结构-过程-结果三维质量评价模式在胃肠肿瘤术后肠造口患者延续护理中的应用效果

Application effect of structure-process-result three-dimensional quality evaluation model in continuous nursing care of patients with enterostomy after gastrointestinal tumor surgery

目的探讨结构-过程-结果三维质量评价模式在胃肠肿瘤术后肠造口患者延续护理中的应用效果。方法选取2021年7月至2022年9月井冈山大学附属医院收治的60例胃肠肿瘤术后肠造口患者作为研究对象,按照随机抽签法分为对照组(30例)与观察组(30例),对照组采用常规延续性护理,观察组采用结构-过程-结果三维质量评价模式下的延续性护理。比较两组患者的生活质量[健康状况调查问卷(SF-36)]、负面情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、自我护理能力[自我护理能力测定量表(ESCA)]及满意率。结果两组患者护理3个月的SF-36中各维度评分、ESCA评分高于本组护理前,SDS、SAS评分低于本组护理前,差异有统计学意义(P<0.05);观察组患者护理3个月的SF-36中各维度评分、ESCA评分高于对照组,SDS、SAS评分低于对照组,差异有统计学意义(P<0.05);观察组患者的总满意率高于对照组,差异有统计学意义(P<0.05)。结论结构-过程-结果三维质量评价模式用于胃肠肿瘤术后肠造口患者延续护理可提升患者生活质量,缓解负性情绪,改善自我护理能力,提高满意率。

Objective To explore the application effect of structure-process-result three-dimensional quality evaluation model in the continuous nursing care of patients with enterostomy after gastrointestinal tumor surgery.Methods From July 2021 to September 2022,60 patients with postoperative enterostomy treated in Affiliated Hospital of Jinggangshan University were selected as the study objects,and they were divided into control group(30 cases)and observation group(30 cases)according to random drawing method.The control group received conventional continuous nursing,the observation group received continuous nursing under the structure-process-result three-dimensional quality evaluation model.The quality of life(36-item short-form[SF-36]),negative mood(self-rating depression scale[SDS],self-rating anxiety scale[SAS]),self-care ability(exercise of self-care agency scale[ESCA])and satisfaction rate of the two groups were compared.Results After 3 months of nursing,SF-36 scores and ESCA scores in two groups were higher than those before nursing,SDS and SAS scores were lower than those before nursing,the differences were statistically significant(P<0.05).After 3 months of nursing,SF-36 scores and ESCA scores in observation group were higher than those in control group,while SDS and SAS scores were lower than those in control group,with statistical significances(P<0.05).The total satisfaction rate of observation group was higher than that of control group,the difference was statistically significant(P<0.05).Conclusion The structure-process-result three-dimensional quality evaluation model can improve the quality of life,relieve negative emotions,improve self-care ability and increase satisfaction rate of patients with enterostomy after gastrointestinal tumor surgery.