基于跨理论模型的健康教育在直肠癌术后结肠造口护理中的应用效果  

The application eff ect of health education based on cross-theory model in colostomy nursing after rectal cancer surgery

作　　者：黄如瑜 余发珍[1] 丁琳 熊琴[1] 胡庆霞[1] 万里云[1] HUANG Ruyu;YU Fazhen;DING Lin;XIONG Qin;HU Qingxia;WAN Liyun(The Second Affiliated Hospital of Nanchang University,Nanchang,330006,China)

机构地区：[1]南昌大学第二附属医院胃肠外科,江西省南昌市330006

出　　处：《护理实践与研究》2022年第15期2307-2310,共4页Nursing Practice and Research

基　　金：江西省卫生计生委科技计划(编号:20165260)。

摘　　要：目的探讨在直肠癌术后结肠造口患者护理中,应用跨理论模型的健康教育的临床效果。方法选取南昌大学第二附属医院2018年10月—2019年6月收治的160例直肠癌术后结肠造口患者为研究对象。按照组间基线资料匹配的原则将患者等分为对照组(接受常规的健康教育)和观察组(接受跨理论模型的健康教育)。对两组干预前、后的自护能力、知识掌握情况、生活质量、并发症发生率以及护理满意度进行比较。结果干预后,观察组的自护责任感、自我概念、自护技能、健康知识水平、知识掌握情况、生活质量评分高于对照组,组间比较差异有统计学意义(P<0.05)。干预后观察组的护理满意度高于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论给予直肠癌术后结肠造口患者跨理论模型的健康教育干预,可以有效提高其自护能力,减少并发症的发生,提高患者的生活质量。Objective To explore the clinical effect of applying cross-theory model health education in postoperative colostomy nursing of patients with rectal cancer.Methods 160 postoperative colostomy patients with rectal cancer in the Second Affi liated Hospital of Nanchang University from October 2018 to June 2019 were selected as the study subjects.According to the principle of baseline data matching between groups,they were divided into a control group(received conventional health education and an observation group(received cross-theorey model health education.Self-care ability,knowledge mastery,quality of life,complication rate and nursing satisfaction were compared between two groups before and after intervention.Results After intervention,the sense of self-care responsibility,self-concept,self-care skills,health knowledge level,knowledge mastery and quality of life scores of the observation group were higher than the control group,the diff erences were statistically signifi cant(P<0.05).After intervention,nursing satisfaction in the observation group was higher than the control group,and the incidence of complications was lower than the control group,the diff erences were statistically signifi cant(P<0.05).Conclusion The intervention of trans-theory model health education for patients with colostomy after rectal cancer surgery could eff ectively improve their self-care ability,reduce the occurrence of complications and improve the quality of life.

关 键 词：健康教育 直肠癌 结肠造口 跨理论模型 自护能力 

分 类 号：R473.73[医药卫生—护理学]