摘要
目的探讨基于达标理论的支持性照护方案在Miles术后结肠造口并发感染患者护理中的应用效果.方法选取郑州大学第二附属医院2019年1月-2022年2月收治的Miles术后结肠造口并发感染患者63例进行回顾性研究,2019年1月-2020年1月收治的Miles术后结肠造口并发感染患者31例为对照组,2020年2月-2022年2月收治的Miles术后结肠造口并发感染患者32例为研究组;对照组常规护理,研究组实施基于达标理论的支持性照护方案.两组护理前后的生活质量用造口患者生活质量问卷评估,社会心理适应用造口患者社会心理适应量表(OAI-20)评估,自我管理用肠造口患者自我管理问卷(EPSQ),造口周围皮肤状况用造口周围皮肤评估工具(DET评估表)评估,观察造口并发症.结果研究组护理后COH-QOL-OQ评分均高于对照组(P<0.05);研究组护理后OAI-20评分高于对照组(P<0.05);研究组护理后DET评分低于对照组(P<0.05);研究组出院后3个月时肠造口总发生率低于对照组(P=0.017).结论基于达标理论的支持性照护方案可显著提升Miles术后结肠造口并发感染患者生活质量和社会心理适应能力,降低造口周围皮肤变色、侵蚀、组织增生和肠造口并发症发生率.
OBJECTIVE To investigate the effect of a supportive care plan based on theory of attainment on clinical nursing of colonic stoma patients complicated with infection after Miles surgery.METHODS Totally 63 patients with colonic stoma complicating infection after Miles surgery admitted to the Second Affiliated Hospital of Zhengzhou University from Jan 2019 to Feb 2022 were selected for retrospective study,31 patients with postoperative colostomy complication infection after Miles admitted during the period of Jan 2019 to Jan 2020 were in the control group,and 32 patients with postoperative colostomy complication infection after Miles admitted from Feb 2020 to Feb 2022 thirty-two patients with post-operative colostomy complicating infection were in the study group;the control group received routine care and the study group implemented a supportive care program based on the attainment theory.Quality of life before and after care in both groups was assessed with the quality of life questionnaire for patients with stoma(COH-QOL-OQ),psychosocial adaptation was assessed with the psychosocial adaptation inventory for patients with stoma(OAI-20),self-management was assessed with the self-Management questionnaire for patients with enterostomies(EPSQ),peristomal skin condition was assessed with the peristomal skin evaluation tool(DET Assessment Form),and stoma complications were assessed.RESULTS The score of COH-QOL-OQ in the study group was significantly higher than that in the control group after nursing(P<0.05).The OA-20 score of the observation group after nursing was significantly higher than that of the control group(P<0.05).The DET score of the observation group after nursing was significantly lower than that of the control group(P<0.05).The total incidence of enterostomy in the observation group was significantly lower than that in the control group 3 months after discharge(P<0.05).CONCLUSION The supportive care program based on the theory of attainment significantly improved the quality of life and social and psychol
作者
齐琳娜
宋利芳
端木艳丽
史小艳
QI Lin-na;SONG Li-fang;DUANMU Yan-li;SHI Xiao-yan(The Second Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 45000O,China)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2023年第21期3353-3356,共4页
Chinese Journal of Nosocomiology
基金
河南省卫健委联合共建基金资助项目(LHGJ20210417)。
关键词
感染
达标理论
支持性照护方案
Miles术后结肠造口
生活质量
组织增生
Infection
Theory of reaching the standard
Supportive care programs
Miles postoperative colostomy
Quality of life
Tissue hyperplasia
