路径化健康教育改善肠造口病人自我效能  

Health education path enhances self-efficacy of stoma patients

作　　者：郑蕾[1] 金艳[1] 施晓群[1] 张慧[1] 徐菁[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院外科,上海200025

出　　处：《外科理论与实践》2016年第6期498-501,共4页Journal of Surgery Concepts & Practice

摘　　要：目的:评价路径化健康教育提高肠造口病人自我效能的效果。方法 :2012年5月至12月于我院外科肠造口术病人80例,分为干预组和对照组各40例,干预组采用路径化健康教育,对照组采用传统健康教育,分别在病人术前、术后1周及出院时,采用造口自我效能量表调查并比较两组病人自我效能。2015年电话随访调查两组病人术后自我效能。结果:干预组肠造口病人术后1周自我效能评分(74.35±27.90)高于对照组病人自我效能评分(51.30±22.58),P<0.05。出院时两组病人自我效能评分无统计学差异(P>0.05)。术后随访病人62例,失访18例,失访率为22.5%。术后随访干预组病人自我效能评分(108.27±12.29)高于对照组病人自我效能评分(93.93±13.23),P<0.05。结论:应用路径化健康教育能改善肠造口病人术后自我效能。Objective To assess health education path in improving the self-efficacy of stoma patients. Methods A total of 80 cases, who underwent enterostomy in the department of surgery Ruijin Hospital from May to December 2012,were divided into intervention group and control group 40 cases each. The patients in intervention group adopted health education path and the patients in control group adopted routine health education. Self-efficacy of the patients was compared between 2 groups with the test using stoma self-efficacy scale before surgery, 1 week after surgery and discharge. A follow-up of postoperative self-efficacy was done by telephone in 2015. Results The score of self-efficacy of patients in intervention group（74.35 ±27.90） were higher than that in control group（51.30 ±22.58）（P〈0.05） 1 week postoperative. The difference in the score of self-efficacy was not found between two groups when patients discharged（P〉0.05）. Sixty-two cases were followed and 18 cases lost（22.5%）. The follow-up showed that the score of intervention group（108.27±12.29） were higher than that of control group（93.93±13.23）, P〈0.05. Conclusions The self-efficacy of stoma patients can be improved by health education path.

关 键 词：肠造口 自我效能 路径化健康教育 造口护理 

分 类 号：R473.6[医药卫生—护理学]