摘要
目的探讨护理干预对永久性结肠造口患者自我护理能力量表(ESCA)、健康调查简表(SF-36)各维度评分的影响。方法将90例永久性结肠造口患者随机分为对照组与观察组各45例,对照组仅接受结肠造口常规护理干预,观察组则在此基础上再联合延伸护理干预,对比2组患者护理干预前后的ESCA、SF-36各维度评分。结果护理干预前,2组患者ESCA量表自护技能、自护责任感、自我概念、自护知识4个维度评分差异无统计学意义(P>0.05);护理干预后,2组患者ESCA量表4个维度评分较干预前升高(P<0.05),且观察组评分高于对照组(P<0.05)。护理干预前,2组患者SF-36量表生理功能、社会功能、生理职能、情感职能、躯体疼痛、精神健康、总体健康、活力8个维度评分差异均无统计学意义(P>0.05);护理干预后,2组患者SF-36量表8个维度评分均较干预前升高(P<0.05),且观察组评分高于对照组(P<0.05)。结论延伸护理干预可以改善永久性结肠造口患者的自护能力及生存质量。
Objective To investigate the effect of nursing intervention on the scores of self- care ability scale （ESCA） and the health survey form （SF-36） of patients with permanent colostomy. Methods A total of 90 patients with permanent colostomy were randomly divided into control group （45 cases） and observation group （45 cases）, the control group received conventional nursing inter- vention colostomy, while patients in the observation group used extended nursing intervention, ESCA, SF-36 scores of various dimensions of the two groups were compared. Results Before the interven- tion, no significant difference was observed in self-care skills and self responsibility, self concept, self- care knowledge scores in ESCA scale （ P 〉 0.05 ）. After nursing intervention, the observation group and the control group had higher scores of four dimensions in ESCA scale （P 〈 0.05 ） , and the obser- vation group was significantly higher than the control group, the differences were statistically significant （P 〈 0.05 ）. Before nursing intervention, physiological function, social function, emotional function, physical function, body pain, mental health, general health, vitality scores in SF-36 scale showed no significant differences （ P 〉 O. 05 ）. After nursing intervention, SF-36 scale scores in the observation group and the control group were significantly higher than intervention before （P 〈 0.05 ） , and SF-36 scale scores in the observation group were significantly higher than control group （P 〈 0. 05）. Conclusion Extended nursing intervention can improve self-care ability and quality of life of patients with permanent colostomy.
作者
彭丽娟
熊曼
周秀琴
PENG Lijuan XIONG Man ZHOU Xiuqin(Department of Orwology, 3201 Hospital of China Aviation Industry, Hanzhong, Shaanxi, 723000)
出处
《实用临床医药杂志》
CAS
2017年第18期47-49,共3页
Journal of Clinical Medicine in Practice
