以家庭为中心护理模式在肠造口延续性护理中的效果观察  

Observation on the effect of family-centered care nursing model in continuous care of enterostomy

作　　者：肖洁 刘海花 XIAO Jie;LIU Haihua(Affiliated Hospital of Jinggangshan University,Ji'an,343000,China)

机构地区：[1]井冈山大学附属医院普外科,江西省吉安市343000

出　　处：《护理实践与研究》2023年第20期3014-3020,共7页Nursing Practice and Research

基　　金：吉安市指导性科技计划项目(编号:20222-026656)。

摘　　要：目的探讨以家庭为中心护理(FCC)模式延续性护理对肠造口患者社会心理适应水平、生活质量及主要照顾者心理状态的影响,为肠造口延续护理措施制订提供更多参考。方法选取2020年3月—2022年3月于井冈山大学附属医院住院的114例肠造口患者及其主要照顾者作为本次研究对象,根据组间基本资料具有可对比性的原则分为对照组和观察组,各57例。对照组实施常规延续性护理干预,观察组实施FCC模式的延续性护理干预。两组干预时间均至患者出院后3个月。比较两组干预前、出院后3个月时患者社会心理适应水平、生活质量、主要照顾者心理状态及干预期间并发症情况。结果出院后3个月时,观察组患者正性情绪、负性情绪、社会生活适应得分及社会心理适应量表(OAI-20)总分均高于对照组,组间比较差异有统计学意义(P<0.05);观察组患者社会交往、造口袋管理、亲友关系、身心状态得分及造口患者生活质量量表(Stoma-QOL)总分均高于对照组,组间比较差异有统计学意义(P<0.05);观察组照顾者抑郁、焦虑、内向性激惹、外向性激惹评分均低于对照组,组间比较差异有统计学意义(P<0.05)。干预期间,两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论FCC模式的延续性护理应用于肠造口患者中具有良好的效果,可提高患者社会心理适应水平、生活质量,同时可改善照顾者心理状况。Objective To explore the impact of family-centered care(FCC)mode continuous care on the social and psychological adaptation level,quality of life,and psychological status of primary caregivers of patients with enterostomy,and to provide more reference for the development of continuous care measures for enterostomy.Methods A total of 114 patients with enterostomy and their primary caregivers who were hospitalized at the Affiliated Hospital of Jinggangshan University from March 2020 to March 2022 were selected as the subjects of this study.They were divided into a control group and an observation group based on the principle of comparability of basic data between groups,with 57 cases in each group.The control group received routine continuous nursing intervention,while the observation group received FCC mode continuous nursing intervention.The intervention time for both groups was 3 months after the patient was discharged to compare the social and psychological adaptation level,quality of life,psychological status of primary caregivers,and complications during the intervention period between the two groups before intervention and 3 months after discharge.Results At 3 months after discharge,the positive and negative emotions,social life adaptation scores,and ostomy adjustment inventory-20(OAI-20)total scores in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The observation group had higher scores in social interaction,pocket management,family and friend relationships,physical and mental state,and the total score of the stoma patient quality of life scale(Stoma-QOL)than the control group,and the differences between the groups were statistically significant(P<0.05).The observation group had lower scores of anxiety,depression,introverted irritability and extroverted irritability among caregivers compared to the control group,and the differences between the groups were statistically significant(P<0.05).During the interventio

关 键 词：肠造口 以家庭为中心护理模式 延续性护理 心理适应 生活质量 效果 

分 类 号：R473.6[医药卫生—护理学]