基于个案管理模式的延续性护理在永久性结肠造口患者护理中的应用效果

Application effect of continuous nursing based on case management model in the nursing of patients with permanent colostomy

目的探讨基于个案管理模式的延续性护理在永久性结肠造口患者护理中的应用效果。方法选择2020年1月至2022年12月于我院接受永久性结肠造口的60例结直肠癌患者作为研究对象,采用随机数字表法将其分为对照组和干预组,各30例。对照组实施常规护理,干预组在常规护理基础上实施基于个案管理模式的延续性护理。比较两组的自我管理能力、心理状态、生活质量以及护理满意度。结果干预后,干预组的自我护理技能、自我责任感、自我概念和健康知识水平评分高于对照组(P<0.05)。干预后,干预组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(P<0.05)。干预后,干预组的生理、心理、环境、社会关系评分高于对照组(P<0.05)。干预组的护理满意度显著高于对照组(P<0.05)。结论基于个案管理模式的延续性护理可有效提高永久性结肠造口患者的自我管理能力,改善心理状态及生活质量,提高护理满意度。

Objective To explore the application effect of continuous nursing based on case management model in the nursing of patients with permanent colostomy.Methods A total of 60 patients with colorectal cancer who underwent permanent colostomy in our hospital from January 2020 to December 2022 were selected as the research objects,and the patients were divided into control group and intervention group by random number table method,with 30 cases in each group.The control group was given routine nursing,and the intervention group was given continuous nursing based on case management model on the basis of routine nursing.The self-management ability,psychological state,quality of life and nursing satisfaction were compared between the two groups.Results After intervention,the scores of self-care skills,self-responsibility,self-concept and health knowledge level in the intervention group were higher than those in the control group(P<0.05).After intervention,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the intervention group were lower than those in the control group(P<0.05).After intervention,the scores of physiology,psychology,environment and social relations in the intervention group were higher than those in the control group(P<0.05).The nursing satisfaction of the intervention group was significantly higher than that of the control group(P<0.05).Conclusion Continuous nursing based on case management model can effectively promote the self-management ability of patients with permanent colostomy,improve psychological state and quality of life,and enhance nursing satisfaction.