基于Peplau人际关系理论的护理干预在直肠癌永久性肠造口患者中的应用

Effects of nursing based on Peplau's interpersonal relationship theory in rectal cancer patients with permanent colostomy

目的探讨基于Peplau人际关系理论的护理干预在直肠癌永久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1月—2020年12月在绍兴文理学院附属医院接受治疗的90例直肠癌永久性肠造口患者为研究对象,采用随机数字表法分为对照组和观察组,每组各45例。对照组实施常规护理干预,观察组在此基础上实施基于Peplau人际关系理论的护理干预。采用慢性病自我管理研究测量表中的自我效能分量表及造口患者生活质量量表(COH-QOL-OQ)评价干预效果。结果干预后,观察组患者的自我效能分量表各条目的得分、COH-QOL-OQ总分均高于对照组,差异均有统计学意义(P<0.05)。结论基于Peplau人际关系理论的护理干预可提高直肠癌永久性肠造口患者的自我效能和生活质量。

Objective To explore the effect of nursing based on Peplau's interpersonal relationship theory in rectal cancer patients with permanent colostomy.Methods From January 2019 to December 2020,convenience sampling was used to select rectal cancer 90 patients with permanent colostomy in the Affiliated Hospital of Shaoxing University as the research object.The patients were divided into the control group and the observation group by random number table method,with 45 cases in each group.The control group was given routine nursing,and the observation group received nursing based on Peplau's interpersonal relationship theory.The Self-efficacy Subscale of the Chronic Disease Self-management Measuring Scale and the City of Hope-Quality of Life-Ostomy Questionnaire-Chinese Version(COH-QOL-OQ)were used to evaluate the intervention effect.Results After the intervention,the scores of each item of the Self-efficacy Subscale and the total COH-QOL-OQ score of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Nursing based on Peplau's interpersonal relationship theory can improve self-efficacy and quality of life in rectal cancer patients with permanent colostomy.