3S理念教育模式对百色市肠造口患者社会心理适应影响的研究  

A study on the influence of 3S education model on psycho-social adaptation of patients with enterostomy in Baise

作　　者：黄梅雪[1] 黄艳青[1] 韦素雨 凌玉芳[1] 顾亚丽[1] HUANG Meixue HUANG Yanqing WEI Suyu LING Yufang GU Yali(Affiliated Hospital of Youjiang Medical University for Nationalities, Baise 533000, Chin)

机构地区：[1]右江民族医学院附属医院,百色533000

出　　处：《右江医学》2017年第2期164-167,共4页Chinese Youjiang Medical Journal

基　　金：百色市科学研究与技术开发计划项目(20130510)

摘　　要：目的探讨支持、技巧、自信(support、skill、self-confidence)即3S理念教育模式对百色市肠造口患者社会心理适应的影响。方法将100例百色市肠造口患者随机分为两组;对照组50例采用传统的健康教育模式干预,研究组50例采用3S理念健康教育模式进行干预;观察两组肠造口知识与技能掌握情况,用自我护理能力测定量表(ESCA)评价患者的自我护理能力,用中文版造口者社会心理适应量表(OAI-20)评价患者的社会心理适应。结果干预后研究组肠造口知识与技能掌握程度显著优于对照组(P<0.05)。干预前两组ESCA得分比较差异无统计学意义(P均>0.05),干预后两组ESCA得分均较干预前显著提高(P<0.01),研究组得分提高更明显(P<0.01)。干预前两组OAI-20评分比较差异无统计学意义(P均>0.05),干预后两组OAI-20评分均较干预前显著提高(P<0.01),研究组评分提高更明显(P<0.01)。结论 3S理念健康教育模式能提高百色市肠造口患者自我管理知识与技能,增强战胜疾病的信心,提高社会心理适应水平,值得推广应用。Objective To study the influence of 3S （support,skill and self-confidence） concept educational mode on psycho-social adaptation of patients with enterostomy in Baise.Methods 100 patients with enterostomy were randomly divided into experimental group and control group.50 cases in the control group were intervened by traditional health education.And 50 cases in the experimental group were intervened by 3S concept educational mode.Mastery of knowledge and skills of enterostomy between two groups were observed.Exercise of Self-Care Agency Scale（ESCA） was used to evaluate the patients＇ self-nursing ability.And OAI-20 was used to evaluate patients＇ psycho-social adaptation.Results After the intervention,mastery of knowledge and skills of enterostomy in the experimental group was better than that of the control group（P〈0.05）.Difference of ESCA scores of the two groups before intervention was not statistically significant（all P〉0.05）,and ESCA scores of the two groups significantly improved after intervention（P〈0.01）,and that of the experimental group improved more significantly（P〈0.01）.There was no significantly statistical difference in OAI-20 between the two groups before intervention（all P〉0.05）,and OAI-20 score of the two groups significantly improved after intervention（P〈0.01）,and that of the experimental group improved more significantly（P〈0.01）.Conclusion 3S concept educational mode can improve knowledge and skills of self-nursing ability among patients with enterostomy,enhance their confidence of overcoming the disease,and increase psycho-social adaptation level.Thus,it is worthy being popularized and applied.

关 键 词：肠造口 3S理念教育模式 自我护理能力 社会心理适应 

分 类 号：R473.73[医药卫生—护理学]