协同护理对肠造口患者自我护理能力的干预效果

The effects of collaborative nursing on self- care ability for patients with colostomy

目的:研究协同护理模式对肠造口患者自我护理能力和造口皮肤的干预效果。方法:选取我院2014年1月-2015年7月普外科行直肠癌Miles(结肠造口术)的患者100例为研究对象。将患者随机分为对照组和干预组,每组各50例,对照组实施常规护理,干预组开展协同护理。采用一般情况调查表、自我护理能力实施量表(ESCA)、康乐保公司提供的造口皮肤评估工具(DET评分)进行研究。结果:干预组术后1周和术后1个月ESCA评分均高于对照组(P<0.05),术后1个月干预组DET的各项指标评分均明显低于对照组。结论:应用协同护理模式对结肠造口患者进行干预,可以有效提高患者的自我护理能力,改善造口周围皮肤状况。

Objective：To study the effects of collaboration care model on patients＇self-care ability of colostomy. Methods：Randomly select 100 patients with rectal cancer treated with Miles （intestinal stoma）operation.The pa-tients were randomly divided into the control group and the intervention group,50 cases in each.The control group was treated by the routine nursing,whereas the intervention group was under collaborative nursing intervention.The general information questionnaire and self care ability implementation （ESCA）were used.The Kanglebao stoma skin assess-ment tool （DET）score of scale was included.Results：The ESCA scores of the intervention group at 1 week and 1 month after operation were higher than those in the control group （P〈0.05）.The indexes of DET in the intervention group at 1 month after operation were significantly lower than those in the control group.Conclusion：The application of collaborative nursing in patients with colostomy for intervention can effectively improve the patients′self-care abili-ty and improve the skin condition around colostomy.