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作 者:王建华[1] WANG Jianhua(Department of Anorectal Surgery,Tianjin People’s Hospital,Tianjin 300000)
出 处:《中国伤残医学》2024年第24期148-152,共5页Chinese Journal of Trauma and Disability Medicine
摘 要:目的:探讨激励式护理模式对结直肠癌术后肠造口患者自我护理能力及生活质量的影响。方法:选取2020年5月—2022年1月天津市人民医院收治的60例结直肠癌术后肠造口患者为研究对象,采用整群抽样随机分组法,将2020年5月—2021年1月收治的30例患者纳入对照组,将2021年2月—2022年1月收治的30例患者纳入观察组。对照组采用常规护理,观察组在此基础上采用激励式护理。比较两组心理状况、自我护理能力、生活质量及护理满意度。结果:护理后,观察组的症状自评量表中各因素评分均低于对照组,差异均有统计学意义(P<0.05)。护理后,观察组的自我护理能力量表中各个维度评分均高于对照组,差异均有统计学意义(P<0.05)。护理后,观察组的欧洲癌症治疗研究组织生命质量测定量表中各个领域评分均高于对照组,差异均有统计学意义(P<0.05)。观察组的护理满意度调查量表中各个方面评分及总分均高于对照组,差异均有统计学意义(P<0.05)。结论:结直肠癌术后肠造口患者采用激励式护理模式的效果理想,不仅可改善其心理状态,实现自我护理能力的提升,还可提高患者的生活质量及其对护理服务的满意程度。Objective:To investigate the effect of incentive nursing mode on self-care ability and quality of life in patients with postoperative enterostomy for colorectal cancer.Methods:A total of 60 patients with postoperative enterostomy for colorectal cancer admitted to Tianjin People’s Hospital from May 2020 to January 2022 were selected as the study objects,30 patients who were admitted from May 2020 to January 2021 were included in the control group and 30 patients who were admitted from February 2021 to January 2022 were included in the observation group by using cluster sampling randomization method.The control group was treated with routine nursing,while the observation group was treated with incentive nursing on this basis.The psychological status,self-care ability,quality of life and nursing satisfaction of the two groups were compared.Results:After nursing,the scores of all factors in the Symptom Checklist 90 of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the scores in all dimensions of Exercise of Self-Care Agency in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores in all fields of the European Organization for Research and Treatment of Cancer quality of life questionnaire-core 30 in the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The scores in all aspects of nursing satisfaction scale and the total score in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The effect of incentive nursing mode is ideal in patients with postoperative enterostomy for colorectal cancer,which can not only improve their psychological state and self-care ability,but also improve their quality of life and satisfaction with nursing services.
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