老年永久性肠造口患者过渡期护理方案的构建及应用  

Construction and application of a transitional care programme for elderly patients with permanent enterostomy

作　　者：杜淑娜[1] 郑蔚[2] 翟清华[3] 张苇[4] 史小艳[5] Du Shuna;Zheng Wei;Zhai Qinghua;Zhang Wei;Shi Xiaoyan

机构地区：[1]郑州大学第二附属医院全科医学科,河南郑州450014 [2]郑州大学第二附属医院院办,河南郑州450014 [3]郑州大学第二附属医院护理教研室,河南郑州450014 [4]郑州大学第二附属医院消毒供应中心,河南郑州450014 [5]郑州大学第二附属医院普外科,河南郑州450014

出　　处：《护理学杂志》2022年第18期25-28,共4页Journal of Nursing Science

基　　金：2021年河南省医学科技攻关计划联合共建项目(LHGJ20210417)。

摘　　要：目的 构建老年永久性肠造口患者过渡期护理方案并评价其应用效果。方法 将88例老年肠造口患者按病区分为对照组与观察组各44例。对照组采用术后常规护理,观察组在常规护理基础上构建并实施过渡期护理方案。比较两组干预前、干预完成时及干预后3个月护理依赖水平、肠造口自我照护行为执行意向评分。结果 对照组42例、观察组43例完成本研究。两组护理依赖得分、自我照护行为执行意向得分比较,组间效应、时间效应及交互效应差异有统计学意义(均P<0.05)。结论 对老年肠造口患者实施过渡期护理方案,能够降低患者护理依赖水平,增强患者自我护理意向,有利于促进患者康复。Objective To construct a transitional care programme for elderly patients with permanent enterostomy,and to evaluate its application effect.Methods Eighty-eitht elderly patients with enterostomy were divided into a control group and an intervention group,with 44 cases in each group by ward.The control group received routine postoperative care,while the intervention group additionally received a transitional care programme.The Care Dependency Scale(CDS) and Entorostomy Self-care Implementation Intention Questionnaire(ESIIQ) were utilized to assess and compare the two groups before the intervention,after the intervention and 3 months after the intervention.Results Totally 42 cases in the control group and 43 cases in the intervention group completed the study.There were significant main effects for group,time,and group-by-time interaction on the scores of CDS and ESIIQ between the two groups(P<0.05 for all).Conclusion Implementing the transitional care programme for elderly patients with enterostomy can reduce their care dependence,enhance their self-care intention,and promote their rehabilitation.

关 键 词：老年人 结直肠癌 肠造口 OREM自理理论 过渡期护理 护理依赖 自我照护 护理干预 

分 类 号：R473.6[医药卫生—护理学]