结肠造口患者造口应用多学科合作协同护理对患者生活质量影响分析  

Analysis of the Influence of Multidisciplinary Collaborative Collaborative Nursing on Patients’ Quality of Life in Patients with Colostomy

作　　者：詹黎丽 陈碧芳[1] 吴若珍 ZHAN Li-li;CHEN Bi-fang;WU Ruo-zhen(Department of Gastrointestinal Surgery,the First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province,350001 China)

机构地区：[1]福建医科大学附属第一医院胃肠外科

出　　处：《中外医疗》2019年第18期152-154,共3页China & Foreign Medical Treatment

摘　　要：目的应用分析多学科合作协同护理在临床护理中对结肠造口患者生活质量的护理效果及影响。方法随机选取2015年11月—2018年7月期间该院收治结肠造口患者共126例,采用随机数字表法将其分为对照组与研究组,各组样本容量均为63例。予以对照组常规护理,在常规护理基础上予以研究组多学科合作协同护理。对比两组护理前后生活质量指标变化、自理能力指标变化。结果两组术后经护理前,生活质量各维度指标数据对比差异无统计学意义(P>0.05);经护理3个月及6个月后,两组各维度生活质量护理前均出现延续性增长趋势,且研究组经护理6月后的躯体疲倦、疼痛(77.47±9.62)分、情绪功能(68.49±9.73)分、社会功能(72.87±7.61)分、认知功能(73.48±9.08)分、角色功能(62.03±8.15)分、躯体功能(73.78±8.16)分、总健康状况(68.45±9.49)分,较对照组上述指标数据[(72.96±9.53)分;(56.49±9.79)分;(68.82±7.49)分;(65.27±9.36)分;(50.19±7.46)分;(67.61±9.65)分;(60.58±9.38)分]均具有显著优势(t=2.646 3,6.900 6,3.010 6,4.997 1,8.505 7,3.875 2,4.681 5;P<0.05);且研究组经护理后的各时段自理能力评分[(护理1个月后:(3.36±1.27)分;护理3个月后:(4.76±1.59)分;护理6月后:(5.74±1.89)分]均明显对照组[(2.15±0.49)分;(3.18±1.46)分;(4.12±1.68)分](t=7.055 3,5.084 9,5.809 6;P<0.05)。结论结肠造口术后临床护理中多学科合作协同护理在的应用,可通过术后各类护理措施的专业性开展,使自身各维度生活质量均可获得较为显著改善,故可促进患者结肠造口术后的有效恢复,临床应用价值显著。Objective To analyze the effect and influence of multidisciplinary collaborative collaborative nursing on the quality of life of colostomy patients in clinical nursing. Methods A total of 126 patients with colostomy were enrolled in our hospital from November 2015 to July 2018. The patients were divided into control group and study group by random number table. The sample size of each group was 63 cases. The control group was given routine care, and the study group was given multi-disciplinary cooperative collaborative care on the basis of routine nursing. The changes of quality of life indicators and self-care ability indicators before and after treatment were compared. Results There was no statistically significant difference in the quality of life indicators between the two groups before treatment(P>0.05). After 3 months and 6 months of nursing, there was a continuous growth trend in the quality of life of each group. After 6 months of treatment, the body was tired, pain (62.03±8.15)points, emotional function (68.49±9.73)points, social function (72.87±7.61)points, cognitive function (73.48±9.08)points, role function (62.03±8.15)points, physical function (73.78±8.16)points and total health status (73.78±8.16)points, compared with the above index data of the control group [(72.96±9.53)points;(56.49±9.79)points;(68.82±7.49)points;(65.27±9.36)points;(50.19±7.46)points;67.61±9.65)points;60.58± 9.38)points] all had significant advantages(t=2.646 3, 6.900 6, 3.010 6, 4.997 1, 8.505 7, 3.875 2, 4.681 5;P<0.05);and the study group scored self-care ability after each period of care [after 1 month of care: (3.36±1.27)points;after 3 months of care: (4.76±1.59)points;after 6 months of care: (5.74±1.89)points] were significantly in the control group [(2.15±0.49)points;(3.18±1.46)points;(4.12±1.68)points],(t=7.055 3,5.084 9, 5.809 6;P<0.05). Conclusion The application of multidisciplinary collaborative nursing in clinical nursing after colostomy can be carried out through the professional development of v

关 键 词：结肠造口 多学科合作协同护理 生活质量 自理能力 应用效果 

分 类 号：R473.73[医药卫生—护理学]