直肠癌术后永久性结肠造口患者实施激励式护理的效果  

The Effect of Implementing Motivational Nursing Care for Patients with Permanent Colostomy after Rectal Cancer Surgery

作　　者：曾燕琴 ZENG Yanqin(Quanzhou Decheng Hospital,Quanzhou 362100,China)

机构地区：[1]泉州德诚医院,福建泉州362100

出　　处：《中国医药指南》2023年第19期21-24,共4页Guide of China Medicine

摘　　要：目的分析直肠癌术后永久性结肠造口患者应用激励式护理的效果。方法将66例在我院进行手术治疗及永久性结肠造口的直肠癌患者通过护理干预方法的差异分为对照组(n=33)与观察组(n=33),患者治疗时间为2019年9月至2022年9月,所有患者围手术期均应用常规护理干预,观察组患者在常规护理干预基础上加用激励式护理,比较两组患者干预前后病耻感、焦虑情绪、抑郁情绪、自护能力评分及生活质量评分改善情况,统计并对比两组并发症发生情况。结果两组干预前病耻感各维度评分均无显著差异(P>0.05),干预后观察组分离、挑战、教育及退缩、保密评分均较对照组低(P<0.05)。干预前患者汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HADA)评分差异不显著(P>0.05),干预后观察组各项负性情绪评分较对照组均更低(P<0.05)。干预前两组患者自我护理能力量表(ESCA)评分无显著差异(P>0.05),干预后观察组各维度评分较对照组均更高(P<0.05)。与对照组相比,观察组并发症总发生率明显更低(P<0.05)。干预前患者健康状况调查简表(SF-36)评分组间对比无明显差异(P>0.05),干预后观察组各项评分较对照组均更高(P<0.05)。结论直肠癌术后永久性结肠造口患者应用激励式护理有助于显著减轻其病耻感,改善其情绪状态,提高其自护能力,而且能够有效控制相关并发症,对于提高其生活质量有重要价值。Objective To analyze the effectiveness of motivational care in patients with permanent colostomy after rectal cancer surgery.Methods Sixty-six rectal cancer patients who underwent surgical treatment and permanent colostomy in our hospital were divided into a control group(n=33)and an observation group(n=33)based on the difference in nursing intervention methods.The treatment period of the patients was from September 2019 to September 2022,and all patients were treated with routine nursing intervention during the perioperative period.The observation group patients were combined with motivational nursing on the basis of routine nursing intervention,and the shame,anxiety,and emotions of the two groups of patients before and after intervention were compared Improvement in depression,self-care ability scores,and quality of life scores,and statistical comparison of complications between the two groups.Results There was no significant difference in the scores of various dimensions of shame before intervention between the two groups(P>0.05).After intervention,the separation,challenge,education,withdrawal,and confidentiality scores of the observation group were lower than those of the control group(P<0.05).There was no significant difference in the Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HADA)scores between the patients before intervention(P>0.05),after intervention,the negative emotional scores of the observation group were lower than those of the control group(P<0.05).There was no significant difference in the self-care ability scale(ESCA)scores between the two groups before intervention(P>0.05),after intervention,the scores of each dimensions in the observation group were higher than those of the control group(P<0.05).Compared with the control group,the total incidence of complications in the observation group was significantly lower(P<0.05).There was no significant difference(P>0.05)between the groups in the pre intervention patient health status survey summary table(SF-36)scores,after intervention,t

关 键 词：永久性结肠造口 激励式护理 情绪状态 自我护理能力 生活质量 并发症 

分 类 号：R473.6[医药卫生—护理学]