直肠癌术后永久性结肠造口患者自我护理能力提升中激励式护理效果分析

Analysis of the Effectiveness of Incentive Nursing Care in Improving the Self-care Ability of Patients with Permanent Colostomy After Rectal Cancer Surgery

目的分析激励式护理模式在直肠癌术后永久性肠造口患者护理中应用,对提升患者自我护理能力的影响。方法方便选取2019年1月—2023年3月在福建省南平市第一医医院接受直肠癌术后永久性结肠造口治疗的105例患者为研究对象,用随机数表将其分为两组,对照组52例,观察组53例。对照组患者行常规护理,观察组实施激励式护理。比较两组患者自我护理能力评分、情绪状态以及并发症发生率。结果干预前,两组自我护理能力评分对比,差异无统计学意义(P>0.05)。干预后,观察组自我护理能力评分均高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者心理情绪对比,差异无统计学意义(P>0.05)。干预后,观察组焦虑和抑郁情绪评分低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为3.77%,低于对照组,差异有统计学意义(χ^(2)=6.195,P<0.05)。结论激励式护理模式运用到直肠癌术后永久性肠造口患者临床干预中可以提升患者自我护理能力,降低抑郁、焦虑等负面情绪,减少不良反应发生率。

Objective To analyze the effect of incentive nursing model in the application of nursing care for patients with permanent colostomy after rectal cancer surgery on the improvement of patients'self-care ability.Methods 105 patients who received postoperative permanent colostomy treatment for rectal cancer in the First Medical Hospital of Nanping City,Fujian Province,from January 2019 to March 2023 were conveniently selected as the study subjects,and they were divided into two groups using a random number table method,52 cases in the control group and 53 cases in the observation group.The patients in the control group practiced conventional nursing care,and the observation group implemented incentive-based nursing care.The self-care ability score,emotional state and complication rate of patients in the two groups were compared.Results Before the intervention,there was no statistically significant difference between the self-care ability scores of the two groups(P>0.05).After the intervention,the self-care ability scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in the comparison of psychological emotions between the two groups(P>0.05).After the intervention,the anxiety and depression mood scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The complication rate of the observation group was 3.77%,which was lower than that of the control group,and the difference was statistically significant(χ^(2)=6.195,P<0.05).Conclusion Motivational nursing model applied to clinical interventions for patients with permanent colostomy after rectal cancer surgery can improve patients'self-care ability,reduce negative emotions such as depression and anxiety,and reduce the incidence of adverse reactions.