直肠癌结肠造口患者早期自我概念评估及护理干预的初步研究

Preliminary study on early self-concept evaluation and nursing intervention for patients with rectal cancer undergoing colostomy

目的探讨直肠癌结肠造口患者早期自我概念评估及护理干预方法。方法选取行永久性结肠造口术的98例直肠癌患者为研究对象,随机分为对照组和观察组各49例。对照组给予常规护理,观察组在上述护理基础上给予护理干预;干预3个月后,发放自我田纳西自我概念量表(TSCS)、自我护理能力实施量表(ESCA量表)、造口皮肤评估工具(DET),比较两组并发症发生率。结果干预后,观察组TSCS评分及亚型、ESCA评分及亚型、DET评分明显低于对照组,差异有统计学意义(P<0.05);观察组造口并发症发生率为8.16%显著低于对照组26.3%,差异有统计学意义(P<0.05)。结论实施护理干预能够改善直肠癌结肠造口患者自我概念评分,提高自我护理能力,降低造口并发症发生率。

Objective To investigate the early self-concept evaluation and nursing intervention for patients with rectal cancer undergoing colostomy.Methods 98 patients with rectal cancer who underwent permanent colostomy were selected as study subjects and were randomly divided into the control group and the observation group with49 cases in each group.The control group was given routine nursing while the observation group was given nursing intervention,on the basis of the above nursing;3 months of intervention later,Tennessee Self Concept Scale(TSCS),exercise of self-care agency scale(ESCA scale) and stoma skin assessment tool(DET) were issued.The incidence rate of complications was compared between the two groups.Results After the intervention,TSCS score and subtype,ESCA score and subtype,DET score in the observation group were significantly lower than those in the control group(P <0.05);The incidence rate of complications in the observation group(8.16%) was significantly lower than that in the control group(26.3%)(P <0.05).Conclusions The implementation of nursing intervention can improve the self-concept scores,improve self-care ability and reduce the incidence of complications of stoma.