跨媒体健康教育形式对肠造口患者自我护理能力及适应性的影响  

Effect of cross-media health education on self-care ability and adaptability of patients with enterostomy

作　　者：杨洋[1] 王文爽 羡红涛[1] 邵银芳[1] 王欣然[1] YANG Yang;WANG Wenshuang;XIAN Hongtao;SHAO Yinfang;WANG Xinran(Department of General Surgery,Xuanwu Hospital,Capital Medical University,Beijing100053,China)

机构地区：[1]首都医科大学宣武医院普外科,北京100053

出　　处：《中国医药导报》2022年第35期157-160,168,共5页China Medical Herald

基　　金：北京市教育科学“十三五”规划一般课题(CFDB19379);中华医学会杂志社护理学科研究课题(CMAPH-NRI2019040)。

摘　　要：目的探讨跨媒体健康教育形式对肠造口患者自我护理能力和造口适应性的影响。方法选取首都医科大学宣武医院2018年8月至2020年5月的66例肠造口患者为研究对象,根据随机数字表法将其分为对照组和干预组,对照组35例,干预组31例。对照组给予肠造口常规健康教育,干预组在对照组基础上行跨媒体健康教育。比较两组出院前1 d及出院后1、3个月造口自我护理能力和造口适应性。结果整体分析发现,两组造口自我护理能力得分组间、时点及交互比较,差异有统计学意义(P<0.05),进一步分析,组内比较:两组组内各时间点造口自我护理能力评分比较,差异有统计学意义(P<0.05),组间比较:出院后1、3个月,干预组造口自我护理能力评分高于对照组,差异有统计学意义(P<0.05)。整体分析发现,两组造口适应性得分组间、时点及交互比较,差异有统计学意义(P<0.05),进一步分析,组内比较:干预组组内各时间点造口适应性得分比较,差异有统计学意义(P<0.05),组间比较:出院前1 d、出院后3个月,干预组造口适应性得分高于对照组,差异有统计学意义(P<0.05)。结论跨媒体健康教育形式能有效提高肠造口患者自我护理能力,促进早期适应造口,改善术后生活质量。Objective To explore the effect of cross-media health education on self-care ability and adaptability of patients with enterostomy.Methods A total of 66 patients with enterostomy admitted to Xuanwu Hospital,Capital Medical University from August 2018 to May 2020 were selected as the research objects.According to the random number table method,the patients were divided into control group and intervention group,control group 35 cases,intervention group 31 cases.The patients in the control group were given routine health education,and the intervention group was given cross-media health education on the basis of the control group.The self-care ability and the level of postoperative psychosocial adaptation were compared one day before discharge,one month after discharge,and three months after discharge.Results The overall analysis found that the differences between the two groups,time points and interaction were statistically significant(P<0.05);further analysis and intra-group comparison:there were statistically significant differences in the scores of self-care ability of the two groups at each time point(P<0.05),comparison between groups:one and three months after discharge,the self-care ability of the intervention group was higher than that of the control group,the differences were statistically significant(P<0.05);further analysis and intra-group comparison:the stoma adaptability scores of each time point in the intervention group were compared,and the differences were statistically significant(P<0.05).Comparison between groups:one day before and three months after discharge,the stoma adaptability score of the intervention group was higher than that of the control group,and the differences were statistically significant(P<0.05)Conclusion The cross-media health education can effectively improve the self-care ability of patients with enterostomy,promote early adaptation to the stoma,and improve postoperative quality of life.

关 键 词：肠造口 健康教育 自我护理能力 适应性 

分 类 号：R473[医药卫生—护理学]