协同护理模式对结肠造口患者心理健康及生存质量影响的研究

Influence of collaborative care model on mental health and quality of life of colostomy patients

目的:探讨协同护理模式对结肠造口患者心理健康及生存质量的影响。方法:将74例结肠造口患者随机分为观察组37例和对照组37例,对照组给予常规护理,观察组在常规护理基础上给予协同护理模式。在患者入院和出院时采用焦虑自评量表(SAS)及自我护理能力测定量表(ESCA)进行评估,术后1个月采用生存质量问卷(WHOQOL-100)进行评定。结果:出院时观察组SAS及ESCA评分改善较对照组显著(P<0.05);术后1个月观察组WHOQOL-100评分显著高于对照组(P<0.05)。结论:协同护理模式可有效缓解结肠造口患者负性情绪,改善患者的心理健康,提高患者生存质量。

Objective： To probe into influence of collaborative care model on mental health and quality of life of patients who underwent colostomy. Methods： A total of 74 cases of colostomy patients were divided into intervention group with 37 cases and control group with 37 cases in accordance with admission sequence. The patients in control group received routine care and the patients in intervention group received not only routine care but also collaborative care model. At the time of admission and discharge,all patients were evaluated using anxiety self-rating scale（ SAS） and the exercise of self-care agency scale（ ESCA）,and they were assessed using World Health Organization Quality of Life with 100 questions（ WHOQOL-100） at one month after operation. Results： SAS and ESCA scores in intervention group at the time of discharging significantly improved（ P〈0. 05）; WHOQOL-100 scores in intervention group at one month after operation were significantly higher than those of control group（ P〈0. 05）. Conclusion： Collaborative care model can relieve colostomy patients＇ negative emotion,improve mental health and the quality of life.