结肠造口患者术后不同时期自我护理状况的调查

An investigation about the condition of self-care among colostomy patients in different stage after operation

目的研究结肠造口患者在术后不同时期造口护理状况的变化。方法研究分2个时间段进行。测量工具采用自行设计的量表,采用问卷调查法对42例结肠造口患者术后1年内和1年后重复进行调查和评估。结果随着时间的推移,造口患者每月购买造口用品的费用增多(P<0.05);每日护理造口的时间缩短(P<0.05);患者的自护能力变化1年内和1年后差异无显著性(P>0.05)。影响造口护理状况的因素1年内为年龄和手术期,1年后为性别、年龄和手术期。结论护理人员应根据不同时期造口患者的心理、生理和病情变化特点,采取适当的护理措施,促进造口患者更好的康复。

Objective To identify the condition of colostomy care in different postoperative stages among the colostomy patients. Methods This study was divided into two section. Using the self-designed questionnaire to investigate 42 postoperative colostomy patients in the first and the second year respectively after the colostomy operation. Results With the time passing by, the money which have been used in buying colostomy products increased, while, the time in the colostomy care decreased. There are no significant difference hetween the two time point in colostomy self-care ability. The effect factors are age and the time since colostomy in the first year; and gender, age and the time since colostomy are the factors in the second years. Condusion Nurses should using different nursing method according to the different physical and psychological condition of colostomy patients, and then promote rehabilitation early.