Wen Sha-Li, Li Juan, Wang An-Ni, Lv Meng-Meng, Li Hui-Yuan, Lu Yan-Fang, Zhang Jing-Ping
Department of Organ Transplantation Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Xiangya Nursing School of Central South University, Changsha, Hunan, China.
J Clin Nurs. 2019 May;28(9-10):1936-1951. doi: 10.1111/jocn.14731. Epub 2019 Feb 18.
To determine the effect of a transtheoretical model (TTM)-based intervention on patients with an ostomy and provide patient-centred, accessible assistance and dynamic education to improve patient self-management.
Proper self-management may promote the rehabilitation of patients with an ostomy. TTM-based interventions have resulted in positive health behavioural changes.
Randomised controlled trial performed according to the CONSORT guidelines.
The sample comprised 55 men and 37 women (24-77 years old, mean ± SD = 52.8 ± 11.13 years). The study settings included three tertiary hospitals in Changsha, Hunan, China.
The 92 patients, recruited from August 2012 to March 2013, were randomised into a control group and an intervention group. Randomisation was done by using a block randomisation list with a block size of 4. Self-management behaviours were assessed at the baseline, 2 days before discharge and after 1, 3 and 6 months of follow-up. The chi-squared test, independent sample t test and repeated measures analysis of variance were used to analyse the data.
Patients in the intervention group were more likely to be at the action and maintenance stages compared with those in the control group. We also observed significant improvements in the self-management ability in the process of change, the decisional balance and self-efficacy in the intervention group compared with those in the control group after four intervention sessions and up to 6 months of follow-up. No serious intervention-related adverse events were observed.
The TTM-based intervention had positive effects on self-management behaviours of patients with an ostomy.
The TTM-based intervention had positive effects on self-management behaviours of patients with an ostomy and may provide a reference for health providers to develop behaviour promotion programmes to improve the self-management of patients with an ostomy.
确定基于跨理论模型（TTM）的干预措施对造口患者的影响，并提供以患者为中心、可获取的协助和动态教育，以改善患者的自我管理。
恰当的自我管理可能促进造口患者的康复。基于TTM的干预措施已带来积极的健康行为改变。
按照CONSORT指南进行的随机对照试验。
样本包括55名男性和37名女性（年龄24 - 77岁，平均±标准差 = 52.8 ± 11.13岁）。研究地点包括中国湖南长沙的三家三级医院。
2012年8月至2013年3月招募的92名患者被随机分为对照组和干预组。采用区组大小为4的区组随机化列表进行随机分组。在基线、出院前2天以及随访1、3和6个月时评估自我管理行为。使用卡方检验、独立样本t检验和重复测量方差分析来分析数据。
与对照组相比，干预组患者更有可能处于行动和维持阶段。在经过四次干预疗程及长达6个月的随访后，我们还观察到干预组在改变过程中的自我管理能力、决策平衡和自我效能方面与对照组相比有显著改善。未观察到严重的干预相关不良事件。
基于TTM的干预措施对造口患者的自我管理行为有积极影响。
基于TTM的干预措施对造口患者的自我管理行为有积极影响，可为医疗服务提供者制定行为促进计划以改善造口患者的自我管理提供参考。
