直肠癌永久性结肠造口术患者延续护理中同伴支持模式的研究

Study on Peer Support Model in Extended Care of Patients with Permanent Colostomy for Rectal Cancer

目的探究直肠癌永久性结肠造口术患者延续护理中同伴支持模式的作用。方法选取(2022年1月至2022年12月)厦门大学附属第一医院收治的直肠癌永久性结肠造口术患者120例,以随机数字表法作为分组依据,均60例。对照组患者予以常规护理,观察组在常规护理的基础上予以延续护理中同伴支持模式。对比两组自护能力[自我护理能力量表(ESCA)]、生活质量[生命质量测定量表(QLQ-C30)]。结果护理后,观察组自护能力(自我护理技能、自我概念、健康知识、自我护理责任)高于对照组(P<0.05)。经护理,观察组角色功能、躯体功能、社会功能、认知功能、情绪功能分值高于对照组(P<0.05)。结论予以直肠癌永久性结肠造口术患者的延续护理联合同伴支持模式,不仅提升了患者的生存质量,增强其自我护理能力,同时也可改善患者预后,有效延长其生存时间。

Objective To explore the role of peer support model in continuing care of patients with permanent colostomy for rectal cancer.Methods A total of 120 patients with permanent colostomy for rectal cancer admitted to the First Affiliated Hospital of Xiamen University(2022.01-2022.12)were selected,and 60 cases were grouped by random number method.The control group was given routine nursing,and the observation group was given peer support mode in continued nursing on the basis of routine nursing.Compare the Self-Care ability(Exercise of self-care Agency Scale,ESCA),Quality of Life(Quality of Life Questionnare-Core 30,QLQ-C30).Results After nursing,the self-care ability(self-care skill,selfconcept,health knowledge,self-care responsibility)of the observation group was higher than that of the control group(P<0.05).After nursing,the scores of role function,physical function,social function,cognitive function and emotional function in the observation group were higher than those in the control group(P<0.05).Conclusions Continuous care combined with peer support mode for patients with permanent colostomy for rectal cancer not only significantly improves the quality of life of patients and enhances their self-care ability,but also improves the prognosis of patients and effectively prolonging their survival time,which is worthy of clinical promotion.