小组教育在直肠癌肠造口家属中的实施与效果评价  

Effect of group education in family members of rectal cancer patients undergoing enterostomy

作　　者：陈德凤[1] 罗小红[1] 张燕飞[1] 李月[1] 邓丽彩[1] 黄秀荣[1] 张馨[1] 

机构地区：[1]广西壮族自治区人民医院胃肠外科,广西壮族自治区南宁市530021

出　　处：《世界华人消化杂志》2016年第1期147-152,共6页World Chinese Journal of Digestology

基　　金：广西壮族自治区卫生和计划生育委员会基金资助项目;No.桂卫Z2015361~~

摘　　要：目的:探讨在直肠癌肠造口术患者家属中实施以小组为单位的序贯教育对患者家属与肠造口患者康复的影响.方法:选取2013-08/2015-08广西壮族自治区人民医院胃肠外科收治的120例直肠癌造口患者家属为研究对象,随机分为干预组(n=60)和对照组(n=60).对照组在肠造口患者住院期间,由造口治疗师或责任护士在床边对家属与患者进行相关知识教育.干预组在常规教育的基础上,由造口治疗师对肠造口家属中实施以小组为单位的序贯教育.比较采用两种教育方式前后肠造口家属焦虑评分(Self-rating Anxiety Scale,SAS)、造口相关知识掌握情况、更换造口袋操作的合格率,比较肠造口患者的SAS评分、造口并发症发生率、造口适应情况量表(Ostomy Adjustment Inventory,OAI)得分.结果:干预后观察组家属的SAS得分、肠造口患者的SAS得分、总造口并发症发生率低于对照组(41.38分±3.93分vs 46.54分±5.17分,43.02分±4.71分vs 47.15分±4.39分,16.67%vs 43.33%,均P<0.05),而造口相关知识掌握程度与更换造口操作的合格率及造口适应情况得分均高于对照组(78.33%vs60.00%,70.00%vs 51.67%,51.27分±6.92分vs 42.63分±5.87分,均P<0.05).结论:对肠造口家属实施以小组为单位的序贯教育有利于减轻家属的焦虑,提供给患者更好的照顾,有效促进患者的造口适应性与康复.AIM： To evaluate the effect of sequential group education in family members of rectal cancer patients undergoing enterostomy.METHODS： One hundred and twenty family members of rectal cancer patients undergoing enterostomy were divided into either an observation group or a control group, with 60 cases in each group. The control group received traditional nursing education, and the observation group received sequential group education. Self-rating Anxiety Scale（SAS） score, qualification rate of colostomy related knowledge and qualification rate of changing ostomy bag were compared for the two groups of family members. SAS, the incidence of colostomy complications and Ostomy Adjustment Inventory（OAI） score were compared for the two groups of patients. RESULTS： Compared with the control group, the observation group had a signif icantly lower SAS score and signif icantly higher qualif ication rates of colostomy related knowledge and changing ostomy bag; the patients had a significantly incidence rate of colostomy complications（41.38 ± 3.93 vs 46.54 ± 5.17, 43.02 ± 4.71 vs 47.15 ± 4.39, 16.67% vs 43.33%, P 0.05） and a signif icantly higher OAI score（78.33% vs 60.00%, 70.00% vs 51.67%, 51.27 ± 6.92 vs 42.63 ± 5.87, P 0.05）.CONCLUSION： Sequential group education in family members of rectal cancer patients undergoing enterostomy can reduce family members＇ anxiety and improve ostomy adjustment and recovery.

关 键 词：小组教育 家属 直肠癌 肠造口术 康复 

分 类 号：R473.73[医药卫生—护理学]