直肠癌结肠造瘘患者同伴教育护理效果分析  

The application research of peer education in continuing nursing care for colostomy patients with rectal cancer

作　　者：何林娜[1] 何焘[1] 钟小秋[1] 赵新梅 邱梅[1] He Lingna;He Tao;Zhong Xiaoqiu;Zhao Xinmei;Qiu Mei(Department of General Surgerythe People's Hospital of Deyang,Deyang,Sichuan 618000,China)

机构地区：[1]德阳市人民医院普外科,四川德阳618000

出　　处：《医药前沿》2019年第20期57-59,共3页Journal of Frontiers of Medicine

摘　　要：目的:探讨护士主导的同伴教育在直肠癌结肠造瘘患者出院后护理中的作用.方法:选取德阳市人民医院2015年1月—2017年1月行直肠癌Miles手术后结肠造瘘出院的患者60例,随机选取30作为对照组,采用传统的出院护理模式,随机选取30例作为实验组,采用同伴教育的模式进行出院后护理.结果:实验组患者对造瘘袋的更换、人工扩肛、造瘘口周围皮肤护理等相关护理知识和技能操作掌握情况优于对照组,差异有统计学意义(P<0.05);实验组造瘘口周围炎、造瘘口狭窄、造瘘口回缩等相关并发症发生率低于对照组,差异有统计学意义(P<0.05).结论:直肠癌结肠造瘘患者出院后采用同伴教育的护理模式,对患者的早日康复和尽早恢复正常生活、工作起到积极作用,能够有效提高患者的后期生活质量.Objective To discuss the application of nurse-oriented peer education in continuing nursing care for colostomy patients with rectal cancenMethods Analyzed 60 cases of rectal cancer patients after Miles colostomy operation from Jan. 2015 to Jan. 2017, randomly choosing 30 cases as Control Group with traditional continuing caring, and 30 cases as Experimental Group with peer education in continuing nursing.Results The relative caring knowledge and skills about replacement of ostomy bag,artificial anal dilatation,skin caring around stoma area,etc. are better than that in Control Group, the difference was statistically significant(P < 0.05).The complication rate of peristomitis,stenosis of stoma,stoma retraction was lower than that in Control Group,the difference vvas statistically significant(P < 0.05). Conclusion The application of peer education in continuing nursing care for colostomy patients with rectal cancel;is effective for the sooner recovery and better living qualities after operation.

关 键 词：同伴教育法 延续护理 结肠造瘘 造瘘口周围炎 并发症 

分 类 号：R735.3[医药卫生—肿瘤]