肠造口患者术后居家造口管理真实体验的质性研究

Qualitative research of postoperative real experience of colostomy patients on ostomy management

目的：深入了解肠造口患者术后居家造口管理的真实体验，探究患者出院后遇到的困难及需求，为制订术后有效的护理措施提供理论依据。方法采用现象学研究方法，对10例肠造口患者进行面对面个人深入访谈，访谈内容按照 Colaizzi 七步分析法进行整理。结果归纳出3个主题，分别为与造口相关的自我护理障碍、造口带来的自我成长、期望得到社会及家庭的关怀与支持。结论肠造口患者术后造口管理面临很多问题，需要医院、社会、家庭共同努力帮助其尽快适应造口，提高生命质量。

Objective To deeply understand the postoperative real experience of colostomy patients on ostomy management, and try to explore the difficulties and needs after discharge in order to provide theoretical basis for postoperative nursing intervention. Methods By using phenomenological research method, 10 colostomy patients were interviewed face- to- face, and the content was analyzed by Colaizzi method. Results Three themes were concluded: self- care obstacle related to ostomy; self- growth brought by ostomy; expectations for social support and family care. Conclusions Colostomy patients have to face so many problems after operation on ostomy management, and hospital, society and family have responsibility to help patients adapt to ostomy as soon as possible and improve their quality of life.