协同护理模式在老年肠造口患者中的应用及效果  

Application and effect of cooperative care mode in elderly patients with enterostomy

作　　者：张凤英[1] 冯琍平 陈敏[1] 吴莲香[1] ZHANG Feng-ying;FENG Li-ping;CHEN Min;WU Lian-xiang(Department of Gastrointestinal Surgery,The First Affiliated Hospital of Gannan Medical University,Ganzhou,Jiangxi 341000)

机构地区：[1]赣南医学院第一附属医院胃肠外科,江西赣州341000

出　　处：《赣南医学院学报》2022年第5期515-520,共6页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：江西省卫生计划生育委员会科技计划项目(20195391)。

摘　　要：目的:探讨协同护理模式(Cooperative care mode,CCM)在老年肠造口患者中的应用效果。方法:选取2018年6月至2020年12月老年肠造口患者60例,采用随机数字表法将其分为观察组和对照组,各30例。对照组采用常规护理干预措施,观察组采用CCM干预措施。对比两组老年肠造口患者出院时、出院后1 w、出院后3w肠造口并发症发生率以及干预前后生活质量、心理状态和治疗依从性变化,比较两组护理满意度。结果:干预后患者自我概念、自我责任感、自我护理技能、健康知识水平及自理能力均较干预前明显升高(P<0.05),且观察组各评分高于对照组(P<0.05)。干预后两组患者SAS、SDS量表评分均较干预前显著降低(P<0.01),且观察组各评分低于对照组(P<0.01);观察组治疗依从性各项评价指标均优于对照组(P<0.05)。观察组满意度高于对照组,差异有统计学意义(P<0.05)。观察组自理能力、焦虑程度与对照组相比,差异有统计学意义(P<0.05)。观察组出院后1 w造口出血明显低于对照组(P<0.05),观察组出院后1 w和3 w造口周围皮肤损伤明显低于对照组(P<0.05)。结论:在老年肠造口患者中应用协同护理模式可明显改善其自我护理能力,缓解其焦虑状态,且治疗依从性高,显著提高其生活质量,特定时间还能明显降低部分肠造口并发症发生率。Objective:To investigate the effect of cooperative care mode(CCM)in elderly patients with enterostomy.Methods:From June 2018 to December 2020,60 elderly patients with enterostomy were collected.They were divided into observation group(n=30 cases)and control group(n=30 cases)randomly.The control group adopted routine nursing intervention measures.The observation group adopted cooperative care mode(CCM).The incidence of enterostomy complications at discharge,1 w and 3 w after discharge were compared between the two groups.And the quality of life,psychological state and treatment compliance of the two groups before and after intervention were compared.The nursing satisfaction of the two groups was compared.Results:The self-concept,self-responsibility,self-care skills,health knowledge level and self-care ability of patients with the two nursing modes were significantly increased after intervention(P<0.05).The scores of the observation group were significantly higher than those of the control group(P<0.05).After the intervention of the two nursing modes,the scores of SAS and SDS in the two groups were significantly lower than before intervention(P<0.01).The scores of the observation group were significantly lower than those of the control group(P<0.01).All evaluation indexes of treatment compliance in the observation group were significantly better than those in the control group(P<0.05).The satisfaction of the observation group was significantly higher than that of the control group,and the difference between the two groups was statistically significant(P<0.05).The self-care ability and anxiety degree of the observation group were significantly different from those of the control group(P<0.05).One week after discharge,the observation group was significantly lower than that of the control group in stoma bleeding(P<0.05).One week and three week and after discharge,skin injury around stoma in observation group was significantly lower than that in control group(P<0.05).Conclusion:The application of cooperative care mode

关 键 词：协同护理 老年肠造口 生活质量 依从性 

分 类 号：R473.6[医药卫生—护理学]