重整生活护理联合适时护理对肠造口患者并发症及自护能力的影响  

The Impact of Combined Lifestyle Care and Timely Care on the Complications and Self-Care Ability of Patients with Intestinal Stoma

作　　者：李富娣 阙永姑 LI Fudi;QUE Yonggu(Department of Gastroenterology and Anorectal Surgery,Longyan First Hospital Affiliated to Fujian Medical University,Longyan 364000,China)

机构地区：[1]福建医科大学附属龙岩第一医院胃肠肛门外科,龙岩364000

出　　处：《中国医药指南》2024年第34期161-164,共4页Guide of China Medicine

摘　　要：目的分析重整生活护理联合适时护理对肠造口患者并发症及自护能力的影响。方法本研究收集2023年1月至2023年12月在我院结直肠癌根治术后行肠造口患者,纳入患者135例,利用随机数字表法进行分组,其中对照组68例实施常规护理,研究组67例实施重整生活护理+适时护理干预。对比两组并发症、自护能力、心理弹性、病耻感、造口适应度及生活质量。结果干预后,研究组的自我概念、健康知识水平、自我责任感及自护技能评分均高于对照组(均P<0.05)。干预后,研究组的坚韧性评分、力量性评分及乐观性评分均高于对照组(均P<0.05)。干预后,研究组的内在羞耻感评分、经济歧视评分、社会隔离评分及社会排斥评分均低于对照组(均P<0.05)。干预后,研究组的生活质量高于对照组,并发症总发生率低于对照组(P<0.05)。结论重整生活护理+适时护理有利于改善肠造口患者的自护能力,减少并发症的发生,提高心理弹性水平和造口适应度,减轻病耻感,提升生活质量。Objective To analyze the effect of reorganized life care combined with timely care on the complications and self-care ability of enterostomal patients.Methods This study collected patients with colostomy after elective radical colorectal cancer surgery in our hospital from January 2023 to December 2023,and 135 patients who met the inclusion criteria were grouped by utilizing the random number table method,of which 68 patients who implemented conventional nursing care were listed as the control group,and 67 patients who implemented reengineering life care+timely nursing interventions were included in the study group.Complications,self-care ability,psychological resilience,stigma,stoma adaptation and quality of life were compared between the two groups.Results After the intervention,the self-concept,health literacy,selfresponsibility and self-care skills scores of the study group were higher than those of the control group(all P<0.05).After the intervention,the resilience score,strength score and optimism score of the study group were higher than the control group(all P<0.05).After the intervention,the intrinsic shame score,economic discrimination score,social isolation score and social exclusion score were lower in the study group than in the control group(all P<0.05).After the intervention,the quality of life of the study group was higher than that of the control group,and the overall rate of complications was lower than that of the control group(P<0.05).Conclusions Reorganization of life care+timely care is conducive to improving the self-care ability of patients with enterostomies and reducing the occurrence of complications,improves the level of psychological resilience and stoma adaptation,reduces stigma and improves quality of life.

关 键 词：肠造口 重整生活护理 适时护理 自护能力 

分 类 号：R473.73[医药卫生—护理学]