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腹部功能锻炼与时效性激励护理对成人肠造口患者生活质量与康复效果的影响

Effect of abdominal functional exercise and time-dependent incentive nursing on the quality of life and rehabilitation effectiveness in adult patients with enterostomy
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摘要 目的:探究腹部功能锻炼与时效性激励护理对成人肠造口患者(EP)生活质量与康复效果的影响,了解成人肠造口患者的护理方式,提高成人肠造口患者的生活质量与康复效果。方法:随机抽取150例年龄在50~80岁之间的肠造口患者,采用抽签的方式将150例肠造口患者随机分成A、B、C 3组,每组各50例。A、B两组为对照组,分别采用腹部功能锻炼和时效性激励护理;C组为观察组,在A组的基础上结合B组的实验方法,采用腹部功能锻炼与时效性激励护理相结合的方式。结果:实验前,3组实验对象的疼痛指标以及其他的身体指标均无统计学意义(P>0.05);实验后,C组的疼痛评分、首次进食时间、康复过程时间、生活质量评分等各项指标均远高于对照组。尤其在首次出门时间上,C组的患者平均首次出门之间要比A组和B组早24 h左右。结论:腹部功能锻炼与时效性激励护理相结合的方式是对成人肠造口患者后续处理的最佳方案,能够有效提升患者的生活质量,加速康复过程,缩短康复时间。 Objective:To explore the effect of abdominal functional exercise and timeliness incentive nursing on the quality of life and rehabilitation effectiveness in adult enterostomy patients,to understand the best nursing approach and to improve the quality of life and rehabilitation effectiveness of the patients.Methods:One hundred and fifty patients with enterostomy aged 50-80 years old were randomly selected and divided into A,B and C groups by lottery,with 50 patients in each group.Group A and group B were used as control groups and received abdominal functional exercise and time-effective incentive nursing respectively.Group C was used as observation group and received nursing method of abdominal functional exercise combined with time-effective incentive nursing.Results:Before the experiment,there was no statistical significance in pain indexes and other physical indexes of the 3 groups(P>0.05).After the experiment,the pain score,first eating time,recovery time,quality of life score and other indicators of the group C were much better than those of the first two control groups.Especially in terms of the first time going out,patients in Group C had an average of about 24 hours earlier than those in Group A and Group B.Conclusion:Combination of abdominal functional exercise and timeliness incentive nursing is the best method for the follow-up treatment of adult enterostomy patients,which can effectively improve the quality of life,accelerate the rehabilitation process,and shorten the rehabilitation time of the patients.
作者 刘桂梅 段小芳 朱静 孙云霞 LIU Guimei;DUAN Xiaofang;ZHU Jing;SUN Yunxia(Department of General Surgery,Lishui People's Hospital/Zhongda Hospital Lishui Branch,Southeast University,Nanjing 211200,China;Nursing Department,Lishui People's Hospital/Zhongda Hospital Lishui Branch,Southeast University,Nanjing 211200,China;Wound Ostomy Clinic,Lishui People's Hospital/Zhongda Hospital Lishui Branch,Southeast University,Nanjing 211200,China)
出处 《现代医学》 2023年第11期1639-1644,共6页 Modern Medical Journal
关键词 腹部功能锻炼 时效性激励护理 成人肠造口患者 生活质量 康复效果 abdominal functional exercise timeliness incentive nursing adult enterostomy patients quality of life rehabilitation effect
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