综合延续护理对出院早期直肠癌结肠造口患者的效果研究

The effect of comprehensive transitional care among colostomy patients with rectal cancer

目的:分析综合延续护理对出院早期直肠癌结肠造口患者的效果。方法:选取广州市3家三级甲等医院行结肠造口手术的患者,随机分为干预组和对照组,完成研究的每组各56例。分别在其出院前、出院后1个月和3个月使用造口患者生活质量量表、造口自我效能问卷、造口自我护理量表-早期版进行调查。结果:干预组患者的自我护理能力、自我效能以及生活质量中的日常起居和社会交往维度均高于对照组患者(P<0.05),但两组患者生活质量总分没有统计学差异(P>0.05)。结论:综合延续护理能提高结肠造口患者造口自我护理和自我效能水平,但是对于生活质量总分和两个偏心理的维度改善效果不明显,提示在以后延续护理干预设计中应加强对患者的心理疏导。

Objective： To analyze the effect of comprehensive transitional care among colostomy patients with rectal cancer. Methods： Rectal cancer patients who will undergo colostomy surgery were recruited from three tertiary grade A hospitals in Guangzhou and randomly divided into intervention group and control group with 56 patients in each group finally finishing all the study. The patients were investigated by Stoma Quality of Life-Chinese Version, Stoma Self-Efficacy Scale, Stoma Self-Care Scale-early stage version before discharge, 1 month and 3 months after discharge. Results： The scores of stoma self-care ability, stoma self-efficacy, and daily routines and social interaction dimensions of quality of life among colostomy patients in intervention group were significantly higher that those in the control group （P〈0.05）, while the total score of quality of life in two groups had no significant difference （P〉0.05）. Conclusion： Comprehensive transitional care could improve the stoma self-care ability and stoma self-efficacy, but have little effect on the total score and two psychological dimensions of quality of life. When designing the transitional care interventions, we should pay more attention to patients＇ psychological counseling.