摘要
目的探讨5E模式下个案护理管理在结直肠癌造口患者中的应用效果。方法选取2021年1月1日至2022年9月30日普宁市人民医院收治的80例结直肠癌造口患者作为研究对象,按照随机数字表法将其分为观察组和对照组,每组40例。对照组实施常规护理干预,在此基础上观察组实施5E模式下个案护理干预,两组患者均干预至出院后1个月。比较两组患者住院时间,干预前后自护能力、病耻感、心理适应能力及生活质量。结果观察组患者住院时间短于对照组,差异有统计学意义(P<0.05);干预后,两组患者自护能力测定量表(ESCA)评分均高于本组护理前,且观察组ESCA评分高于对照组,差异有统计学意义(P<0.05);干预后,两组患者社会影响量表(SIS)评分低于本组干预前,造口患者社会心理适应量表(OAI-20)评分高于本组干预前,且观察组SIS评分低于对照组,OAI-20评分高于对照组,差异有统计学意义(P<0.05);干预后,两组患者造口患者生活质量问卷(COH-QOL-OQ)评分均低于本组干预前,且观察组COH-QOL-OQ评分低于对照组,差异有统计学意义(P<0.05)。结论5E模式下个案护理管理可提高结直肠癌造口患者自护能力,调节心理适应能力,降低病耻感,缩短患者住院时间,提高生活质量。
Objective To investigate the application effect of case nursing management in patients with colostomy of colorectal cancer under 5E mode.Methods A total of 80 patients with colostomy treated in Puning People's Hospital from January 1,2021 to September 30,2022 were selected as research objects,and they were divided into observation group and control group according to random number table method,with 40 cases in each group.The control group received routine nursing intervention,and the observation group received 5E mode of case nursing management intervention.Both groups were treated until 1 month after discharge.The hospital stay,self-care ability,stigma,psychological adaptability and quality of life before and after intervention were compared between the two groups.Results The hospital stay in observation group was shorter than that in control group,the difference was statistically significant(P<0.05).After intervention,the scores of exercise of self-care agency(ESCA)in two groups were higher than those before intervention,and the ESCA score in observation group was higher than that in control group,the differences were statistically significant(P<0.05).After intervention,the scores of social impact scale(SIS)in two groups were lower than those before intervention,and the scores of ostomy adjustment inventory-20(OAI-20)of two groups were higher than those before intervention,and the score of SIS in observation group was lower than that of control group,and the score of OAI-20 in observation group was higher than that of control group,the differences were statistically significant(P<0.05).After intervention,the scores of city of hope-quality of life-ostomy questionnaire(COH-QOL-OQ)in two groups were lower than those before intervention,and the score of COH-QOL-OQ in observation group was lower than that in control group,with statistical significances(P<0.05).Conclusion Case nursing management under 5E mode can improve self-care ability,adjust psychological adaptability,reduce stigma,shorten hospital stay and impro
作者
陈雯妮
陈蓉蓉
王晓彤
陈香
潘晓璇
林新博
CHEN Wenni;CHEN Rongrong;WANG Xiaotong;CHEN Xiang;PAN Xiaoxuan;LIN Xinbo(Department of Nursing,Puning People's Hospital,Guangdong Province,Puning515300,China)
出处
《中国当代医药》
CAS
2023年第31期193-196,共4页
China Modern Medicine
基金
广东省揭阳市科技计划项目(2022wsyl008)。
关键词
结直肠癌
造口
5E模式下个案护理管理
自护能力
Colorectal cancer
Colostomy
Case nursing management under 5E model
Self-care ability
