互动式管理模式在结直肠癌永久性肠造口患者中的应用效果观察

Effectiveness of interactive management in colorectal cancer patients with perma⁃nent stoma

目的观察互动式管理模式在结直肠癌永久性肠造口患者中的应用效果。方法回顾性分析本院2018年1月至2020年1月收治的114例因结直肠癌行永久性肠造口术患者的临床资料,根据护理干预方式的不同,将患者分为对照组与观察组,每组各57例,对照组接受肠造口术后的常规护理,观察组在对照组的基础上应用互动式管理模式进行干预。比较两组接受护理干预前1天和干预3个月后的自我护理能力量表(ESCA)总分及术后3个月内造口相关并发症的发生情况。结果干预前,两组ES⁃CA总分比较差异无统计学意义(P>0.05);干预后,两组ESCA总分较干预前提高,观察组总分高于对照组,差异均有统计学意义(均P<0.05)。术后3个月内,观察组造口相关并发症总发生率为8.8%(5/57),对照组相应为24.6%(14/57),组间比较差异有统计学意义(P<0.05)。结论采用互动式管理模式能够提升结直肠癌永久性肠造口患者的自我护理能力,减少造口相关并发症的发生。

Objectives To investigate the effectiveness of interactive management in colorectal cancer patients with permanent stoma.Methods This was a retrospective analysis of 114 patients with colorectal cancer who underwent permanent stoma at our hospital between January 2018 and January 2020.Patients were divided into control and treatment groups,with 57 patients in each group depending on different nursing interventions.Patients in the control group received routine nursing after ostomy,and patients in the treatment group received interactive management in addition to routine nursing.Self-care ability at 1 day before intervention and 3 months after the intervention was assessed using the Exercise of Self-Care Agency(ESCA)scale and com⁃pared the two groups.Incidence of stoma-related complications within 3 months after surgery was recorded and compared be⁃tween the two groups.Results ESCA total score before intervention was comparable between the two groups(P>0.05).After the intervention,ESCA total score increased in both groups compared with those before the intervention,and ESCA total score was significantly higher in the treatment group(P<0.05).The incidence of stoma-related complications within 3 months after surgery was 8.8%(5/57)in the treatment group,which is significantly less in comparison to 24.6%(14/57)in the control group(P<0.05).Conclusion Interactive management can improve self-care ability and reduce stoma-related complications in colorectal cancer pa⁃tients with permanent stoma.