家属参与的综合护理对肠造口患者生活质量的影响

目的 探讨家属参与下的综合护理对肠造口患者生活质量的影响.方法 收集永久性肠造口患者128例,按随机化原则把患者分成试验组和对照组两组,对照组按胃肠外科的综合护理进行,包括术前、术后的健康教育和心理护理,以及出院后的院外持续护理.试验组在综合护理的基础上强调对家属的健康教育和心理干预.观察两组出院后1个月、3个月的复诊情况、并发症发生情况,以及两组患者的生活质量得分.结果 出院后3个月,试验组的复诊依从性高于对照组（P＜0.05）.出院后1个月、3个月,对照组并发症总数高于试验组（P＜0.05）,对照组中造口周围皮肤炎症高于试验组（P＜0.05）,试验组主要是和造口术后护理相关的并发症发生较少.出院后1个月、3个月,试验组生活质量总分及各维度得分均高于对照组（P＜0.05）,表明试验组患者在生理、心理、社会医患关系、婚姻关系和性关系上均比对照组好,各方面更健康.结论 对家属的健康教育和护理干预能有效提高肠造口患者的生理、心理上的康复,促进其参加社会活动,提高患者的生活质量.

Effect of comprehensive nursing intervention on family members on quality of life among patients suffered permanent colostomy

Objective To evaluate the effect of comprehensive nursing intervention on family members on the quality of life among patients who were performed permanent colostomy.Methods One hundred and twenty-eight patients performed permanent colostomy were divided into the observation group and the control group according to randomization.The control group received comprehensive nursing of gastrointestinal surgery,including health education and psychological nursing at pre-operation and post-operation,and continuous nursing intervention after discharge.The experimental group received comprehensive nursing of gastrointestinal surgery and health education and psychological intervention on family members.The patients＇ compliance,complications,patients＇ quality oflife score were recorded one month and three months after discharge among two groups.Results The patients＇ referral compliance in the experimental group was significantly higher than in that in the control group three months after discharge （P＜0.05）.The number of complications in the control group was significantly higher than that in the experimental group one month and three months after discharge （P＜0.05）.The skin inflammation related to nursing surrounding colostomy stoma in the control group was significantly higher than that in the experimental group （P＜0.05）.The total and dimension scores of quality of life were significantly higher in the control group than those in the experimental group （P＜0.05）,which showed that patients in experimental group were significantly better in physiological and psychological society,the relationship between doctors,nurse and patients,marriage and sexual relations than those in the control group.Conclusion Health education and nursing intervention on family members can effectively improve the patients＇ physiological and psychological rehabilitation,promote their participation in social activities,and improve the quality of life of patients.