造口治疗师随访干预对结肠造口患者生命质量的影响

Effect of follow-up intervention of enterostomal therapist on the quality of life of colostomy patients

目的评价造口治疗师（ET）随访干预对结肠造口患者生活状况及生命质量的影响。方法选择行直肠癌手术并结肠造口患者80例，随机分为干预组和对照组各40例。干预组由ET给予专科护理，对照组实施常规护理，分别于出院时及出院后1，3，6个月采用生活质量核心量表（EORTCQLQ-c30）调查两组患者生命质量，并进行统计学分析。结果出院时干预组患者总生活质量评分为（46．88±9．18）分，对照组为（42．71±12．11）分，两组比较差异无统计学意义（t=-1．734，P〉0．05）；出院后1，3，6个月时干预组总生活质量评分分别为（49．58±8．43），（57．92±7．05），（71．87±9．57）分，对照组分别为（42．71±12．11），（42．71±12．11），（54．17±7．78）分，两组比较差异均有统计学意义（t值分别为-2．947，-6．864，-9．084；P〈0．01）。结论由ET参与的随访干预护理可以有效帮助乙状结肠造口患者提高远期生命质量。

Objective To evaluate the effect of follow-up intervention of enterostomal therapist（ET） on the quality of life of Miles patients in colostomy convalescent. Methods Totals of 80 Miles patients with rectal cancer in our hospital from December 2010 to June 2012 were selected and randomly divided into intervention group （ n = 40 ） receiving ET follow-up intervention nursing, and the control group （ n = 40 ） receiving routine nursing. Life quality was observed respectively in discharge, 1＇h month discharge, 3th month discharge and 6th month discharge. Results No significant difference was found in the life quality scores between intervention group and control group when discharge [ （46.88 ±9.18） vs （42.71 ± 12.11） ; t = - 1. 734, P 〉0.05） ]. While the life quality scores in the 1^th month discharge, 3^th month discharge, and 6th month discharge of intervention group were respectively higher than those of control group [ （49.58 ± 8.43 ） vs （42.71±12.11 ）, （57.92±7.05） vs （42.71±12. 11）, （71.87±9.57） vs （54. 17 ±7.78）],and the differences were statistically significant （ t = - 2. 947, - 6. 864, - 9. 084 ; P 〈 0.01 ）. Conclusions The special follow-up intervention of ET can improve the quality of life of patients with colostomy.