规范化延续性护理模式对永久性肠造口患者自我护理能力的影响

Standardized continuous nursing model:Its impact on self-care ability in patients with permanent enterostomy

目的:探索规范化延续性护理模式对永久性肠造口患者自我护理能力的影响。方法:选取弋矶山医院120例永久性肠造口患者为研究对象。实验组采用规范化延续性护理模式,对照组给予常规护理,每组60人。于出院时、出院后1个月及3个月,收集两组患者自评造口自理状态、自我护理能力测评得分及造口并发症发生情况相关资料。结果:共110例完成研究。实验组出院后3个月自评造口自理状态优于对照组(P<0.05),出院后1、3个月自我护理能力测评总分高于对照组(P<0.05),至出院后3个月造口并发症发生率低于对照组(P<0.05)。结论:基于规范化延续性护理模式的永久性肠造口患者护理方案,提高了患者术后早期的自我护理能力,降低了造口并发症的发生率。

Objective:To investigate the impact of standardized continuous nursing model on self-care ability in patients following permanent enterostomy.Methods:One hundred and twenty patients with permanent enterostomy were included in our hospital,and allocated to observational group and control group(n=60 for each).Patients in the observational group were provided with standardized continuous nursing intervention model,and those in the control group were given conventional nursing care.The data on self-reported care of the enterostomy,self-care ability and complications were collected upon discharge,one month and 3 months after discharge.Results:A total of 110 patients of permanent enterostomy completed the study.The self-reported care of the enterostomy and self-care skills were higher in the observational group than in the control group by the 3 rd month after discharge(P<0.05).Patients in the observational group had higher total scores on self-care ability by the 1st and 3rd month after discharge,yet lower incidences of complication within 3 months following discharge(P<0.05;P<0.01,respectively).Conclusion:Standardized continuous nursing program can improve early self-care ability,and reduce the complication in patients with permanent enterostomy.