摘要
目的探讨集束化延续性护理干预在直肠癌术后永久性造口患者中自我效能和自护能力.方法选取天津医科大学第二医院收治的128例直肠癌术后永久性造口患者,采用随机数字表法将128例患者随机分为两组,观察组采取集束化延续性干预护理,对照组采取常规护理及出院指导,比较两组患者的自我效能和自护能力评分及并发症的发生情况.结果本研究共调查患者128例,年龄48-76岁(52.1岁±7.3岁).两组患者在性别、年龄、婚姻、教育程度、居住地、家庭收入等方面比较差异无统计学意义(P>0.05).观察组和对照组的自我效能评分分别为115.7分±9.8分、70.5分±7.5分,差异具有统计学意义(t=29.213,P<0.001);观察组和对照组自护能力评分为141.4分±13.1分、110.3分±11.9分,差异具有统计学意义(t=2.484,P=0.014).观察组造口并发症发生率为6.3%,对照组并发症发生率为17.2%,差异均有统计学意义(χ~2=4.384,P=0.036).结论给予直肠癌术后永久性造口患者集束化延续性护理干预能够提高患者的自我效能和自护能力,增强患者信心,减少并发症的发生.
AIM To investigate the effect of cluster-based con- tinuity nursing intervention in patients with permanent colostomy after surgery for colorectal cancer.One hundred and twenty-eight patients with colorectal cancer were randomly divided into two groups： an intervention group and a control group. The intervention group was given cluster- based continuity nursing intervention, and the control group was given routine nursing and discharge guidance. Self-efficacy and self-care ability scores and the incidence of complications were compared between the two groups. RESULTS In this study, 128 patients aged from 48 to 76 （52.1 ± 7.3） years were investigated. There was no significant difference in gender, age, marriage, educational level place of residence, or family income between the two groups （P 〉 0.05）. The self-efficacy score was significantly higher in the observation group than in the control group （115.7 ± 9.8 vs 70.5 ± 7.5, t = 29.213, P 〈 0.001）. The difference in self-care ability was also statistically significant between the two groups （t = 2.484, P = 0.014）. The complication rate was 6.3% in the observation group and 17.2% in the control group, and the difference was statistically significant （χ2 = 4.384, P = 0.036）. CONCLUSION Cluster-based continuity care for patients with permanent stoma after surgery for colorectalcancer can improve the self-efficacy and self-care ability of patients, enhance patient＇s confidence, and reduce the incidence of complications.
作者
高杰
吴小妍
Jie Gao Xiao-Yan Wu(Department of Anorectal Surgery, the Second Hospital of Tianjin Medical University, Tianjin 300222, Chin Department of Gastroenterology, the Second Hospital of Tianjin Medical University, Tianjin 300222, China)
出处
《世界华人消化杂志》
CAS
2017年第29期2654-2659,共6页
World Chinese Journal of Digestology
关键词
集束化延续性护理
直肠癌患者
永久性造口
自我效能
自护能力
Cluster-based continuity care
Postoperative colorectal cancer
Permanentstoma
Self-efficacy
Self-healing ability
