摘要
目的探讨过渡期家庭自我管理干预在直肠癌造口患者中的应用效果。方法根据干预方法的不同将120例直肠癌造口患者分为对照组和观察组,每组60例,对照组患者采用常规干预,观察组患者采用过渡期家庭自我管理干预。比较两组患者的自我效能[造口自我效能量表(SSES)]、并发症发生情况及生活质量[中文版造口患者生活质量量表(Stoma-QOL-C)]。结果干预后,两组患者造口自我护理效能、社会自我效能评分均高于本组干预前,且观察组患者造口自我护理效能、社会自我效能评分均高于对照组,差异均有统计学意义(P<0.05)。观察组患者造口相关并发症发生率及并发症总发生率均低于对照组(P<0.05)。干预后,两组患者的心理负担、社会交往、造口管理及日常起居评分均高于本组干预前,观察组患者的心理负担、社会交往、造口管理评分均高于对照组,差异均有统计学意义(P<0.05)。干预后,两组患者的日常起居评分比较,差异无统计学意义(P>0.05)。结论过渡期家庭自我管理干预可提高直肠癌造口患者的自我效能和生活质量,促进患者康复,降低并发症发生率。
Objective To investigate the application effect of family self-management intervention during the transitional period in patients with rectal cancer stoma.Method A total of 120 patients with rectal cancer stoma were divided into control group and observation group according to different intervention methods,with 60 cases in each group.The patients in the control group were given routine intervention,and the patients in the observation group were given family self-management intervention during the transitional period.The self-efficacy[stoma self-efficacy scale(SSES)],complications,and quality of life[stoma quality of life-Chinese version(Stoma-QOL-C)]were compared between the two groups.Result After the intervention,the stoma self-care efficacy and social self-efficacy scores of the patients in the two groups were higher than those before the intervention,and these scores of the patients in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of stomarelated complications and total complications in the observation group were lower than those in the control group(P<0.05).After the intervention,the scores of psychological burden,social communication,stoma management,and daily life of the patients in the two groups were higher than those before the intervention,and the scores of psychological burden,social communication,stoma management of the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,there was no significant difference in daily life scores between the two groups(P>0.05).Conclusion Family self-management intervention during the transitional period could improve the self-efficacy and quality of life of patients with rectal cancer stoma,promote their recovery,and reduce the risk of complications.
作者
马彩娜
余艳平
袁宏莉
MA Caina;YU Yanping;YUAN Hongli(Department of General Surgery,General Hospital of Pingmei Shenma Medical Group,Pingdingshan 467000,He’nan,China)
出处
《癌症进展》
2022年第16期1719-1721,1725,共4页
Oncology Progress
关键词
过渡期家庭自我管理干预
直肠癌造口
生活质量
并发症
family self-management intervention during the transitional period
rectal cancer stoma
quality of life
complication
