家庭护理干预对提高肠造口病人生活质量的影响

Effect of family nursing to improve the life quality of patients under going colostomy

目的探讨家庭护理干预提高肠造口病人生活质量的效果。方法用随机数字表法将出院1个月内的结肠造口病人86例分为实验组44例和对照组42例。对照组按常规定期复查,实验组在此基础上,由有资格认证的造口治疗师(ET)以定期家访和电话访问的形式进行家庭护理干预,包括为病人及家属提供心理咨询、健康教育、护理指导等,每周1次,每次30～60min,持续时间为3个月。干预前后分别测评病人的生活质量,效果评价指标为欧洲癌症研究与治疗组织的生活质量核心量表(EORTCQLQC30)。结果干预后实验组病人的生活质量高于干预前(P<0.05),亦高于对照组(P<0.05),差异有统计学意义。结论由ET提供家庭护理干预,能有效提高肠造口病人的生活质量。

Objectives To explore the effect of family nursing to improve the quality of life of patients undergoing colostomy.Methods 86 colostomy patients w ere randomly divided into two groups. The control group (42 patients) received periodic,the experimental group (44 patients) received family nur sing by enterostomal therapists. The intervention included home visiting and te lep hone interviews, in which the nurses provided instructions on stoma care, health education and psychological counseling to the patients and their family members .The intervention was given once a week and lasted 30~60 minutes each time. The duration of the whole intervention lasted three months. Use Quality of Life (E O RTC QLQ-C30) to measure and compare the data of the groups.Results After fami l y nursing interventions, the quality of life was significantly improved in exp erimental group, which was also much higher than the control group (P<0.05). Con clusion Family nursing intervention delivered by enterostomal therapists can effectively improved the quality of life of patients undergoing colostomy.