造口访问对结肠造口病人围手术期心理健康状况的影响

目的探讨造口访问对提高结肠造口患者心理健康水平的效果。方法将入院拟行肠造口手术的病人80例随机分为实验组40例和对照组40例。对照组由护士按常规护理,实验组在此基础上安排2名造口访问者在病人术前1～2天及术后4～7天探访病人,干预的内容包括为向病人及家属提供咨询、情感支持、造口自我护理、自我形象、社会支持等。干预前后采用症状自评量表(SCL-90)分别测评病人的心理状况。结果干预后实验组的心理健康水平高于干预前(P<0.05),高于对照组(P<0.05),差异有统计学意义。结论造口访问能有效提高结肠造口病人围手术期的心理健康水平。

Objective To explore the effect of the visitor with stoma colostomy to improve the level of mental health of the patients with stoma colostomy.Methods Using random number table,80 patients who were going to receive colostomy surgery were divided into experimental group of 40 patients and control group of 40 patients.The control group was nursed before and after surgery by routine care and routine periodic review after discharge,two visitors were send to the experimental group,they visited the patients 1 to 2 days before surgery and 4 to 7 days after surgery,interventions include provision of counseling of daily life for patients and their families,emotional support,stoma self-care,self-image and social support.The level of mental health was evaluated by the Symptom Self-evaluation Scale（SCL-90） before and after intervention.Results The level of mental health of the experimental group was significantly higher（P0.05） then the level of mental health of the control group,the difference was significant statistically.Conclusion The intervention of stoma visitor can improve the level of mental health of patients with stoma colostomy.