以医护一体化为基础的延续护理在永久性肠造口患者中的应用  

Application of Continuous Nursing Based on the Integration of Medical Care in Patients with Permanent Enterostomy

作　　者：杨钰芹 寇红艳[2] 花霞[2] 杨红梅 YANG Yu-qin;KOU Hong-yan;HUA Xia;YANG Hong-mei(Mianyang Central Hospital,Mianyang 621000,Sichuan,China;The First Department of Gastrointestinal Surgery,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China;School of Nursing,North Sichuan Medical College,Nanchong 637007,Sichuan,China)

机构地区：[1]绵阳市中心医院,四川绵阳621000 [2]川北医学院附属医院胃肠外一科,四川南充637000 [3]川北医学院护理学院,四川南充637007

出　　处：《医学信息》2021年第2期180-182,共3页Journal of Medical Information

摘　　要：目的探讨以医护一体化为基础的延续护理在永久性肠造口患者中的应用。方法选取2016年9月~2017年8月在川北医学院附属医院收治的永久性肠造口术的直肠癌患者68例,按照随机数字表法分为干预组(35例)与对照组(33例)。对照组予以常规出院护理及健康宣教,干预组予以医护一体化为基础的延续护理,比较两组干预前后自我护理能力、生命质量以及造口相关并发症发生率。结果干预后,干预组自我护理技能、自我护理责任感、自我概念、健康知识水平得分与ESCA总得分均高于对照组(P<0.05)。干预组社交交往、身心状况、朋友的关系、造口袋的影响得分及SQOL量表总分均高于对照组(P<0.05)。干预组造口相关并发症发生率为17.14%,低于对照组的48.48%(P<0.05)。结论以医护一体化为基础的延续护理能够一定程度提高永久性肠造口患者出院后的自我护理能力,减少造口相关并发症的发生,对改善永久性肠造口患者的生命质量有一定效果。Objective To explore the application of continuous care based on the integration of medical care in patients with permanent enterostomy.Methods A total of 68 patients with rectal cancer who received permanent enterostomy in the Affiliated Hospital of North Sichuan Medical College from September 2016 to August 2017 were selected and divided into an intervention group(35 cases)and a control group(33 cases).The control group received routine discharge care and health education,and the intervention group received continuous care based on the integration of medical care.The self-care ability,quality of life and the incidence of stoma-related complications were compared between the two groups before and after the intervention.Results After the intervention,the scores of self-care skills,self-care responsibility,self-concept,health knowledge level and ESCA total scores of the intervention group were higher than those of the control group(P<0.05).The intervention group's social communication,physical and mental status,friend relationship,ostomy influence score and SQOL scale total score were all higher than those of the control group(P<0.05).The incidence of stoma-related complications in the intervention group was 17.14%,which was lower than 48.48%in the control group(P<0.05).Conclusion Continuing care based on the integration of medical care can improve the self-care ability of patients with permanent colostomy after discharge from the hospital,reduce the occurrence of stoma-related complications,and have a certain effect on improving the quality of life of patients with permanent colostomy.

关 键 词：延续护理 医护一体化 肠造口 生命质量 

分 类 号：R473[医药卫生—护理学]