永久性肠造口患者实施专业小组全程化护理干预的临床研究

目的探讨永久性肠造口患者实施专业小组全程化护理干预的效果。方法选取152例接受永久性肠造口术治疗的直肠癌患者作为研究对象,根据术后护理模式分为观察组(83例)与对照组(69例),前者接受专业小组全程化护理干预,后者接受常规护理干预,对比2组患者护理效果。结果观察组护理服务满意率显著优于对照组(P0.05)。观察组自我护理能力量表自我护理技能、自我责任感、自我概念、健康知识水平等4个维度评分以及总评分均显著高于对照组,且差异显著(P0.05)。出院时、出院1个月后,2组患者造口狭窄发生率、造口周围皮肤并发症发生率差异无统计学意义(P0.05)。出院3个月后,观察组造口狭窄发生率、造口周围皮肤并发症发生率显著低于对照组,差异有统计学意义(P0.05)。结论永久性肠造口患者实施专业小组全程化护理干预的效果良好,具有护理服务满意度佳、自我护理能力强、造口远期并发症发生率低等优点。

Clinical research on whole course nursing by professional nursing group for patients with permanent intestinal stoma

Objective To investigate the effect of whole course nursing intervention by professional nursing group for patients with permanent intestinal stoma.Methods A total of 152 rectal cancer patients with permanent colostomy were divided into observation group (83 cases) and control group (69 cases) according to postoperative nursing.The former received whole course nursing by professional team,and the latter received routine nursing intervention,nursing effect of two groups were compared.Results The satisfaction of the observation group was significantly better than that of the control group (P ＜ 0.05).Observation group had higher self nursing ability of self-care skills,self responsibility,self concept,and health knowledge level scores and total scores than the control group (P ＜ 0.05).There was no significant difference in the incidence of stoma stenosis between the two groups at discharge and 1 month after discharge (P ＞ 0.05).At 3 months after discharge,the incidence of stoma stenosis in the observation group was significantly lower than that in the control group (P ＜ 0.05).Conclusion The effect of whole nursing intervention by professional group for permanent intestinal stoma patients is obvious,which has the advantages of better nursing satisfaction,strong self care ability and low incidence of complications.