肠造口患者出院准备度干预方案的构建及应用  

Development and application of a discharge readiness intervention program in stoma patients

作　　者：赵煜华 王俊霞[2] 吴田瑞 邵李姣 葛淑怡 张瑞星[4] 林素红 Zhao Yuhua;Wang Junxia;Wu Tianrui;Shao Lijiao;Ge Shuyi;Zhang Ruixing;Lin Suhong(Department of Colorectal and Anal Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院结直肠肛门外科,河南郑州450052 [2]郑州大学第一附属医院门诊部,河南郑州450052 [3]郑州大学第一附属医院口腔科二病区,河南郑州450052 [4]郑州大学护理与健康学院

出　　处：《护理学杂志》2023年第9期6-9,共4页Journal of Nursing Science

摘　　要：目的 构建肠造口患者出院准备度干预方案,验证应用效果。方法 通过前期调查、文献回顾、小组讨论、专家咨询及预试验构建肠造口患者出院准备度干预方案。按照住院病区将结直肠癌肠造口患者分为对照组43例和观察组44例,对照组给予常规护理,观察组在常规护理基础上实施出院准备度干预方案。结果 观察组出院准备度、自我管理能力、造口适应水平显著高于对照组(均P<0.05)。结论 肠造口患者出院准备度干预有利于提高患者的出院准备度、自我管理能力和造口适应水平。Objective To develop an intervention program to improve discharge readiness in stoma patients and to verify its effect.Methods Based on previous investigation,literature review,group discussion,expert consultation and pilot study,the intervention scheme was developed.Through a quasi-experimental research design,43 colorectal cancer patients with stoma hospitalized in one unit were assigned to a control group,receiving standard care,while 44 hospitalized in another unit were assigned to an intervention group,which received additional interventions focused on readiness for discharge.Results The readiness for discharge,self-management ability and adaptation to stoma in the intervention group were significantly higher than those in the control group(all P<0.05).Conclusion Interventions focused on readiness for discharge can improve patients′discharge readiness,self-management ability and adaptation to stoma.

关 键 词：结直肠癌 肠造口 出院准备模型 出院准备度 自我管理能力 造口适应水平 

分 类 号：R473.6[医药卫生—护理学]