基于结构式家庭治疗的随访管理在老年永久性肠造口患者中的应用效果  

Effect of follow-up management based on structural family therapy in elderly patients with permanent enterostomy

作　　者：林雪蓉[1] 郭思思[1] 周丹[1] 邓君[1] 谭勤 关跃丽 雷铖 鞠梅 LIN Xuerong;GUO Sisi;ZHOU Dan;DENG Jun;TAN Qin;GUAN Yueli;LEI Cheng;JU Mei(Department of Gastrointestinal Surgery,Deyang People′s Hospital,Deyang,Sichuan 618000,China;School of Nursing,Southwest Medical University,Luzhou,Sichuan 646000,China)

机构地区：[1]四川省德阳市人民医院胃肠外科,618000 [2]西南医科大学护理学院,四川泸州646000

出　　处：《重庆医学》2021年第2期242-246,共5页Chongqing medicine

基　　金：国家社会科学基金资助项目(16XSH017);四川省卫生健康科研课题(19PJ044)。

摘　　要：目的评价基于结构式家庭治疗(SFT)的随访管理在老年永久性肠造口患者中的应用效果。方法方便抽样选取2018年6月至2019年6月在德阳市人民医院治疗的老年永久性肠造口患者96例,采用随机数字表法分为对照组和观察组,各48例。对照组给予常规出院随访指导,观察组在此基础上接受基于SFT的随访管理。采用中文版造口患者社会心理适应量表(OAI-20)和中文版造口患者生活质量量表(Stoma-QOL)分别于干预前、干预1、3和6个月后评估患者社会心理适应水平和生活质量。结果共有94例患者完成研究,完成率为97.9%。经重复测量方差分析显示,两组患者的社会心理适应水平、生活质量得分变化存在明显的时间效应、组间效应及交互效应,观察组社会心理适应总分、生活质量总分均高于对照组,差异有统计学意义(P<0.01)。结论基于SFT的随访管理可以平衡老年永久性肠造口患者的正负性情绪,促进其社会心理适应水平的提升和生活质量的改善。Objective To evaluate the effect of follow-up management based on structural family therapy(SFT)in elderly patients with permanent enterostomy.Methods A total of 96 elderly patients with permanent enterostomy treated in Deyang People′s Hospital from June 2018 to June 2019 were randomly divided into the control group and the observation group(n=48).The control group was given routine follow-up management,and the experimental group received follow-up management based on SFT on the basis of the treatment.The levels of psychosocial adaptation and quality of life were evaluated before intervention,1 month,3 months and 6 months after intervention using Chinese version of ostomy adjustment inventory-20(OAI-20)and Chinese version of Ostomy patients′quality of life scale(Stoma-QOL).Results A total of 94 patients completed the whole study,with the completion rate of 97.9%.According to the analysis of variance of repeated measurements,there were significant time effects,inter-group effects and interactive effects in the changes of psychosocial adaptation and quality of life score in the two groups,and the differences were statistically significant(P<0.01).Conclusion The follow-up management based on SFT can balance the positive and negative emotions of elderly patients with permanent enterostomy,and promote the improvement of psychosocial adaptation and quality of life.

关 键 词：肠造口术 老年人 结构式家庭治疗 出院后医疗 适应 心理学 生活质量 

分 类 号：R473.6[医药卫生—护理学]