延伸护理在肠造口术后患者护理中的应用效果分析

Analysis on the application effect of extended nursing care in patients after enterostomy

目的研究延伸护理在肠造口术后患者护理中的应用效果。方法将我院2013年1月~2017年2月肠造口术后患者96例进行随机分组,每组48例,常规组采用常规护理干预;延续组在常规组基础上进行延伸护理。就两组患者对肠造口知识的认知水平、自我护理能力评分、规律排便行为评分和对护理服务的满意度、造口脱垂等并发症发生率进行比较,并比较出院前和出院半年后患者的生活质量水平。结果延续组对护理服务的满意度明显高于常规组,P<0.05。延续组造口并发症发生率明显低于常规组,P<0.05。延续组患者对肠造口知识的认知水平、自我护理能力评分、规律排便行为评分均明显高于常规组,P<0.05。出院时两组患者生活质量水平无显著差异,P>0.05。在出院半年后,延续组患者的生活质量水平显著高于常规组,P<0.05。结论延伸护理肠造口术后患者护理中的应用效果确切,可有效提高患者对肠造口知识的认知水平和自我护理能力,使其建立规律排便行为,减少造口并发症的发生,促进患者生活质量的改善,并提高患者满意度,值得推广应用。

Objective To study the application effect of extended nursing care in patients after enterostomy. Methods 96 patients in our hospital from January to February in 2017 were randomly divided into two groups： routine group（n=48） and conventional group（n=48）. The patients of routine group were treated with routine nursing intervention, the patients of conventional group were treated with conventional nursing intervention on the basis of routine nursing intervention. The incidence of complications such as level of cognition of enterostoma, self-care ability score, regular defecation behavior score, satisfaction with nursing care service and stoma prolapse were compared between the patients of two groups, and the quality of life in the pre-diseharge and discharge six months were compared between the patients of two groups. Results The satisfaction rate of conventional group was significantly higher than that of routine group（P 〈 0.05）. The incidence of complication was significantly lower in conventional group than that of routine group（P 〈 0.05）. The level of cognition of enterostoma, self-care ability score, regular defecation behavior score of the patients in conventional group were significantly higher than those of the routine group（P 〈 0.05）. There was no significant difference in the quality of life between the two groups at discharge time（P 〈 0.05）. After six months of discharge, the quality of life of patients in the conventional group was significantly higher than that in the routine group（P 〈 0.05）. Conclusion The application effect of extended nursing care in patients after enterostomy is obvious, and can effectively improve the level of cognition of enterostoma and self-care ability score, make the regular defecation behavior and reduce the occurrence of stoma complications, promote the improvement of quality of life of patients, and improve patient satisfaction, it is worth promoting the application.