医院到家庭无缝隙模式护理对肠造口术患者病耻感及负性心理的影响  

Influence of Hospital to Family Seamless Model Nursing on the Stigma and Negative Psychology of Patients Undergoing Enterostomy

作　　者：余立[1] 张景斌[1] YU Li;ZHANG Jingbin(The First Affiliated Hospital of Xiamen University,Xiamen 361000,China;不详)

机构地区：[1]厦门大学附属第一医院,福建厦门361000

出　　处：《中外医学研究》2023年第19期102-105,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析医院到家庭无缝隙模式护理对肠造口术患者病耻感及负性心理的影响。方法:选取2021年1月—2022年6月厦门大学附属第一医院普外科收治的80例肠造口术患者为研究对象。根据随机数表法将其分为对照组和观察组,各40例。对照组采用常规护理,观察组在对照组基础上给予医院到家庭无缝隙模式护理。比较两组护理前后病耻感、负性心理、胃肠功能恢复时间。结果:护理后,观察组社会排斥、内在羞耻、社会孤立评分均低于对照组,差异有统计学意义(P<0.05)。护理后,观察组抑郁评分、焦虑评分均低于对照组,差异有统计学意义(P<0.05)。观察组首次进食时间、首次造口排便时间、首次造口排气时间均显著早于对照组,差异有统计学意义(P<0.05)。结论:医院到家庭无缝隙模式护理能有效减轻患者病耻感及负性心理情绪,更有利于促进患者胃肠功能恢复。Objective:To analyze the influence of hospital to family seamless model nursing on the stigma and negative psychology of patients undergoing enterostomy.Method:A total of 80 patients undergoing enterostomy admitted to the Department of General Surgery of the First Affiliated Hospital of Xiamen University from January 2021 to June 2022 were selected as the study objects.They were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group was given routine nursing,and the observation group was given hospital to family seamless model nursing on the basis of control group.Stigma,negative psychology before and after nursing and gastrointestinal function recovery time were compared between the two groups.Result:After nursing,the scores of social exclusion,intrinsic shame and social isolation in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After nursing,depression score and anxiety score in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The first feeding time,first ostomy defecation time and first ostomy exhaust time in the observation group were significantly earlier than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The hospital to family seamless model nursing can effectively reduce the sense of shame and negative psychological emotions of patients,and is more conducive to promoting the recovery of gastrointestinal function of patients.

关 键 词：医院 家庭 无缝隙模式护理 肠造口 病耻感 负性心理 

分 类 号：R473.73[医药卫生—护理学]