同质医疗理念结合聚焦解决护理对大肠癌术后肠造口患者机体功能影响及护理评价  

The influence of homogeneous medical concept combined with focused nursing on the body function of postoperative colostomy patients with colorectal cancer and nursing evaluation

作　　者：冯文 陈糕 王靖茜 廖婷 李虹谕[2] 敬敏[2] Feng Wen;Chen Gao;Wang Jingqian;Liao Ting;Li Hongyu;Jing Min(Department of Wound Stoma Clinic,Suining Central Hospital,Suining 629000,China;Department of Gynecology Second Ward,Suining Central Hospital,Suining 629000,China)

机构地区：[1]遂宁市中心医院伤口造口门诊,遂宁629000 [2]遂宁市中心医院妇科二病区,遂宁629000

出　　处：《中国实用护理杂志》2022年第7期501-505,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨同质医疗理念护理模式结合聚焦解决模式对大肠癌术后肠造口患者机体功能包括自我效能、免疫功能及护理满意度的影响。方法选取遂宁市中心医院2019年12月至2020年12月收治的102例大肠癌术后肠造口患者为研究对象, 按照随机数字表法分为对照组50例和观察组52例。对照组接受同质医疗理念护理模式, 观察组在此基础上联合聚焦解决模式护理干预, 对比2组自我效能、免疫功能、护理满意度。结果干预6周后观察组一般自我效能高于对照组, 差异有统计学意义(χ^(2)=2.61, P<0.05);干预6周后观察组造口相关自我效能评分为(102.69 ± 12.37)分, 高于对照组的(90.13 ± 11.22)分, 差异有统计学意义(t=5.37, P<0.05)。2组患者术后1 d外周血CD3+、CD4+、CD4+/CD8+及NK水平差异无统计学意义(P>0.05);干预6周后观察组外周血CD3+、CD4+、CD4+/CD8+及NK水平分别为(67.21 ± 6.21)、(67.22 ± 8.76)、(2.65 ± 0.45)、(19.50 ± 2.05)%, 高于对照组的(60.32 ± 5.45)、(60.21 ± 8.25)、(2.41 ± 0.32)、(15.62 ± 1.81)%, 差异有统计学意义(t=5.95、4.21、3.11, 均P<0.05)。干预6周后观察组护理总满意率为98.08%(51/52), 高于对照组的84.00%(42/50), 差异有统计学意义(χ^(2)=2.63, P<0.05)。结论同质医疗理念护理模式结合聚焦解决模式应用于大肠癌术后肠造口患者有助于改善患者的自我效能, 增强患者免疫功能, 提高护理满意度, 值得临床上继续推广。Objective To explore effect of homogeneous medical concept nursing mode combined with focused solution mode on self-efficacy and immunity function and nursing satisfaction analysis of patients with postoperative enterostomy of colorectal cancer.Methods A total of 102 patients with colorectal cancer undergoing postoperative enterostomy admitted to Suining Central Hospital from December 2019 to December 2020 were selected and divided into control group and observation group according to random number table method,with 52 cases in observation group and 50 cases in control group.The control group received homogeneous medical concept nursing mode,and the observation group combined with the focused solution mode nursing intervention on this basis.The self-efficacy,immune function and nursing satisfaction of the two groups were compared.Results The general self-efficacy of the observation group was higher than that of the control group(χ^(2)=2.61,P<0.05).After nursing,the stomato-related self-efficacy score of the observation group was 102.69±12.37,which was higher than that of the control group(90.13±11.22).There was significant difference between the two groups(t=5.37,P<0.05).There was no significant difference in peripheral blood CD3+,CD4+and CD4+/CD8+and NK levels between 2 groups one day after surgery(P>0.05).The levels of CD3+,CD4+and CD4+/CD8+and NK in peripheral blood of the observation group after nursing care were(67.21±6.21)%,(67.22±8.76)%,(2.65±0.45)%and(19.50±2.05)%,respectively,which were higher than those of the control group(60.32±5.45)%,(60.21±8.25)%,(2.41±0.32)%and(15.62±1.81)%.The differences were statistically significant(t=5.95,4.21,3.11,all P<0.05).The total satisfaction rate of nursing in the observation group was 98.08%(51/52),which was higher than 84.00%(42/50)in the control group,and the difference was statistically significant(χ^(2)=2.63,P<0.05).Conclusions The application of homogenous medical concept nursing mode combined with focused solution mode in colorectal cancer postoperat

关 键 词：结直肠肿瘤 同质医疗理念 聚焦解决模式 免疫功能 

分 类 号：R473.73[医药卫生—护理学]