移动健康教育平台在直肠癌预防性造口患者延续护理中的应用

Application of mobile health education platform in continuous nursing for rectal cancer patients with preventive colostomy

目的探讨移动健康教育平台在直肠癌预防性造口患者出院后延续护理中的应用效果.方法采用便利抽样法选取2017年1-12月在中国科学技术大学附属第一医院胃肠外科行直肠癌预防性造口手术患者60例,随机分为对照组和观察组,每组30例.对照组采用常规健康教育和出院后电话随访延续护理,观察组在对照组的基础上结合移动健康教育平台实施延续护理.出院后1个月患者复查时,采用肠造口患者知信行量表、造口适应性量表和患者满意度调查问卷比较两组干预效果.结果术后1个月,观察组患者造口护理的健康知识(11.80±3.13)分、健康信念(51.70±11.72)分和健康行为(31.73±7.19)分,均高于对照组,差异有统计学意义(t值分别为3.76、2.90、3.05;P<0.05);观察组造口患者适应量表(43.23±11.90)分,对照组(37.43±6.33)分,差异有统计学意义(t=2.36,P<0.05);观察组患者对延续护理总体满意度76.67%,高于对照组的43.33%,差异有统计学意义(χ^2=7.69,P<0.05).结论通过移动健康教育平台实施延续护理,可提高直肠癌预防性造口患者的造口护理健康知识-信念-行为和造口适应性,提高患者满意度.

Objective To investigate the effect of mobile health education platform in the continuous nursing after discharge for rectal cancer patients with preventive colostomy. Methods From January to December 2017, 60 rectal cancer patients with preventive colostomy in the Department of Gastrointestinal Surgery in the First Affiliated Hospital of University of Science and Technology of China were selected as the subjects by convenient sampling. Patients were divided into two groups: observation group (n=30) and control group(n=30). The control group received regular health education and continuous nursing care of telephone follow-up after discharge, apart from which the observation group received nursing care based on the mobile health education platform. One month after discharge, the two groups were compared in terms of the effects of intervention by the use of Colostomy Patient Colostomy Knowledge Attitude and Practice Scale (CPCKAPS), Ostomy Adjustment Inventory(OAI), and Patientsr Satisfactory Questionnaire. Results One month after surgery, the observation group were higher than the control group in the " knowledge on stoma care(11.80 ± 3.13)","health belief(51.70 ± 11.72)" and "health behavior (31.73 ± 7.19)n with statistical significances(χ^2=3.76, 2.90, 3.05;P <0.05). There were statistical significance in the score of OAI between the observation group (43.23 ± 11.90)and the control group(37.43 ± 6.33);the observation group was higher than the control group in the "overall satisfaction degree towards continuous care"(76.67% vs. 43.33%) with statistical significance(χ^2=7.69, P <0.05). Conclusions Compared with conventional continuous nursing mode, continuous nursing based on mobile health education platform can improve the knowledge, belief and behavior o￡ colostomy care for rectal cancer patients with preventive colostomy, and improve the patientsz adaptability on colostomy, as well as their satisfaction.