摘要
目的探讨持续自我管理教育对永久性结肠造口患者自我护理健康知识、能力及适应状况的影响。方法选择72例永久性结肠造口患者按入院先后分为对照组30例和观察组42例,对照组采用常规护理及健康教育方法,观察组采用常规护理及持续自我管理教育。采用造口护理知识问卷、自我护理能力实施量表(ESCA)和造口患者适应量表(OAS)评价出院时和出院1、3、6个月持续自我管理教育的效果。结果各时间点观察组患者ESCA各维度得分及总分均呈升高趋势(P<0.05),对照组自我护理技能和总分呈升高趋势(P<0.05),观察组总分均高于对照组(P<0.05)。各时间点两组患者OAS各维度得分及总分均呈升高趋势,差异有统计学意义(P<0.05),观察组总分均高于对照组,差异有统计学意义(P<0.05)。结论持续自我管理教育有助提高患者对造口自我护理知识的掌握和自我护理能力,促进对造口术后生活的适应,是造口患者健康教育的有效方式。
Objective To investigate the continuing self-management education permanent colostomy patient self-care health knowledge, capacity and appropriate conditions. Methods A total of 72 cases of permanent colostomy patients admitted to hospital has divided into a control group of 30 patients and observation group 42 patients in the control groupar were treated with routinece and health education, the observation group were treated with routine care and continuous self-management education. Ostomy care knowledge questionnaire, self-care capacity to implement Scale （ESCA） and stoma patients Adjustment Scale （OAS） evaluated at discharge and discharge the effect of 1, 3, and 6 months of continuous self-management education. Results Each time point observation group were ESCA scores and total scores showed an increasing trend（P 〈0.05）. self-care skills and out of the control group showed an increasing trend（P 〈0.05）. the total score of the observation group in the control group （P 〈0.05）. Each of the two groups of patients at each time point OAS scores and total scores showed an increasing trend, and the difference was statistically significant （P 〈0.05）, the total score of the observation group were higher than the control group, the difference was statistically significant （P〈0.05）. Conclusion Continuous self-management education can help improve patient stoma self-care knowledge mastery and self-care capacity, and promote the adaptation of life after stoma stoma patients health education.
出处
《中国现代医生》
2014年第7期120-123,共4页
China Modern Doctor
基金
国家自然科学基金(81071959)
