摘要
目的探讨基于信息化的医院—家庭一体化延续性护理在结肠造口患者中的应用效果。方法选择2018年1月至2019年12月本院收治的200例结肠造口患者为研究对象,采用随机数字表法分为对照组(n=100,实施常规护理)和观察组(n=100,实施信息化的医院—家庭一体化延续性护理)。比较两组干预前、干预6个月后结肠造口健康知识、信念、行为,造口适应性以及干预6个月后护理满意度。结果干预前,两组肠造口知信行量表(CPCKAPS)评分(结肠造口健康知识、信念及行为评分)、中文版造口患者适应量表(OAI)评分比较差异均无统计学意义(均P>0.05)。干预后6个月,两组CPCKAPS评分、OAI评分均高于干预前,且观察组的CPCKAPS评分、OAI评分较对照组高,差异均有统计学意义(均P<0.05)。观察组的满意度为96%,高于对照组的82%,差异有统计学意义(P<0.05)。结论基于信息化的医院—家庭一体化延续性护理应用于结肠造口患者能够提高其健康知识水平,增强健康信念,规范健康行为,更好地适应结肠造口,提升患者护理满意度,值得临床推广使用。
Objectives To investigate the effect of information-based hospital-family integrated continuous nursing for patients with colostomy.Methods Two hundred patients with colostomy treated in our hospital between January 2018 and December 2019 were recruited and randomly assigned to the control group(n=100,received routine nursing)and the treatment group(n=100,received information-based hospital-family integrated continuous nursing).Colostomy health knowledge,beliefs,behaviors,and ostomy adaptability were evaluated before and 6 months after the intervention.Patients’satisfaction at 6 months after the intervention was evaluated.Results The two groups did not differ in colostomy patient colostomy knowledge attitude and practice scale(CPCKAPS,including health knowledge,beliefs,and behaviors scores),and ostomy adjustment inventory(OAI)score before intervention(P>0.05).After 6 months of intervention,CPCKAPS scores and OAI score increased in both groups and were significantly higher in the treatment group than in the control group(P<0.05).Ninety-six percent of patients in the treatment group was satisfied,which was significantly higher than in the control group(82%,P<0.05).Conclusion For patients with colostomy,information-based hospital-family integrated continuous nursing can improve patients’health knowledge,beliefs,and behaviors,help patients adapt to the colostomy,and increase patients’satisfaction.
作者
吴敏
杜媛
郑雪平
洪艳燕
汤小青
杜永红
曾钰
沈媛
Wu Min;Du Yuan;Zheng Xueping;Hong Yanyan;Tang Xiaoqing;Du Yonghong;Zeng Yu;Shen Yuan(Department of Anorectal Diseases,Nanjing Hospital of Traditional Chinese Medicine,Nanjing 210001,Jiangsu,China)
出处
《结直肠肛门外科》
2020年第5期627-630,共4页
Journal of Colorectal & Anal Surgery
基金
南京十三五规划名中医工作室建设项目(ZXP-2019-NJ)。
