我护理知识以及自我护理技能评分均明显高于对照组(P<0.05),而自我意愿评分两组比较差异不明显(P>0.05),出院后1月干预组DET总分、变色以及侵蚀评分均明显低于对照组(P<0.05),而组织增生评分两组比较差异不明显(P>0.05)。结论应用协同护理模式对结肠造口患者进行干预,可有效提高患者自我护理能力,改善造口周围皮肤状况。Objective To study the effects of collaborative nursing on self-care ability and colostomy skin for patients with colostomy.Methods 96 low rectal cancer patients with Miles operation were randomly divided into intervention group and control group,48 cases in each group.The control group was treated by the routine nursing,but the intervention group by collaborative nursing on the basis of the control group.The data from the different points by general situation questionnaire,self-care ability to implement scale（ ESCA）,colostomy self-care ability scale and colostomy skin assessment tool（ DET score） were given the statistical analysis.Results The ESCA score of the intervention group at 1 week after operation and 1month after discharge was significantly higher than that of the control group（ P〈0.05）. The total score for self-care ability scale and the average score for self-care knowledge and skills of the intervention group at1 week after operation and 1 month after discharge were significantly higher than those of control group（ P〈0.05）. And there was no obvious difference for patients＇ wishes scores between the two groups（ P〈0.05）.The DET total score,discoloration and erosion score of the intervention group at 1 month after discharge were significantly lower than those of the control group（ P〈0. 05）.There was no obvious difference for tissue hyperplasia score between the two groups（ P〈0.05）.Conclusions The application of collaborative nursing in patients with colostomy for intervention can effectively improve the patients＇ self-care ability and improve the skin around colostomy.

关 键 词：协同护理 直肠癌 造口 自我护理能力 

分 类 号：R473.73[医药卫生—护理学]