ET主导的个案管理模式在肠造口患者中的应用

Effect of enterostomal therapists-oriented case management model on patients underwent enterostomy

目的 了解新型延伸服务模式下国际伤口造口治疗师(ET)主导的个案管理模式对出院肠造口患者的影响。方法 选择2020年6月至2023年6月就诊的肠造口患者120例为研究对象,其中对照组(n=60)接受常规延续护理服务,观察组(n=60)接受ET主导的个案管理模式,实施出院后个案管理服务。干预3个月后比较2组造口患者一般自我效能感、适应水平和护理质量满意度。结果 观察组患者一般自我效能感、适应水平、对护理质量满意度均显著高于对照组,差异有统计学意义(P<0.05)。结论 ET主导的个案管理模式能够全方位多层次的为肠造口患者提供专业护理指导和心理情感支持,提升其一般自我效能感,提高适应水平及满意度,有利于患者整体生命质量的提升。

Objective To explore the effect of enterostomal therapists(ET)-oriented case management model on discharged patients underwent enterostomy under the guidance of new extended service mode.Methods A total of 120 patients underwent enterostomy in the Anorectal Surgery Department of the Second Hospital of Hebei Medical University from June 2020 to June 2023 were selected as the research objects.They were randomly assigned to the control group(n=60)and observation group(n=60).Routine continuous nursing service,and ET-oriented case management model plus implemented case management service after discharge were applied to control group and observation group,respectively.After 3 months of intervention,the general self-efficacy,adaptation level and nursing quality satisfaction of the two groups were compared.Results The general self-efficacy,adaptability and satisfaction with nursing quality of patients in the observation group were significantly higher than those of the control group(P<0.05).Conclusion ET-oriented case management model can provide professional nursing guidance and psychological and emotional support for patients underwent enterostomy in all directions and at multiple levels.Moreover,it improves their general self-efficacy,adaptation level,satisfaction,and the overall quality of life.