以信息化为基础的延续护理在临时性回肠造口病人中的应用评价

[目的]探讨基于信息化为基础的延续护理对临时性回肠造口病人的影响,为医护人员实施护理干预措施提供参考。[方法]选取在福建省肿瘤医院行低位直肠癌根治性手术的120例病人,病人均行临时性回肠造口术,术后3~6个月行造口还纳术。运用随机数字表法将120例病人分为对照组和观察组各60例。对照组采用常规护理,观察组在常规护理的基础上给予延续护理。比较两组的生活质量、癌因性疲乏、造口术后并发症、自我效能及满意度。[结果]所有临时性造口病人出院时生活质量及自我效能均较差。二次手术前观察组病人生活质量和自我效能高于对照组(P<0.05),观察组病人癌因性疲乏评分低于对照组,造口并发症例数少于对照组(P<0.05),满意度评分高于对照组(P<0.05)。[结论]信息化为基础的延续护理可促进临时性回肠造口病人康复,提高生活质量、自我效能,减少造口并发症,提高病人的满意度。

Evaluation on information-based continuous care applied in patients with temporary ileostomy

Objective:To explore the impact of continuous care based on information technology on patients with temporary ileostomy,and to provide a reference for medical staff to implement nursing interventions.Methods:A total of 120 patients who underwent radical rectal cancer surgery in Fujian Cancer Hospital were selected.All patients underwent temporary ileostomy,after 3 to 6 months,they underwent stoma resuscitation.The 120 patients were divided into the control group and the observation group,60 cases in each by digital random method.The patients in control group received routine care,and the patients in observation group received continuous care on the basis of routine care.The quality of life(QOL),cancer-related fatigue,postoperative stoma complications,self-efficacy,and satisfaction were compared between the two groups.Results:The QOL and self-efficacy of all patients with temporary stoma were poor at discharge.The QOL and self-efficacy of the patients in observation group before the second operation were higher than those in control group(P<0.05).Cancer-related fatigue and stoma complications were lower in the observation group than those in the control group(P<0.05).Conclusions:Temporary colostomy could effectively prevent the occurrence of anastomotic fistula,and cure anastomotic fistula,while it reduced the QOL and self-efficacy of patients.Information-based continuous care could promote patients′recovery,improve their QOL,self-efficacy,reduce stoma complications,and improve their satisfaction.