摘要
目的探讨护士主导的出院计划对造口术后患者出院准备度和造口心理适应的干预效果。方法选取2019年1—10月和2020年1—10月江苏省中医院住院的肠造口患者70例作为研究对象, 按照入组时间分为试验组和对照组, 每组35例, 最终对照组脱落1例。对照组实施常规护理干预和出院护理, 试验组实施护士主导的出院计划。采用中文版出院准备度量表(RHDS)和造口适应量表(OAI)评价干预效果。结果出院时, 试验组RHDS中疾病知识、应对能力、个人状态、预期支持维度得分及总分分别为(58.06 ± 12.54)、(23.57 ± 3.73)、(24.29 ± 3.48)、(30.40 ± 5.25)、(136.31 ± 14.32)分, 明显高于对照组的(49.57 ± 13.28)、(18.63 ± 4.97)、(22.37 ± 4.28)、(26.11 ± 5.66)、(116.69 ± 18.87)分, 差异有统计学意义(t值为2.05~4.91, 均P<0.05)。出院时和出院1个月, 试验组OAI中持续担忧、接受、积极的生活态度维度得分及总分分别为(21.34 ± 2.72)、(13.29 ± 2.36)、(15.26 ± 3.24)、(49.89 ± 5.70)分和(22.03 ± 3.45)、(12.49 ± 3.10)、(15.09 ± 3.06)、(49.60 ± 5.55)分, 明显高于对照组的(19.35 ± 2.98)、(11.56 ± 2.79)、(13.26 ± 3.15)、(44.18 ± 5.63)分和(19.91 ± 3.34)、(10.76 ± 2.80)、(12.24 ± 3.25)、(42.91 ± 4.76)分, 差异有统计学意义(t值为2.42~5.36, 均P<0.05)。结论应用基于护士主导的出院计划方案, 可提高肠造口患者出院准备度和提升造口心理适应水平。
Objective To investigate the intervention effects of nurse-led discharge planning on discharge readiness and ostomy psychological adaptation in patients with enterostomy.Methods A total of 70 patients with enterostomy admitted from January 2019 to October 2020 in Jiangsu Province Hospital of Chinese Medicine were enrolled in the present study.They were assigned to experimental group and control group according to the admission time,there were 35 cases in each group.There was one case lost in the control group in the end.The control group received the routine care,while the experimental group implemented nurse-led discharge planning.The Chinese version of Readiness for Hospital Discharge Scale(RHDS)and Ostomy Adjustment Inventory(OAI)were adopted as indicators,the intervention effects was compared between the two groups.Results On discharge,disease knowledge,coping ability,personal status and expected support dimension scores and total scores in RHDS were(58.06±12.54),(23.57±3.73),(24.29±3.48),(30.40±5.25),(136.31±14.32)points in the experimental group,which were significantly higher than those in the control group(49.57±13.28),(18.63±4.97),(22.37±4.28),(26.11±5.66),(101.68±13.04)points,and the differences were statistically significant(t values were 2.05-4.91,all P<0.05).On discharge and 1 month after discharge,the persistent worry,acceptance,positive attitude towards life dimension scores and total scores in OAI were(21.34±2.72),(13.29±2.36),(15.26±3.24),(49.89±5.70)points and(22.03±3.45),(12.49±3.10),(15.09±3.06),(49.60±5.55)points in the experimental group,which were significantly higher than those in the control group(19.35±2.98),(11.56±2.79),(13.26±3.15),(44.18±5.63)points and(19.91±3.34),(10.76±2.80),(12.24±3.25),(42.91±4.76)points,the differences were statistically significant(t values were 2.42-5.36,all P<0.05).Conclusions Nurse-led discharge planning can promote discharge readiness and ostomy psychological adaptation in patients with enterostomy.
作者
董艳平
周萍
吴丽红
石月秋
朱春勤
Dong Yanping;Zhou Ping;Wu Lihong;Shi Yueqiu;Zhu Chunqin(Department of General Surgery,Jiangsu Provincial Hospital of Chinese Medicine,Nanjing 210029,China;Surgical Oncology,Jiangsu Provincial Hospital of Chinese Medicine,Nanjing 210029,China;Department of Nursing,Jiangsu Provincial Hospital of Chinese Medicine,Nanjing 210029,China)
出处
《中国实用护理杂志》
2022年第1期25-31,共7页
Chinese Journal of Practical Nursing
关键词
出院计划
肠造口
出院准备度
心理适应
Discharge planning
Enterostomy
Discharge readiness
Psychological adaptation
Discharge planning
Enterostomy
Discharge readiness
Psychological adaptation
