McKenna Linda S, Taggart Elizabeth, Stoelting Joyce, Kirkbride Geri, Forbes Gordon B
Linda S. McKenna, MSN, RN, CWOCN, Ostomy, Wound and Skin Services, University of Wisconsin Hospital and Clinics, Madison, Wisconsin. Elizabeth Taggart, BSN, RN, CWOCN, Memorials Ostomy & Wound Service, Memorial Medical Center, Springfi eld, Illinois. Joyce Stoelting, MSN, RN, CWS, Memorials Ostomy & Wound Service, Memorial Medical Center, Springfi eld, Illinois. Geri Kirkbride, PhD, RN, Patient Safety Nurse Coordinator, Memorial Medical Center, Springfi eld, Illinois. Gordon B. Forbes, PhD, Professor Emeritus, Milikin University, Decatur, IL.
J Wound Ostomy Continence Nurs. 2016 Jan-Feb;43(1):57-61. doi: 10.1097/WON.0000000000000180.
The purpose of this study was to compare health-related quality of life (HRQOL) in patients receiving preoperative stoma marking by a certified wound, ostomy and continence nurse (CWOCN) to patients who did not receive preoperative marking.
Quasi-experimental, nonrandomized comparison cohort study.
The sample comprised 59 patients immediately following creation of a fecal stoma during an 18-month period between 2008 and 2010. The experimental group consisted of 35 patients with a mean age of 49.7 years who received preoperative stoma site marking by a CWOCN. Six of those 35 patients (17%) received preoperative ostomy education and stoma site marking. The control group consisted of 24 patients with a mean age of 60.1 years who did not receive preoperative stoma site marking or preoperative ostomy education. The study setting was a 500-bed Midwest Magnet-designated teaching hospital.
Data collection occurred at 2 points: within 72 hours before hospital discharge and 8 weeks after discharge. The Stoma Quality of Life (Stoma-QOL) instrument was used to measure HRQOL. Two CWOCNs and 3 RNs, all members of Memorial's Ostomy & Wound Services, administered the Stoma QOL within 72 hours before hospital discharge. The 2 CWOCNs followed a scripted message to collect functional lifestyle factors and administer the Stoma-QOL, for the second time at 8 weeks after discharge.
Groups were compared using analysis of covariance to control for age; analysis demonstrated significantly higher HOQOL in the marked group compared to the unmarked group (F = 4.9, P = .031).
Findings demonstrated that patients who underwent stoma site marking reported higher HRQOL than those who did not.
本研究旨在比较由认证伤口、造口和失禁护理护士（CWOCN）进行术前造口标记的患者与未接受术前标记的患者的健康相关生活质量（HRQOL）。
准实验性、非随机对照队列研究。
样本包括2008年至2010年18个月期间造口术后立即纳入的59例患者。实验组由35例患者组成，平均年龄49.7岁，接受了CWOCN的术前造口部位标记。这35例患者中有6例（17%）接受了术前造口教育和造口部位标记。对照组由24例患者组成，平均年龄60.1岁，未接受术前造口部位标记或术前造口教育。研究地点是一家拥有500张床位的中西部磁铁指定教学医院。
在两个时间点收集数据：出院前72小时内和出院后8周。使用造口生活质量（Stoma-QOL）工具测量HRQOL。两名CWOCN和三名注册护士，均为纪念医院造口与伤口服务部门的成员，在出院前72小时内进行Stoma QOL测量。两名CWOCN按照脚本化信息收集功能性生活方式因素并进行Stoma-QOL测量，在出院后8周时再次测量。
使用协方差分析对年龄进行控制后比较两组；分析表明，标记组的HRQOL显著高于未标记组（F = 4.9，P = .031）。
研究结果表明，接受造口部位标记的患者报告的HRQOL高于未接受标记的患者。
