护理干预模式对直肠癌Miles术后患者造口自我护理能力及心理健康的影响

Effect of nursing intervention mode on colostomy self care ability and mental,physical health of rectal cancer patients after Miles operation

目的探讨护理干预模式对直肠癌Miles术后患者造口自我护理能力及精神、心理健康的影响。方法选择2010年1月至2012年1月间确诊为直肠癌并接受Miles手术的患者90例,采用随机数字表法随机分为观察组和对照组,每组45例。两组患者治疗方案相同,对照组患者给予常规护理,观察组患者在对照组基础上应用护理干预模式。于出院后3、6个月采用自我护理能力实施量表(ESCA)及症状自评量表(SCL-90)分别对自我护理能力及精神、心理健康状况进行测评。结果观察组患者出院3、6个月后,ESCA总分、自我护理技能、自我护理责任感、自我概念、健康知识水平均明显优于对照组,差异均有统计学意义(P<0.05)。观察组患者出院3、6个月后,SCL-90各因子评分均明显降低,与对照组差异均有统计学意义(均P<0.05)。结论护理干预模式可提高永久性肠造口患者自我护理能力,改善患者的心理状态,值得临床应用推广。

Objective To investigate the effect of nursing intervention mode on colostomy self care a- bility and mental, physical health of patients with rectal cancer after Miles operation. Methods From January 2011 to January 2012, 90 rectal cancer patients after Miles operation in Halixun International Peace Hospital were selected and divided into observation group and control group randomly, with 45 cases in each group. The pa- tients in the both two groups all received the same clinical therapy. The patients in the control group accepted routine nursing and those in the observation group accepted nursing intervention mode combined with routine nursing while. The exercise of self-care agency （ESCA） and Symptom Checklist 90 （SCL-90） were used to eval- uate the serf-care agency and mental, physical health situation respectively after post-discharge of 3 and 6 months. Results The total score of ESCA, self nursing skills, self nursing responsibility, self-eoneept and health knowledge level in the observation group were all better than those of the control group after post-dis- charge of 3 and 6 months, with significant differences （all P 〈 O. 05 ） ; each score value of SCL-90 were low- er than those of the control group after post-diseharge of 3 and 6 months, with significant differences （ P 〈 0. 05 or P 〈 0.01 ）. Conclusions The nursing intervention mode ean improve the self eare ability and psy- chological states of the patients with colostomy, and it is worthy of clinical application and popularization.