医护干预式家庭护理对输尿管皮肤造口患者自护能力和生活质量的影响

The effect of medical intervention family care on self-care ability and life quality of patients with cutaneous ureterostomy

目的 探讨医护干预式家庭护理对输尿管皮肤造口患者自护能力和生活质量的影响.方法 选取该院输尿管皮肤造口患者60例,按照就诊先后顺序随机分医护干预式家庭护理组（实验组）和普通家庭护理组（对照组）,每组30例.采用自我护理能力测定量表（ESCA）和生活质量综合评定问卷（GQOL-74）对患者自护能力和生活质量进行评定,比较两组患者干预前后的自护能力、生活质量及并发症发生情况.结果 干预前,两组患者ESCA各个方面的得分均无统计学差异（均P〉0.05）,干预后,实验组患者的ESCA各个方面的得分均高于对照组,差异有统计学意义（均P〈0.05）.干预后,实验组患者心理功能评分、物质生活评分、躯体功能评分、社会功能评分、总体生活质量评分均明显高于对照组,差异有统计学意义（均P〈0.05）.实验组患者并发症发生率明显低于对照组,差异均有统计学意义（P〈0.05）.结论 医护干预式家庭护理能明显改善输尿管皮肤造口患者的自护能力和生活质量,降低并发症的发生率,值得临床推广.

Objective To explore the effect of medical intervention family care on self-care ability and life quality of patients with cutaneous ureterostomy. Methods A total of 60 patients with cutaneous ureterostomy were di-vided into the medical intervention family care group （ experimental group） and the general family care group （ control group） according to the sequence of visits, 30 cases of each group. The self-care ability and life quality of patients of the two groups were evaluated by self nursing ability scale （ ESCA ） and comprehensive quality of life questionnaire （GQOL-74）. The self-care ability, quality of life and complications before and after the intervention were compared between the two groups. Results Before the intervention, there was no statistical difference in ESCA scores between the two groups （P〈0. 05）. After the intervention, the ESCA scores of the experimental group were higher than those of the control group in all aspects, with statistically significant differences （P〈0. 05）. After intervention, the psychologi-cal function score, material life score, somatic function score, social function score and overall quality of life score of the experimental group were significantly higher than those of the control group, and the differences were statistically significant （ P〈0. 05 ） . The incidence of complications in the experimental group was significantly lower than that of the control group. And the differences were statistically significant （P〈0. 05）. Conclusions Medical intervention family care can significantly improve the self-care ability and quality of life of patients with ureteral skin ostomy and reduce the incidence of complications. It is worthy of clinical promotion.