协同护理模式对肠造口患者自护能力的影响研究

Effect of self-nursing capability in collaborative nursing model patients with enterostomy

目的探讨应用协同护理模式对肠造口患者自护能力的干预效果。方法选择2014年1—12月收治的120例低位直肠癌患者作为研究对象,随机分为对照组和干预组各60例。对照组实施常规护理,干预组患者开展协同护理模式,记录并比较两组患者的自护能力及造口皮肤情况。计量资料采用t检验,P<0.05为差异有统计学意义。结果出院当天、出院后1个月,干预组自护知识及自护技能得分分别为(11.98±4.97)、(16.90±3.05)、(7.10±3.93)、(10.44±2.34)分,均优于对照组的(8.33±5.21)、(14.15±3.40)、(3.94±3.06)、(7.69±2.87)分,差异均有统计学意义(均P<0.05)。出院后1个月,干预组造口周围皮肤变色和侵蚀程度得分、总分分别为(0.39±0.18)、(0.11±0.01)、(0.59±0.20)分,均优于对照组的(0.84±0.56)、(0.67±0.27)、(1.71±0.87)分,差异均有统计学意义(均P<0.05)。结论协同护理模式可有效提高肠造口患者的自护能力,促进肠造口周围皮肤的愈合。

Objective To investigate the intervention effect of collaborative nursing model in the treatment of patients with en- terostomy.Methods 120 cases of low rectal cancer patients from January to December 2014 were selected and randomly divided into control group and treatment group（n=60）.The patients in control group were treated with usual care,while the patients in treatment group were treated with collaborative nursing model.The seff-nursing capability and stoma skin situation were recorded and compared.Measurement data was processed by t test,P〈0.05 was considered statistically significant.Results On the day of discharge and one month after discharge,the self-nursing knowledge,self-nursing skill scores of treatment group were （11.98 ± 4.97）, （16.90 ± 3.05）,（7.10 ± 3.93）,（10.44± 2.34）points,superior than that of the control group [（8.33 ± 5.21）,（14.15 ± 3.40）,（3.94 ± 3.06）,（7.69 ± 2.87）points],the differences were statistically significant（all P〈0.05）.One month after discharge,the scores of stoma skin discoloration,erosion degree and total score were （0.39 ± 0.18）,（0.11 ± 0.01）,（0.59 ± 0.20）points,lower than that of the control group [（0.84 ± 0.56）,（0.67 ± 0.27）,（1.71 ± 0.87）points],the differences were statistically significant（all P〈0.05）.Conclusion The use of collaboration nursing model can effectively improve the seff-nursing capability in patients with enterostomy,promote the coales- cence of stoma skin.