基于信息共享的家庭延续性护理对永久性肠造口患者自我护理能力、生活质量的影响

Effect of Information Sharing-based Home Continuity of Care on Stoma Self-care Ability and Quality of Life of Patients with Permanent Enterostomies

目的:探讨基于信息共享的家庭延续性护理对永久性肠造口患者自我护理能力、生活质量的影响。方法:选取2019年4月—2021年3月郑州大学第一附属医院收治的68例永久性肠造口患者作为研究对象,按照随机数表法分为研究组与对照组,每组各34例。对照组患者实施常规延续性护理,研究组患者实施基于信息共享的家庭延续性护理,干预时间为3个月。比较两组患者干预前后的造口自我护理能力、适应水平及生活质量。结果:干预后,研究组患者食管癌(ES⁃CA)量表显著高于对照组,差异有统计学意义(t=5.595、6.493、8.683、7.302、11.218,P<0.05)。干预后,研究组患者呼吸暂停指数(OAI)量表显著高于对照组,差异有统计学意义(t=7.769、8.374、5.536、2.785、7.377,P<0.05)。干预后,研究组患者疾病影响程度量表显著高于对照组,差异有统计学意义(t=4.526、6.155、11.001,P<0.05)。结论:基于信息共享的家庭延续性护理可有效提高永久性肠造口患者的造口自我护理能力,提高患者的适应水平,减轻疾病对患者社会心理、躯体功能的影响,改善患者的生活质量。

Objective:To investigate the effect of information sharing-based home continuity of care on stoma self-care ability and quality of life of patients with permanent enterostomies.Methods:68 patients with permanent enterostomy admitted to the hospital from April 2019 to March 2021 were selected for the study and divided into study group and control group according to the random number table method,with 34 cases in each group.The control group implemented conventional continuity of care,and the study group implemented information-sharing-based home continuity of care with a 3-month intervention period.The patients’stoma self-care ability,adaptation level and quality of life before and after the intervention were compared between the two groups.Results:After the intervention,the ESCA scale was significantly higher in the study group than in the control group,with a statistically significant difference(t=5.595,6.493,8.683,7.302,11.218,P<0.05).After the intervention,the OAI scale was significantly higher in the study group than in the control group,with a statistically significant difference(t=7.769,8.374,5.536,2.785,7.377,P<0.05).After the intervention,the SIP scale was significantly higher in the study group than in the control group,with statistically significant differences(t=4.526,6.155,11.001,P<0.05).Conclusion:Continuing home care based on information sharing can effectively improve the stoma self-care ability of patients with permanent enterostomies,improve the level of patient adaptation,reduce the impact of disease on patients’psychosocial and somatic functions,and improve their quality of life.