摘要
目的了解基于赋能理论的自我管理在直肠癌造口患者中的应用效果。方法采用便利抽样法,选取2020年1—10月南阳市中心医院普外科收治的46例直肠癌造口患者为对照组,予以常规护理干预;选取2020年11月—2021年8月收治的47例直肠癌造口患者为观察组,予以基于赋能理论的自我管理干预。采用癌症自我管理效能感量表(SUPPH)、造口自我护理能力量表、中文版造口患者生活质量问卷(COH-QOL-OQ)评估干预前后两组直肠癌造口患者自我效能感、自我护理能力及生活质量。结果干预后,观察组患者SUPPH总分、造口自我护理能力量表各维度得分、中文版COH-QOL-OQ各维度得分均高于对照组,差异均有统计学意义(P<0.05)。结论基于赋能理论的自我管理可提高直肠癌造口患者的自我效能感和自我护理能力,改善患者的生活质量。
Objective To explore the effect of self-management based on empowerment theory in patients with rectal cancer stoma.Methods Using the convenience sampling method,46 patients with rectal cancer stoma admitted to the General Surgery of Nanyang Central Hospital from January to October 2020 were selected as the control group,and received routine nursing.A total of 47 patients with rectal cancer stoma who were treated from November 2020 to August 2021 were selected as the observation group,and given self-management based on empowerment theory.The Strategies Used by People to Promote Health(SUPPH),the Colostomy Self-care Agency Scale,and the Chinese version of City of Hope Quality of Life-Ostomy Questionnaire(COH-QOL-OQ)were used to evaluate the self-efficacy,self-care ability and quality of life of rectal cancer patients with stoma before and after the intervention.Results After intervention,the total score of SUPPH,the scores of each dimension of the Colostomy Self-care Agency Scale,and the scores of each dimension of the Chinese version of COH-QOL-OQ in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Self-management based on empowerment theory can improve the self-efficacy,self-care ability and the quality of life of rectal cancer patients with stoma.
作者
张缦莉
钱国武
厉冰
梅孝臣
Zhang Manli;Qian Guowu;Li Bing;Mei Xiaochen(Department of General Surgery,Nanyang Central Hospital,Nanyang 473000,China)
出处
《中华现代护理杂志》
2022年第30期4255-4259,共5页
Chinese Journal of Modern Nursing
基金
河南省二〇一八年科技发展计划(182102311210)。
关键词
直肠肿瘤
造口
赋能理论
自我效能感
自我护理能力
生活质量
Rectal neoplasms
Stomata
Empowerment theory
Self-efficacy
Self-care ability
Quality of life
