个性化定制健康宣教对结肠造口患者自我护理能力的影响  

Effect of individualized health education on self-care ability of patients with colon stoma

作　　者：王玲琴[1] 陈爱华[1] 陈春丽[1] 

机构地区：[1]温州医科大学附属第二医院肛肠科,浙江省温州325000

出　　处：《中国基层医药》2016年第15期2290-2293,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：分析个性化定制健康宣教对结肠造口患者自我护理能力影响。方法选取行结肠造口术患者120例，按数字表法随机分为观察组和对照组，每组均60例患者。对照组患者实施常规基础知识教育，观察组患者实施个性化定制健康宣教。对比两组患者自我实现评分、健康责任评分、HAMD 评分、Barthel指数、术后并发症情况。结果观察组自我实现（32．16±7．25）分、健康责任（28．62±7．99）分、Barthel 指数（47．56±30．11）分、HAMD 评分（3．15±1．44）分、造口坏死率（1．67％）、黏膜脱垂率（0．00％）、造口回缩率（3．33％）、造口旁疝率（1．67％）均明显优于对照组自我实现（27．98±9．53）分、健康责任（24．87±8．03）分、患者 Barthel 指数（33．37±24．49）分、HAMD 评分（5．99±3．66）及造口坏死率13．33％、黏膜脱垂率11．67％、造口回缩率23．33％、造口旁疝率15．00％，差异均有统计学意义（t ＝2．71、2．56、2．83、7．56，χ2＝4．32、5．46、8．72、5．35，均 P ＜0．05）。结论实施个性化定制健康宣教对结肠造口患者健康行为有积极推进作用，可维持患者病情稳定，加强患者对疾病认知度，改善患者自我护理能力，减少并发症的发生。Objective To analyze the influence of individualized health education on self nursing ability of patients with colon stoma.Methods 120 patients with colon stoma were divided into the observation group and the control group,60 cases in each group.The patients of the control group were given conventional basic knowledge education,and the patients of the observation group were given personalized custom health education.Self score,health responsibility score,HAMD score,Barthel index,postoperative complications of the two groups of patients were compared.Results The observation group with self realization （32.16 ±7.25）points,health responsibility （28.62 ± 7.99）points,Barthel index （47.56 ±30.11 ）points,HAMD score （3.15 ±1.44）points,stoma necrosis rate （1.67%）mucosal prolapse rate （0.00%）,stoma retraction rate （3.33%）and stoma hernia rate （1.67%）were significantly better than the control group with self realization （27.98 ±9.53）points,health responsibility （24.87 ± 8.03）points,Barthel index （33.37 ±24.49）points,HAMD score （5.99 ±3.66）points,stoma necrosis rate （13.33%）mucosal prolapse rate （11.67%）,stoma retraction rate （23.33%）and stoma hernia rate （15.00%）, with statistically significant difference （t =2.71,2.56,2.83,7.56,χ2 =4.32,5.46,8.72,5.35,all P ＆lt;0.05）. Conclusion To implement personalized health education on health behavior of the patients with colon stoma has a positive role,to promote the stability of the patient＆#39;s condition,strengthen the patient＆#39;s awareness of disease,improve patient self -care ability,reduce the occurrence of complications.

关 键 词：结肠造口术 自我护理 健康教育 个性化 

分 类 号：R473.6[医药卫生—护理学]