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全程分期式健康教育对Miles术后患者生活质量的影响
引用本文:丁亚萍,许勤,戴晓冬,刘梅,荆小芳,崔焱,吴文溪.全程分期式健康教育对Miles术后患者生活质量的影响[J].护理学杂志,2006,21(8).
作者姓名:丁亚萍  许勤  戴晓冬  刘梅  荆小芳  崔焱  吴文溪
作者单位:1. 南京医科大学,护理学院,江苏,南京,210029
2. 南京医科大学,第一附属医院普外科,江苏,南京,210029
基金项目:南京医科大学校科研和教改项目
摘    要:目的探讨全程分期式健康教育对Miles术患者生活质量的影响.方法将80例行Miles术的直肠癌患者随机分为观察组与对照组各40例.观察组采用全程分期式健康教育,对照组采用传统的手术前后宣教.两组均在出院前,出院后1、3、6个月发放Miles术患者生活质量问卷,在出院前发放护理工作满意度调查表进行调查.结果观察组出院前自理能力、造口情况、心理状况及护理工作满意度显著优于对照组(P<0.05,P<0.01),出院时间显著缩短(P<0.05);出院后观察组自理能力、造口情况等及生活质量总分均显著优于对照组(P<0.05,P<0.01).结论全程分期式健康教育能有效提高Miles术患者的近期和远期生活质量.

关 键 词:直肠肿瘤  Miles术  健康教育  生活质量  数据收集

Throughout-course Staged Health Education on the Quality of Life of Patients After Miles Operation
DING Yaping,XU Qin,DAI Xiaodong,et al.Throughout-course Staged Health Education on the Quality of Life of Patients After Miles Operation[J].Journal of Nursing Science,2006,21(8).
Authors:DING Yaping  XU Qin  DAI Xiaodong  
Abstract:Objective To examine the effect of the throughout-course staged health education on the quality of life of patients after Miles operation.Methods Eighty cases of rectal tumor receiving Miles operation were divided into two groups at random:an observation group and a control group, with each group having 40 patients. The patients of the observation group received throughout-course staged health education. The patients in the control group were given routine health education. Questionnaire investigations about the satisfaction of the patients towards nursing care were conducted in the two groups before discharge. Results The results of the observation group were significantly better than those of the controls in terms of self-care ability before discharge, stoma condition, mental state and the satisfaction towards the nursing care (P<0.05,P<0.01). The time of hospital stay was significantly shorter than that of the control group (P<0.05). The total scores of self-care ability, stoma condition that reflect the quality of life were all higher than those of controls after discharge (P<0.05,P<0.01). Conclusion The throughout-course staged health education can effectively improve the short-term and long-term quality of life of patients receiving Miles operation.
Keywords:rectal tumor  Miles operation  health education  quality of life  data collection  
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