延续性护理对肠造口患者生活质量影响的观察

To Observe the Effect of Continuous Nursing on Quality of Life in Patients with Colostomy

目的观察延续性护理对肠造口患者生活质量的影响。方法对结直肠癌根治术后行肠造口患者60例随机分成观察组和对照组,观察组出院前制订出院计划,出院后电话随访1次/2周,实施个性化的延续性护理服务,对于有特殊情况的患者,由责任护士负责上门访视指导、宣教,进行延续性护理服务;对照组只通知患者来院复诊或通过电话进行问卷调查。结果两组在肠造口护理,饮食习惯,社会活动等方面比较,差异有统计学意义(P<0.05)。结论对肠造口出院患者通过电话回访、上门访视进行延续性护理,有利于快速提高患者对肠造口护理的掌握和建立良好的生活习惯,克服心理障碍,尽早适应社会。

Objective To observe the effect of continuous nursing on quality of life in patients with colostomy. Methods For colorectal cancer patients underwent colostomy in 60 cases were randomly divided into the observation group and the control group, the observation group before discharge from the hospital discharge planning, after discharge telephone follow-up was 1/2 weeks, continuity of care for patients with the implementation of personalized, special circumstances, by responsibility nurse is responsible for door-to-door visit guidance, education, for continuing nursing; the control group only to inform the patient to hospital referral or questionnaire survey was conducted by telephone. Results The two groups in the colostomy nursing, diet habit, social activities and so on, the difference was statistically significant （P〈0.05）. Conclusion The colostomy patients by telephone, home visits for continuity of care, is conducive to the rapid increase of patients with colostomy care and establish good habits, to overcome the psychological barriers, to adapt to the society.