延续性护理对降低临时性肠造口患者造口相关并发症的影响

Effect of continuous nursing on reducing stoma-related complications in patients with temporary intestinal stoma

目的探讨延续性护理对提升临时性肠造口患者疾病认知水平和自我护理能力及降低肠造口相关并发症的影响。方法选取2018年2月至2020年6月广东省潮州市人民医院收治的80例临时性肠造口患者,采用随机数字表法分为观察组和对照组,每组各40例。观察组采用延续性护理方式,对照组给予常规护理。比较两组的造口的相关并发症发生率、按时回纳情况、患者自我护理能力、生活质量、护理满意度及心理状态等。结果观察组护理后的自我护理能力、按时回纳情况、生活质量及护理满意度测评分高于对照组,差异均有统计学意义(P<0.05);观察组的造口并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论延续性护理在提升患者的生活质量、自我护理能力、保证肠造口按时回纳,减少并发症发生等方面预后效果好,值得临床应用推广。

Objective To explore the effect of continuous nursing on improving the disease awareness and self-care ability of patients with temporary intestinal stoma and reducing complications related to the intestinal stoma.Methods A total of 80 cases of temporary intestinal stoma patients who were admitted to the Chaozhou People′s Hospital in Guangdong Province from February 2018 to June 2020 were selected and divided into the observation group and the control group by random number table method,40 cases in each group.The patients in observation group were given continuous nursing,and in the control group,they were given regular nursing.The incidence of stoma-related complications,on-time return,patient self-care ability,quality of life,nursing satisfaction,and psychological status between the two groups were compared.Results The self-care ability,on-time return,quality of life and nursing satisfaction scores of patients in the observation group after nursing were higher than those in the control group,and the differences were statistically significant(P<0.05);the total incidence of stoma-related complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Continuous nursing has a good prognostic effect on improving patients′quality of life,self-care ability,ensuring timely return of the intestinal stoma,and reducing complications.It is worthy of promotion in clinical applications.