摘要
目的探讨渐进式聚焦访谈联合标准化造口护理流程在肠造口患者中的应用效果。方法采用便利抽样法,选取2019年6月—2021年6月丽水市中心医院收治的150例肠造口患者为研究对象,按照随机数字表法将患者分为对照组和观察组,各75例。对照组实施常规心理护理联合标准化造口护理流程,观察组实施渐进式聚焦访谈联合标准化造口护理流程,干预周期为2个月。比较两组患者护理前后的病耻感水平、疾病应对方式及生活质量。结果护理2个月后,观察组患者社会影响量表各维度评分均低于对照组,差异均有统计学意义(P<0.05);观察组患者医学应对方式问卷的面对维度评分高于对照组,回避、屈服维度评分低于对照组,差异均有统计学意义(P<0.05);观察组患者造口患者生活质量量表各维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论渐进式聚焦访谈联合标准化造口护理流程能够减轻肠造口患者的病耻感,改善患者疾病应对方式,并提高其生活质量。
Objective To explore the effect of progressive focusing-based interview combined with standardized stoma nursing in patients with enterostomy.Methods From June 2019 to June 2021,150 patients with enterostomy admitted to Lishui Central Hospital were selected by convenience sampling method as the research objects.According to the random number table method,the patients were divided into the control group and the observation group,75 cases in each group.The control group was given routine psychological nursing combined with standardized stoma nursing,and the observation group was implemented with progressive focusing-based interview combined with standardized stoma nursing,and the intervention period was two months.The stigma,disease coping style and quality of life of the two groups of patients before and after nursing were compared.Results After two months of nursing,the scores of each dimension of the Social Impact Scale in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The confrontation dimension score of the Medical Coping Modes Questionnaire(MCMQ)in the observation group were higher than those in the control group,and the avoidance and resignation dimension scores were lower than those in the control group,with statistical differences(P<0.05).The scores of each dimension of the Stoma Quality of Life in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Progressive focusing-based interview combined with standardized stoma nursing can reduce disease stigma in patients with enterostomy,improve their coping styles and quality of life.
作者
李红
叶建红
吴金晶
徐丹
Li Hong;Ye Jianhong;Wu Jinjing;Xu Dan(Stoma and Wound Clinic,Lishui Central Hospital,Lishui 323000,China;Anorectal Surgery,Lishui Central Hospital,Lishui 323000,China)
出处
《中华现代护理杂志》
2022年第20期2725-2729,共5页
Chinese Journal of Modern Nursing
基金
浙江省医药卫生科技计划项目(2022KY1427)。
关键词
肠造口术
标准化造口护理
渐进式聚焦访谈
Enterostomy
Standardized stoma nursing
Progressive focusing-based interview
