肠造口术后患者基于行为改变理论的护理干预效果观察  

Effect of Nursing Intervention based on Behaviour Change Wheel for Patients after Enterostomy

作　　者：王艳[1] 朱桂玲[1] WANG Yan;ZHU Gui-lin(Dept.of Colorectal Surgery,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)

机构地区：[1]哈尔滨医科大学附属第一医院结直肠外科,黑龙江哈尔滨150001

出　　处：《护理学报》2020年第8期54-58,共5页Journal of Nursing（China）

摘　　要：目的探讨基于行为改变理论制定的护理模式在结直肠癌造口患者中的应用效果。方法将2019年1月入院的46例患者设为对照组,2019年2月入院的48例患者设为观察组。对照组患者给予常规结直肠造口的护理措施,观察组患者给予依据行为改变理论制定的护理模式进行干预。分别于手术前1 d、出院后第3个月末,采用肠造口患者自我管理问卷和知信行量表评价干预的效果。结果在出院后第3个月末,观察组肠造口患者自我管理问卷总分及各维度得分均高于对照组,差异有统计学意义(P<0.05);观察组患者知信行量表总分及各维度得分均高于对照组,差异有统计学意义(P<0.05)。结论基于行为改变理论的干预模式可以提高肠造口术后患者的自我管理能力和知信行水平。Objective To explore the effect of nursing model based on Behaviour Change Wheel(BCW)in colorectal cancer patients with stoma.Methods Using convenient sampling method,100 cases of colorectal post-operative stoma patients admitted to General Surgery Department of the First Affiliated Hospital of Harbin Medical University from January to February 2019 were selected as the research subjects.The patients were divided according to their length of stay,into control group with 46 patients admitted in January 2019,and another 48 patients admitted in February 2019 as observation group.Patients in the control group were given conventional colorectal stoma nursing measures,and those in the observation group intervention based on nursing model established by BCW.The self-management questionnaire and knowledge-attitude-practice scale for patients with colostomy were used to evaluate the effect of the intervention at the day before the surgery and at the end of one and three month after discharge.Results At the first and third month after discharge,the total score and the scores of each dimension of self-management questionnaire of the patients in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total score and scores of each dimension of knowledge-attitude-practice scale were higher than those of the control group,indicating statistical significance(P<0.05).Conclusion The nursing model based on BCW is effective for improving self-management and the level of knowledge,attitude and practice of patients after enterostomy,which is worth to be promoted.

关 键 词：肠造口 行为改变理论 自我管理能力 知信行 

分 类 号：R473.6[医药卫生—护理学] C931.3[医药卫生—临床医学]