以行为改变理论为基础的全程护理在结直肠术后造口患者中的应用效果  

Application Effect of Full-Course Nursing Based on Behavior Change Theory in Patients with Ostomy After Colorectal Surgery

作　　者：吕欢欢 刘萌[1] 王芳[2] Lü Huanhuan;LIU Meng;WANG Fang(Department of General Medicine,Shangqiu First People’s Hospital,Shangqiu 476000,China;Department of Oncology,Shangqiu First People’s Hospital,Shangqiu 476000,China)

机构地区：[1]商丘市第一人民医院全科医学科,河南商丘476000 [2]商丘市第一人民医院肿瘤科,河南商丘476000

出　　处：《河南医学研究》2022年第17期3259-3261,共3页Henan Medical Research

摘　　要：目的探讨以行为改变理论为基础的全程护理在结直肠术后造口患者中的应用效果。方法选取2018年1月至2019年12月在商丘市第一人民医院确诊为结直肠术后造口患者65例设为对照组;另选择2020年1月至2021年12月在医院接受诊治的结直肠术后造口患者65例设为观察组。对照组接受常规护理实践,而观察组接受以行为改变理论为基础的全程护理方法。比较手术前后患者的自我管理能力、病耻感和生活质量,并评估两组的并发症。结果观察组患者干预后造口护理管理、日常生活管理、信息管理、症状管理、心理管理、总分高于干预前和对照组(P<0.05)。干预后观察组患者病耻感评分低于干预前和对照组(P<0.05),干预后观察组患者生活质量评分高于干预前和对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论以行为改变理论为基础的全程护理方法有助于改善结直肠术后造口患者的自我管理能力,减少病耻感和并发症,提高生活质量。Objective To explore the application effect of full-course nursing based on behavior change theory in patients with stoma after colorectal surgery.Methods A total of 65 patients diagnosed with colostomy after colorectal surgery in Shangqiu First People’s Hospital from January 2018 to December 2019 were selected and set as the control group.Another 65 patients with colostomy after colorectal surgery in Hospital from January 2020 to December 2021 were selected as the observation group.The control group received usual nursing practice,while the observation group received full-course nursing based on behavior change theory.Patients’self-management ability,stigma and quality of life were compared before and after surgery,and complications were assessed between the two groups.Results The scores of stoma nursing management,daily life management,information management,symptom management,psychological management and total scores of patients in the observation group after the intervention were higher than those before the intervention and those in the control group(P<0.05).After the intervention,the stigma scores of the observation group were lower than those before the intervention and the control group(P<0.05),and the quality of life scores of the observation group after the intervention were higher than those before the intervention and the control group(P<0.05).The level of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Full-course nursing based on behavior change theory can be helpful to improve self-management of patients with colorectal stoma,reduce stigma and complications,and improve quality of life.

关 键 词：结直肠术后造口 以行为改变理论为基础的全程护理 自我管理能力 病耻感 

分 类 号：R473.6[医药卫生—护理学]