医疗-患者-亲属三位一体护理措施对直肠癌预防性回肠造口患者的影响

Effects of medicine-patients-relatives trinity nursing on rectal cancer patients with prophylactic ileostomy

目的探讨医疗-患者-亲属三位一体护理措施对直肠癌预防性回肠造口患者效果的影响。方法选取2019年1~12月在普外科行回肠预防性造口的直肠癌患者72例,随机分为试验组和对照组,每组36例。对照组采用常规护理,试验组采用医疗-患者-亲属三位一体护理措施,比较2组患者造口自我照护效能和社交自我效能。结果2组患者出院4周及出院8周造口的效能均明显好于出院时(χ^(2)=566.588,P<0.05);且试验组造口的效能好于对照组,差异有统计学意义(χ^(2)=3518.325,P<0.05)。2组患者出院后8周及出院8周社会效能均明显好于出院时(χ^(2)=75.535,P<0.05);试验组患者的社交效能好于对照组,差异有统计学意义(χ^(2)=660.175,P<0.05)。结论住院期间通过造口自我管理手册联合出院后以微信平台的护理手段的医疗-患者-亲属三位一体护理措施可改善直肠癌预防性回肠造口患者生活质量。

Objective To investigate the effects of medicine-patients-relatives trinity nursing trinity nursing on rectal cancer patients with prophylactic ileostomy.Methods A total of 72 patients with rectal cancer who underwent preventive ileostomy in our hospital from January to December 2019 were enrolled in the study,who were divided into control group and observation group,with 36 cases in aech group.The patients in December 2019 were enrolled in the study,who were divided into control group and observation group.The patients in control group were treated by routine nursing,however,the patients in observation group were treated by medicine-patients-relatives trinity nursing.The stoma care self-efficacy and social self-efficacy were observed and compared between the two groups.Results The scores of stoma care self-efficacy and social self-efficacy at 4w,8w after discharging from hospital in both groups were significantly higher than those on discharging from hospital(P<0.05),moreover,which in observation group were superior to those in control group(P<0.05).Conclusion The medicine-patients-relatives trinity nursing during hospital stay combined with Wechat platform after discharging from hospital can improve the life quality of patients with rectal cancer undergoing preventive ileostomy.