延续护理干预对直肠癌永久性结肠造口患者自我效能的影响

Effects on the self-efficacy with continuing care programme for rectal cancer patients undergoing permanent colostomy

①目的探讨延续护理干预对永久性结肠造口患者自我效能的影响。②方法直肠癌永久性结肠造口患者70例,按照入院先后顺序分为对照组和干预组,各35例,两组均接受术后常规护理6个月,干预组在常规护理基础上给予延续护理干预。干预前后分别采用造口自我效能量表进行评定,比较两组患者的自我效能得分水平。③结果护理干预前两组患者的自我效能维度得分及6条目得分差异均无统计学意义(P>0.05),干预后两组患者的自我效能维度得分及6条目得分比较差异有统计学意义(P<0.05)。④结论延续护理能够有效增强患者的自我效能感。

Objective To explore the effects on the self--efficacy with continuing care pro gramme for rectal cancer patients undergoing permanent colostomy.Methods According to the order of admission,70 colostomy patients were divided into control group（ n =35） and intervention group（ n =35）.Patients in both groups were received routine care for six months,while the intervention group received additional continuing care intervention. The self--efficacy for the patients was evaluated ac- cording to Stoma Self--efficacy Scale before and after the intervention.And the differences between the two groups were compared.Results Before intervention, there were no significant differences in the score of two dimensions and 6 entries of self--efficacy between the two groups（ P 〉0.05）.Significant differences were observed in the score of two dimensions and 6 entries of self--efficacy between the two groups after the continuing care intervention（ P 〈0.05）.Conclusion Continuing care programme can effectively improve the self--efficacy for rectal cancer patients undergoing permanent colostomy.