摘要
目的探讨延伸护理对永久性肠造口患者生活质量的影响。方法根据住院号尾数的奇偶数将268例永久性肠造口患者分为实验组(奇数)154例,对照组(偶数)114例。两组患者住院期间接受常规的护理,出院后对照组实施电话随访,实验组实施家庭访视、组织座谈会、电话随访和联谊会等延伸护理,时间为术后1个月、3个月、6个月、9个月、1年。干预1年后采用生活质量核心问卷(core quality of life questionnaire,QLQ-C30)对患者进行测评。结果实验组患者躯体功能、角色功能、情绪功能、认知功能、社会功能和健康状况评分均高于对照组,两组比较,差异均有统计学意义(P<0.05)。结论延伸护理可为患者提供较全面、系统、连续性的专业护理,提高患者对相关知识和技能的掌握程度和社会交往能力,从而有效提高患者的生活质量。
Objective To explore the effect of extended care on the quality of life of patients with permanent colostomy.Methods Clinical data of 268 patients with permanent colostomy were retrospectively analyzed. The patients were randomly divided into the experiment group（n = 154） and control group（n = 114）. Two groups of patients after colostomy were given conventional nursing and telephone follow-up and the experiment group also received extended care such as home visits, seminars and fraternity care. Postoperative follow-up was done for 1 month, 3 months, 6 months, 9 months and 1 year. Core quality of life questionnaire（QLQ C30） was used to investigate the patients after 1 year intervention. Result Compared with the control group, patients′ physical function, role function, emotional function, cognitive function, social function and health status rating were significantly improved in the experiment group（P〈0. 05）. Conclusion Extended nursing can provide more comprehensive, systematic, professional nursing,improve the mastery of relevant knowledge and the skills and finally improve patients′ quality of life.
出处
《现代临床护理》
2015年第7期10-14,共5页
Modern Clinical Nursing
基金
国家自然科学基金项目
项目编号为81272397
