医护一体化模式在结肠造口患者中的应用  

Application of integrated mode of medical and nursing in colostomy patients

作　　者：王奕英 诸葛林敏[1] 傅凌雪[1] 赵蔚蔚 卢敏[1] 何莹[1] Wang Yiying;Zhuge Linmin;Fu Lingxue;Zhao Weiwei;Lu Min;He Ying(Department of Anorectal Surgery,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属第二医院肛肠外科,温州325000

出　　处：《中华现代护理杂志》2021年第28期3899-3902,共4页Chinese Journal of Modern Nursing

基　　金：温州市基础性科研项目(Y20180454)。

摘　　要：目的探讨医护一体化模式在结肠造口患者中的应用效果。方法采用便利抽样法,选择2019年1月—2020年4月在温州医科大学附属第二医院行肠造口术的60例患者为研究对象。将2019年1—8月住院的患者纳入对照组,将2019年9月—2020年4月住院的患者纳入观察组,每组30例。对照组患者采用常规护理模式,观察组患者采用医护一体化模式。比较两组患者出院前,术后1、3、6个月独立更换造口袋情况,造口自我护理量表-早期版得分以及造口并发症发生情况。结果两组患者出院前和术后1、3、6个月独立更换造口袋的患者例数比较,差异无统计学意义(P>0.05)。两组患者术后造口周围皮炎、造口与黏膜分离及造口凹陷发生例数比较差异均无统计学意义(P>0.05)。观察组患者术后3、6个月的造口自我护理量表-早期版得分高于对照组,差异有统计学意义(P<0.05)。结论医护一体化模式可以提高患者术后3、6个月的造口自我护理能力,值得临床应用。Objective To explore the application effect of integrated mode of medical and nursing in colostomy patients.Methods Using the convenient sampling method,a total of 60 patients who underwent colostomy in the Second Affiliated Hospital of Wenzhou Medical University from January 2019 to April 2020 were selected as the research objects.The patients who hospitalized from January to August 2019 were included in the control group,and the patients who hospitalized from September 2019 to April 2020 were included in the observation group,with 30 cases in each group.The patients in the control group were treated with routine nursing mode,and the patients in the observation group were treated with integrated mode of medical and nursing.Before discharge,1,3 and 6 months after the operation,the status of independent replacement of colostomy bags,scores of the Stoma Self-care Scale-Early Version and the incidence of stoma complications were compared between the two groups.Results There was no statistically significant difference in the number of patients who changed colostomy bags independently before discharge and 1,3 and 6 months after the operation between the two group(P>0.05).There was no statistically significant difference in the number of cases of periostomy dermatitis,ostomy and mucosal separation and stoma depression between the two groups of patients after surgery(P>0.05).The score of the Stoma Self-care Scale-Early Version of the observation group were higher than that of the control group at 3 and 6 months after surgery,and the difference was statistically significant(P<0.05).Conclusions The integrated mode of medical and nursing can improve the self-care ability of patients at 3 and 6 months after the operation,which is worthy of clinical application.

关 键 词：肠造口术 自我护理 医护一体化模式 

分 类 号：R473.73[医药卫生—护理学]