摘要
目的围绕延续性护理对永久性肠造口患者自我护理能力的影响进行讨论和探究。方法方便选择该院2018年12月—2019年12月收治的90例永久性肠造口患者作为研究对象,按照随机法将90例患者分为两组,每组45例。对于对照组患者,由责任护士行常规出院指导;观察组患者则以常规护理为基础,由造口专科护士实施出院后的延续性护理,并对两组患者出院3个月后自我护理能力的评分进行对比。结果两组患者出院时,对照组和观察组自我护理能力评分差异无统计学意义(P>0.05);出院3个月后,采用延续性护理的观察组患者自我护理概念、自我护理责任感、自我护理知识和自我护理技能评分分别为(39.78±3.69)分、(39.43±3.34)分、(41.29±5.67)分和(45.55±6.87)分;而对照组上述4个维度评分为(24.98±3.78)分、(22.01±4.67)分、(31.30±5.47)分和(33.45±5.82)分。延续性护理的观察组患者自我护理能力明显高于采用常规护理的对照组,且两组间差异有统计学意义(t=18.795、20.353、8.506、9.015,P<0.05)。结论对永久性肠造口患者采用延续性护理模式可以使患者自我护理能力得到显著提升。
Objective To discuss and explore the influence of continuous nursing on the self-care ability of patients with permanent intestinal stoma.Methods Ninety patients with permanent intestinal stoma admitted to the hospital from December 2018 to December 2019 were conveniently selected as the research objects.The 90 patients were divided into two groups according to the random method,with 45 cases in each group.For the patients in the control group,the responsible nurse will give regular discharge guidance;the patients in the observation group was based on routine care,and the ostomy specialist nurse camed out continuous nursing after discharge,and the self-care ability of the two groups of patients was evaluated three months after discharge.Results There was no statistically significant difference in the self-care ability scores between the control group and the observation group when the two groups of patients were discharged from the hospital(P>0.05).Three months after discharge,the observation group who used continuation care self-care scores of concept,self-care responsibility,self-care knowledge and self-care skills were(39.78±3.69)points,(39.43±3.34)points,(41.29±5.67)points and(45.55±6.87)points,respectively;while the control group had the above dimensional scores were(24.98±3.78)points,(22.01±4.67)points,(31.30±5.47)points and(33.45±5.82)points.The self-care ability of patients in the continuous nursing observation group was significantly higher than that in the control group using conventional nursing,and the difference between the two groups was statistically significant(t=18.795,20.353,8.506,9.015,P<0.05).Conclusion The continuous nursing model for patients with permanent enterostomy can significantly improve the self-care ability of patients,and it is worthy of promotion and application.
作者
陈何艳
柯巧芸
柯晓兰
朱艺红
CHEN Heyan;KE Qiaoyun;KE Xiaolan;ZHU Yihong(Department of General Surgery,Xiamen Haicang Hospital,Xiamen,Fujian Province,361026 China)
出处
《中外医疗》
2021年第9期150-152,共3页
China & Foreign Medical Treatment
关键词
延续性护理
永久性肠造口
自我护理能力
影响
Continuous nursing
Permanent intestinal stoma
Self-care ability
Influence
