个案管理的延伸护理服务对结直肠癌术后肠造口患者自我护理能力及SF-36评分的影响

Effect of Extended Care Services for Case Management on Self-care Ability and SF-36 Score in Patients with Postoperative Enterostomy in Colorectal Cancer

目的:探究个案管理的延伸护理服务对结直肠癌术后肠造口患者自我护理能力及生活质量(SF-36)评分的影响。方法:选取某院2016年1月~2018年2月结直肠癌术后肠造口患者97例,入院顺序分组,参照组48例采取常规干预,试验组49例于参照组基础上采取个案管理的延伸护理服务,观察对比两组干预前后自护能力(ESCA)、生活质量(WHOQOL-100)评分。结果:两组干预后ESCA评分显著升高,且试验组ESCA评分较参照组高(P<0.05);试验组干预后WHOQOL-100评分较参照组高(P<0.05)。结论:对结直肠癌术后肠造口患者采取个案管理的延伸护理服务,能提升自护能力及生活质量。

Objective:To investigate the effect of extended care services for case management on self-care ability and quality of life(SF-36)scores in postoperative enterostomy patients with colorectal cancer.Methods:From January 2016 to February 2018,97 patients with postoperative enterostomy in colorectal cancer in a hospital were selected and divided into two group according to the admission sequence.Forty-eight patients in the reference group were routinely intervened,and 49 patients in the experimental group were given extended care services for case management based on the reference.The scores of self-care ability(ESCA)and quality of life(WHOQOL-100)before and after intervention were compared between the two groups.Results:The ESCA scores of the two groups were significantly increased after the intervention,and the ESCA scores of the experimental group were higher than those of the reference group(P<0.05).The WHOQOL-100 scores of the experimental group were higher than those of the reference group(P<0.05).Conclusion:The extended care service for case management in patients with postoperative enterostomy of colorectal cancer can improve self-care ability and quality of life.