结直肠癌造口术后患者的相关知识认知状况及知识需求的调查  

An investigation into the cognitive status of related knowledge and on-demand knowledge of patients with colorectal cancer after the enterostomy

作　　者：许晓洁[1] 张贞丽[1] 邓冬梅[1] 庞振红[1] 洪仁华[1] 张维燕[1] 李文强[1] Xu Xiaojie;Zhang Zhenli;Deng Dongmei;Pang Zhenhong;Hong Renhua;Zhang Weiyan;Li Wenqiang(Central People＇s Hospital of Zhanjiang, Zhanjiang 524037, Chin)

机构地区：[1]湛江中心人民医院,524037

出　　处：《国际医药卫生导报》2018年第11期1627-1629,共3页International Medicine and Health Guidance News

基　　金：湛江市科技攻关计划项目（2017801195）

摘　　要：目的通过对结直肠癌造口术后患者的相关知识认知状况及知识需求的调查，为实施针对性的延续性护理提供理论依据。方法在2017年6月1日至2017年8月30日，采用自行设计的自填式问卷对本院普外科因结直肠癌行造口术或术后再次就诊的门诊或住院患者108例，进行个人资料、肠造口相关知识的认知状况和知识需求调查，结果采用SPSS20．0统计学软件进行分析。结果患者对肠造口相关知识总认知度得分仅有57．23分，属于低水平状态（〈60分）。六大条目评分排序为：造口清洗、造口袋更换、造口袋购买、造口周围皮肤观察、造口扩张、造口并发症的判断。不同个体对相关知识掌握程度比较，年轻者优于年老者，脑力劳动者优于体力劳动者（均P〈0．01）。护理需求以造口护理、合理饮食、性知识三项内容需求率在90％以上。患者最喜欢微信互动，人数占86．11％。结论患者肠造口相关知识认知属于低水平状态，以年老者、文化水平低者尤甚，应实施针对性的延续性护理，按需求教育，扩展网络教育平台传授相关的疾病知识以改善患者的认知状况，提高自我护理能力。Objective Through the investigation into the cognitive status of related knowledge and ondemand knowledge of patients with colorectal cancer after the enterostomy, to provide a theoretical basis for the implementation of targeted continuous nursing. Methods From June l, 2017 to August 30, 2017, a self-designed and self-conducted questionnaire was used to investigate into the cognitive status of ostomy-related knowledge and on-demand knowledge of 108 patients or re-visit patients in the outpatient or inpatient department of general surgery of our hospital for the treatment of colorectal cancer. SPSS20.0 statistical software was used for analysis. Results The total score of the patients on related knowledge was only 57.23 points, which was low （〈60 points）. The ranking of the six items ranked as follows： stoma cleaning, replacement of stoma bag, purchase of stoma bag, observation on the skin around the stoma, stoma expansion, judgment of complications. Comparison of the level of knowledge mastered by different individuals： the younger ones outperformed the older ones, and the mental workers outperformed the manual workers （P〈0.01）. The demand rate of postoperative nursing needs such as stoma nursing, reasonable diet, and sexual knowledge were all above 90%. WeChat interaction was the most popular among the patients, accounting for 86.11%. Conclusions The patients had low level of enterostomyrelated knowledge, especially the elderly and those with low level of education. Therefore the targeted continuous nursing should be implemented, on-demand education and extended online education platform should be used to disseminate the knowledge, to improve patients＇ cognitive status and self-care ability.

关 键 词：结直肠癌 肠造口 认知状况 出院患者 知识需求 

分 类 号：R473.73[医药卫生—护理学]