基于IFSMT的出院计划在预防性肠造口患者中的应用

Effect of IFSMT-based discharge planning in preventive enterostomy patients

目的探讨基于个人和家庭自我管理理论(IFSMT)的出院计划在预防性肠造口患者中的应用效果。方法采用便利抽样法,选取2019年12月—2020年5月在青岛大学附属医院胃肠外科行预防性肠造口手术的72例患者为研究对象,按入院时间分为干预组和对照组,每组各36例。对照组实行常规护理,干预组在此基础上实施基于IFSMT的出院计划干预。采用肠造口自我管理问卷、中文版出院准备度量表评价干预效果。最终干预组36例、对照组35例患者完成研究。结果最终干预组36例、对照组35例患者完成研究。干预后两组患者肠造口自我管理问卷总分以及各维度得分比较,差异均有统计学意义(P<0.05)。干预后干预组患者中文版出院准备度量表得分为(96.61±3.83)分,高于对照组的(79.64±5.48)分,差异有统计学意义(P<0.01)。结论基于IFSMT的出院计划干预能提高预防性肠造口患者的自我管理能力、出院准备度。

Objective To explore the effect of discharge planning based on individual and family self-management theory(IFSMT)in preventive enterostomy patients.Methods From December 2019 to May 2020,convenience sampling was used to select 72 patients who underwent preventive enterostomy in the Gastrointestinal Surgery of the Affiliated Hospital of Qingdao University as the research object.According to the time of admission,patients were divided into intervention group and control group,with 36 cases in each group.Control group implemented routine nursing,and intervention group carried out IFSMT-based discharge planning intervention on the basis of routine nursing.The Enterostomy Patients Self-management Questionnaire and the Chinese version of Readiness for Hospital Discharge Scale(RHDS)were used to evaluate the intervention effect.Finally,36 patients in intervention group and 35 patients in control group completed the study.Results Finally,36 patients in the intervention group and 35 patients in the control group completed the study.After intervention,the differences in the total score and the scores of each dimension of the Enterostomy Patients Self-management Questionnaire between the two groups of patients were statistically significant(P<0.05).After intervention,the score of the Chinese version of RHDS of intervention group was(96.61±3.83),which was higher than that(79.64±5.48)of control group,and the difference was statistically significant(P<0.01).Conclusions The IFSMT-based discharge planning intervention can improve the self-management ability and readiness for discharge of patients with preventive enterostomy.