摘要
目的:探讨行动导向宣教联合Orem护理系统在直肠癌术后永久性结肠造口患者中的应用效果。方法:采用便利抽样法,选取2019年6月—2020年6月焦作市人民医院收治的120例直肠癌术后永久性结肠造口患者作为研究对象,随机分为干预组和对照组,每组60例。对照组患者应用常规护理并实施行动导向宣教,干预组患者在此基础上联合Orem护理系统进行干预。比较两组患者干预后自我效能感以及干预前后的造口相关知识了解程度。结果:两组患者干预前后的造口相关知识了解程度比较,差异有统计学意义(P<0.01)。干预组患者干预后的造口相关知识了解程度及自我效能感优于对照组,差异有统计学意义(P<0.01)。结论:对直肠癌术后永久性结肠造口患者实施行动导向宣教联合Orem护理系统可以提高患者的造口相关知识了解程度及自我效能感。
Objective To explore the application effect of action-oriented education combined with Orem nursing system in patients with permanent colostomy after rectal cancer surgery.Methods Using the convenient sampling method,a total of 120 patients with permanent colostomy after rectal cancer surgery who were admitted to Jiaozuo People's Hospital were selected as the research objects from June 2019 to June 2020.They were randomly divided into the intervention group and the control group,with 60 cases in each group.The patients in the control group received routine care and implemented action-oriented education,while patients in the intervention group were given Orem nursing system for intervention on this basis.The self-efficacy sense after the intervention and the degree of ostomy-related knowledge before and after the intervention were compared between the two groups.Results There was significant difference in stoma related knowledge between the two groups before and after intervention(P<0.01).After the intervention,patients in the intervention group had better understanding of stoma-related knowledge and self-efficacy than the control group,and the differences were statistically significant(P<0.01).Conclusions The implementation of action-oriented education and Orem nursing system for patients with permanent colostomy after rectal cancer surgery can improve patients'understanding of stoma-related knowledge and self-efficacy.
作者
皇冬梅
卢明
申瑶
范文峰
Huang Dongmei;Lu Mimg;Shen Yao;Fan Wenfeng(Department of General Surgery,Jiaozuo People's Hospital,Henan Province,Jiaozuo 454002,China;Department of Nursing,Jiaozuo People's Hospital,Henan Province,Jiaozuo 454002,China;Disinfection Supply Center,Jiaozuo People's Hospital,Henan Province,Jiaozuo 454002,China;Department of Gastrointestinal Surgery,Jiaozuo People's Hospital,Henan Province,Jiaozuo 454002,China)
出处
《中华现代护理杂志》
2021年第23期3166-3169,共4页
Chinese Journal of Modern Nursing
