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团体教育对造口患者生活质量的作用。

The role of group education on quality of life in patients with a stoma.

机构信息

Department of General Surgery, Kartal Education and Research Hospital, Istanbul, Turkey.

出版信息

Eur J Cancer Care (Engl). 2012 Nov;21(6):776-81. doi: 10.1111/j.1365-2354.2012.01360.x. Epub 2012 Jun 5.

Abstract

Stoma education has been traditionally given in a one-to-one setting. Since 2007, daily group education programmes were organised for stoma patients and their relatives by our stoma therapy unit. The programmes included lectures on stoma and stoma care, and social activities in which patients shared their experiences with each other. Patients were also encouraged to expand interaction with each other and organise future social events. A total of 72 patients [44 (61.1%) male with a mean (± SD) age of 56.8 ± 13.6 years] with an ileostomy (n= 51, 70.8%), a colostomy (n= 18, 25.0%) or a urostomy (n= 3, 4.2%) were included in the study. Patients were asked to answer a survey (SF-36) face-to-face before the initiation of the programme, which was repeated 3 months later via telephone call. The comparison of pre-education and post-education SF-36 scores revealed a statistically significant improvement in all 8-scale profiles, but not in vitality scale, and both psychometrically-based and mental health summary measures. Analyses disclosed that married patients and those who were living at rural districts seem to have the most improvement in life quality particularly in bodily pain, general health and role-emotional scales and mental health summary measure. In our opinion, group educations may be beneficial for stoma patients, and stoma therapy units may consider organising similar activities.

摘要

造口教育传统上是一对一进行的。自 2007 年以来,我们的造口治疗小组为造口患者及其家属组织了每日团体教育计划。这些计划包括造口和造口护理讲座,以及患者之间分享经验的社交活动。我们还鼓励患者之间扩大互动,并组织未来的社交活动。共有 72 名患者(44 名男性[61.1%],平均年龄[±标准差]为 56.8±13.6 岁)参加了这项研究,他们中有肠造口术患者(n=51,70.8%)、结肠造口术患者(n=18,25.0%)或尿路造口术患者(n=3,4.2%)。在项目开始前,患者被要求面对面回答一份调查问卷(SF-36),3 个月后通过电话再次进行调查。教育前和教育后 SF-36 评分的比较显示,所有 8 个量表的评分都有统计学意义的改善,但活力量表、基于心理测量的心理健康综合指标和心理健康综合指标除外。分析表明,已婚患者和居住在农村地区的患者在生活质量方面,尤其是在身体疼痛、总体健康和角色情感方面,以及心理健康综合指标方面,改善最为明显。我们认为,团体教育可能对造口患者有益,造口治疗小组可以考虑组织类似的活动。

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