结肠造口患者出院早期造口护理情况的调查

目的调查结肠造口患者出院早期造口护理情况。方法方便性抽样选取2008年12月至2009年10月广州市7所三级甲等医院胃肠外科103例结肠造口术后出院患者,分别在其出院后1个月和3个月采用自行设计的造口护理情况表和造口自我护理量表-早期版(stoma self-care scale,early stage version,SSCS-early stage version)进行测试。结果出院后1个月和3个月造口患者的自我护理总分及各条目、造口自理状态、平均每天护理造口的时间以及独立更换造口袋的人数比较,差异均有统计学意义(均P<0.01);但造口不适情况比较,两个时间段差异无统计学意义(P>0.05)。结论造口护士应根据患者的具体情况给予有针对性的指导,以提高患者造口自我护理能力,减少造口不适的发生,促使患者早日回归社会。

Investigation of Stoma Care Status in the Early Stage after Discharge for Patients with Colostomy

Objective To explore the stoma nursing status in the early stage after discharge for patients with colostomy. Methods By convenience sampling method, totally 103 patients with colostomy from seven Level 3 Grade A hospitals of Guangzhou were recruited and assessed by self-designed Stoma Care Status Form and Stoma Self-care Scale-early stage version 1 month and 3 month after discharge from De- cember 2008 to October 2009. Results The total score and each item of Stoma Self-Care Scale, stoma self- care status,time spent for stoma care each day,and number of patients who can chang pouch independently had significant difference between 1 month and 3 month after discharge for patients with colostomy（P~ 0.01）, however, no significant difference of stoma malaise status between 1 month and 3 month after discharge was found（P〉0. 05）. Conclusion patients in the early stage,so as Proper guidance based on one＇s actual status should be given to the discharged to improve their stoma self-care ability and decrease their stoma malaise.