延续护理对永久性结肠造口患者的影响研究  

Study on the Effect of Extended Nursing on Permanent Colostomy

作　　者：甄莉莉[1] ZHEN Li-li(Baoding NO.1 Central Hospital Integrated Surgery Department,Baoding,Hebei Province,071000 China)

机构地区：[1]保定市第一中心医院综合外科,河北保定071000

出　　处：《系统医学》2017年第18期149-151,共3页Systems Medicine

摘　　要：目的延续护理对永久性结肠造口患者的影响及效果。方法选取2016年1月—2017年1月间于该院接受直肠癌手术的永久性结肠造口患者88例,根据随机数分组,分为对照组和观察组各44例。对照组采取常规护理处理,观察组采取延续护理,对比两种护理方法的应用效果。结果观察组的ESCA[出院后8个月的自我护理概念、自我护理知识、自我护理责任感、自我护理技能得分分别为(50.9±5.7)分、(45.1±6.3)分、(41.2±4.6)分、(32.1±3.8)分]和SF-36评分[一般健康状况、生理机能、社会功能、精神健康、情感职能、躯体疼痛评分分别为(81.3±5.2)、(79.1±5.3)分、(78.7±4.1)分、(82.2±3.4)分、(80.8±10.7)分、(79.9±7.1)分]明显高于对照组ESCA评分[出院后8个月的自我护理概念、自我护理知识、自我护理责任感、自我护理技能得分分别为(28.2±3.7)分、(25.8±5.3)分、(30.3±3.5)分、(24.9±3.6)分]和SF-36评分[一般健康状况、生理机能、社会功能、精神健康、情感职能、躯体疼痛评分分别为(61.2±4.8)分、(66.7±4.7)分、(68.3±3.9)分、(70.0±4.2)分、(66.3±9.4)分、(60.2±6.5)分],差异有统计学意义(P<0.05)。护理后,观察组SAS评分和SDS评分(45.3±2.6)、(50.2±2.7)分,明显低于对照组的SAS评分和SDS评分(55.7±2.8)分、(60.3±2.5)分,差异有统计学意义(P<0.05)。结论在永久结肠造口患者实施延续护理的情况下,可以提高患者的自我保健能力和生活质量,值得推广应用。Objective This paper tries to explore the effect of nursing on patients with permanent colostomy.Methods 88 patients with permanent colostomy enrolled in this hospital from January 2016 to January 2017 were selected and were divided into control group and observation group according to random number,with 44 patients in each group.The control group was treated with routine nursing,and the observation group was treated with continuous care,and the effect of the two nursing methods was compared.Results The ESCA(8 months after discharge,self-care concept,self-care knowledge,self-care responsibility,self-care skill)of the observation group were(50.9±5.7)points,(45.1±6.3)points,(41.2±4.6)points,(32.1±3.8)points;the SF-36(the scores of general health status,physical function,social function,mental health,affective function and physical pain)score were(81.3±5.2)points,(79.1±5.3)points and(78.7±4.1)points,(82.2±3.4)points,(80.8±10.7)points,(79.9±7.1)points respectively,significantly higher than those in the control group of(28.2±3.7)points,(25.8±5.3)points,(30.3±3.5)points,(24.9±3.6)points and SF-36 scores of(61.2±4.8)points,(66.7±4.7)points,(68.3±3.9)points,(70.0±4.2)points,(66.3±9.4)points and(60.2±6.5)points respectively,with significant difference(P<0.05).After treatment,SAS score and SDS score were(45.3±2.6)points and(50.2±2.7)points,significantly lower in the observation group than those in the control group of(55.7±2.8)points,(60.3±2.5)points,with statistical significance(P<0.05).Conclusion In the case of permanent colostomy,the patients’self-care ability and quality of life can be improved and worthy of popularization and application.

关 键 词：延续护理 永久性结肠造口 自我护理能力 影响研究 

分 类 号：R352[医药卫生—基础医学]