激励干预对腹腔镜下直肠癌术后永久结肠造口患者自我效能及生活质量的影响

Effect of inspiring nursing on self-efficacy and quality of life in patients with rectal cancer permanent colostomy under laparoscope

目的探讨激励干预对腹腔镜下直肠癌术后永久结肠造口患者自我效能及生活质量的影响。方法66例患者,对33例观察组患者予激励干预,利用一般自我效能感量表、造口相关自我效能问卷及直、结肠癌专用生活质量问卷调查,比较对照组与观察组腹腔镜下直肠癌术后永久结肠造口患者自我效能及生活质量情况。结果术后3个月,观察组自我效能感十分高患者例数明显高于对照组(P<0.05)。观察组造口照顾效能和社交效能得分在术后3个月明显多于对照组及术后1个月时。术后3个月时,保持活力的信心及造口自理的信心得分显著高于同期对照组(P<0.05);术后6个月时,饮食选择的效能得分显著高于术后1个月及同期对照组(P<0.05);术后6个月时,造口自理的信心得分显著高于术后3个月及同期对照组(P<0.05)。对未来的期望得分,观察组在术后3个月时就明显升高;胃肠道症状,观察组在3个月时得分显著减少。结论激励干预能改善腹腔镜下直肠癌术后永久结肠造口患者的自我效能感、提高保持活力和造口自理的信心,以及能提高对未来的期望。从而提高了患者的生活质量。

[Objective ] To investigate the effect of inspiring nursing on the self-efficacy and quality of life in permanent colostomy patients with rectal cancer under laparoscope. [Methods] 66 patients were enrolled in this study. The inspiring nursing on 33 eases of patients in the observation group. The other 33 cases of patients were control group treated with routine nursing, all patients were investigated with questionnaire, which included general self-efficacy scale, ostomy-related self-efficacy questionnaire, and EORTC colorectal cancer-specific quality of life questionnaire module, the information of self-efficacy and quality of life of the two groups patients were collected. [ Results ] The number of patients with a very high value of self-efficacy in the observation group was significantly higher （P 〈0.05）. 3 months after surgery, the scores of the performance of stoma care and social in observing groupwere significantly more than the control group and after a month. 3 months after surgery, the faith of maintaining the vitMity and confidence of stoma care of themselves were significantly higher than the control group at the same peri- od （P 〈0.05）. 6 months after surgery, the score of dietary choices performance was significantly higher than a month after surgery and the control group at the same period （P 〈0.05）. 6 months after surgery, the score of the confidence of stoma care of themselves was significantly higher than three months after surgery and the control group at the same period （P 〈0.05）. Three months after surgery, the score of expectations for the future in observation group was significantly higher, but the score of gastrointestinal symptoms, it was decreased significantly （P 〈0.05）. [ Conclusion ] Inspiring nursing can improve patient＇s self-performance, the confidence of maintaining the vitality and stoma care of themselves, and expectations for the future, and can improve patients＂ quality of life.