团体认知行为干预对永久性肠造口患者知信行及生活质量的影响

Effects of Group Cognitive Behavior Intervention on Knowledge,Behavior and Quality of Life in Patients With Permanent Enterostomy

目的探讨团体认知行为干预在永久性肠造口患者中应用效果。方法将2018年3月—2020年3月本院行永久性肠造口手术的128例患者,按随机数字表法分为两组,各64例。对照组采取常规护理,观察组在此基础上实施团体认知行为干预。比较两组干预前和干预30 d后知信行水平[肠造口患者造口知信行量表(CPCKAPS)]和生活质量[中文版造口患者生活质量问卷(COH-QOL-OQ)]评分。结果干预前两组CPCKAPS评分、COH-QOL-OQ评分比较,差异无统计学意义(P>0.05)。观察组干预30 d后CPCKAPS中知识(49.82±3.59)分、态度(31.68±3.22)分、自我行为(19.82±2.62)分,均高于对照组的(43.91±3.57)分、(25.27±3.16)分、(15.73±2.51)分;COH-QOL-OQ(6.89±1.16)分,高于对照组的(5.27±1.12)分,差异有统计学意义(P<0.05)。结论团体认知行为干预可提高永久性肠造口患者知信行水平,利于提高造口管理能力,改善患者生活质量。

Objective To explore the effect of group cognitive behavior intervention in patients with permanent enterostomy.Methods A total of 128 patients undergoing permanent enterostomy surgery in our hospital from March 2018 to March 2020 were divided into two groups according to the random number table method,each with 64 cases.The control group took routine care,and the observation group implemented group cognitive behavior intervention.The knowledge and behavior level[CPCKAPS]and quality of life[Chinese version of the ostomy patient quality of life questionnaire(COH-QOL-OQ)]scores were compared between the two groups before intervention and after 30 days of intervention.Results There was no significant difference in cpckaps score and coh-qol-oq score between the two groups before intervention(P>0.05).After 30 days of intervention,the scores of knowledge(49.82±3.59)points,attitude(31.68±3.22)points and self-behavior(19.82±2.62)points in the observation group were higher than those in the control group(43.91±3.57)points,(25.27±3.16)points,(15.73±2.51)points;the scores of coh-qol-oq(6.89±1.16)points were higher than those of the control group(5.27±1.12)points,the difference was statistically significant(P<0.05).Conclusion Group cognitive behavioral intervention can improve the level of knowledge,belief and behavior of patients with permanent enterostomy,which is conducive to improving the management capacity of stoma and improving the quality of life of patients.