家庭参与式护理模式在成人肠造口患者中的应用效果  

Using Family-Integrated Care Model in Adult Patients with Stoma

作　　者：顾佳妮[1] 刘萍[1] 姜丽萍[1] GU Jiani;LIU Ping;JIANG Liping(Department of Nursing,Xinhua Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院护理部,上海200092

出　　处：《军事护理》2023年第11期57-61,共5页MILITARY NURSING

基　　金：上海市申康医院发展中心“促进市级医院临床技能与临床创新三年行动计划”研究型医师创新转化能力培训项目(SHDC2022CRS017B);上海交通大学医学院附属新华医院十四五第1期护理学科人才项目(HLXKRC2021002)。

摘　　要：目的探讨基于家庭参与式护理模式(family-integrated care,FICare)在成人肠造口患者中的应用效果。方法2021年12月至2022年2月,采用便利抽样法选取在上海市某三级甲等医院肛肠外科两个病区行成人肠造口术的60例患者及家属为研究对象,按随机数字表法将其分为对照组(n=30)和观察组(n=30)。对照组采用常规的肠造口术后护理措施,观察组采用家庭参与式护理模式,比较两组患者家属的肠造口健康知识知晓度、护理技能的掌握程度及患者造口周围皮肤并发症发生率与生活质量。结果干预后,观察组的造口知识及护理技术得分均高于对照组,肠造口周围皮肤情况评分及生活质量总分均低于对照组,差异均有统计学意义(均P<0.05)。结论实施家庭参与式护理模式,有利于提高肠造口患者家属的护理知识及技能,减少肠造口患者周围皮肤并发症的发生,改善患者生活质量。Objective To evaluate the influence of family-integrated care(FIC)model among adult patients with stoma.Methods Convenience sampling method was used to select 60 adult inpatients who received stoma surgery from 2 wards in a tertiary A hospital in Shanghai from December 2021 to February 2022,together with their caregivers.These patients were randomly selected and divided into control group and observation group(n=30).The control group received routine care.In addition,the observation group received family-integrated care model.The basic nursing knowledge and nursing skills of stoma care,the peripheral skin complications,and the quality of life of the two groups were compared.Results After intervention,the basic nursing knowledge and nursing skills of stoma care mastered by family members in observation group were better than the control group and the score of DET and the score of quality of life(CHO-QOL-OQ)were significantly lower than the control group(all P<0.05).Conclusions The implementation of the family-integrated care model can significantly improve the nursing knowledge and skills of family members among patients with stoma,reduce the occurrence of peripheral skin complications of stoma,and improve the quality of life of patients.

关 键 词：家庭参与式护理 成人肠造口 生活质量 

分 类 号：R473[医药卫生—护理学]