摘要
目的探讨Orem 自护理论对结肠造口患者自我效能和生活质量的影响。方法选取上海市杨浦区控江医院胃肠外科66 例直肠癌术后永久性结肠造口患者进行研究,按照随机数字表法则,将患者分为研究组(33 例)和对照组(33 例)。手术结束后,对照组采用传统护理,研究组采用Orem 自理护理。所有患者均于护理前和护理后3 个月按照自己的实际状况填写自我效能评价量表(GSES)和健康调查简表(SF-36)。比较两组患者护理前和护理后3 个月的GSES 评分、SF-36 及其8 个维度的评分。结果护理前,研究组与对照组的GSES 评分差异无统计学意义(P>0.05);护理后3 个月,两组患者的GSES 评分均较前有所升高,但研究组更加显著(P<0.05)。护理前,研究组与对照组SF-36 及其8 个维度评分的差异均无统计学意义(P>0.05);护理后3 个月,两组患者SF-36 及其8 个维度评分均较前有所升高,但研究组更加显著(P<0.05)。结论采用Orem 自护理论对结肠造口患者进行术后管理,能够提高其自我护理能力,进而提高自我效能、改善生活质量,值得临床关注。
OBJECTIVE To investigate the effect of Orem self-care theory on self-efficacy and quality of life in patients with colostomy. METHODS 66 patients with permanent colostomy after radical resection of rectal cancer in gastrointestinal surgery of target hospital were enrolled,who were divided into study group(33 cases)and control group(33 cases)according to the random number table. After opera. tion,the control group used traditional care,and the study group used Orem self-care. All patients completed the general self-efficacy scale(GSES)and the medical outcomes study item short from health survey-36(SF-36)according to their actual conditions at the time of pre-care and 3 months post-care. The score of GSES,SF-36 and its 8 dimensions were compared between these two groups at the time of pre-care and 3 months post-care. RESULTS At the time of pre-care,there was no difference in GSES score between these two groups (P >0.05),and 3 months post-care later,the scores of the two groups were higher than before,but the study group was more significant (P <0.05).(2)At the time of pre-care,there was no difference in SF-36 score and its 8 dimensions(P >0.05),and 3 months postcare later,the scores of the two groups were higher than before,but the study group was more significant(P <0.05). CONCLUSION Orem self-care theory used in patients with colostomy could improve the self-care ability,self-efficacy and quality of life,which was worthy of clinical attention.
作者
吴佩雯
尹蓓莲
WU Pei-wen;YIN Bei-lian(Kongjiang Hospital,Yangpu District,Shanghai,200093,China)
出处
《中国初级卫生保健》
2019年第6期88-90,共3页
Chinese Primary Health Care
