NasiriZiba Fariba, Kanani Shadie
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Science, Tehran, Iran.
J Caring Sci. 2020 Dec 1;9(4):225-230. doi: 10.34172/jcs.2020.034. eCollection 2020 Dec.
Colorectal cancer is known as the third leading cause of death from cancer in the world and the second cause of death in developing countries. Family care can positively affect the patient's general health system. The present study was conducted to determine and compare the effect of family-centered and client-centered training approaches on the life quality of individuals with digestive ostomy. This is a semi-experimental study conducted on 60 individuals. The individuals participating in the present study were chosen from either those with digestive ostomy or their attendants. The participants fulfilled the requirements (criteria) for entering the present study. For conducting the training procedure, both groups received family-centered or client-centered training. Two months later, the quality of life of the individuals with digestive ostomy was measured once more. The data were then analyzed in SPSS version 21 by using chi-squared test, paired t-test, and independent t-test. According to the findings of the present study, there is no significant difference between the family-centered and the client-centered groups in terms of demographic features. By investigating the mean changes of both groups, There was a significant difference between quality of life score and spiritual-psychological aspect of scores before and after the intervention in the family-centered group. The findings of the present study showed that family-centered education can increase the quality of life for people with gastrointestinal ostomy. This study concluded that family-centered education can be considered an effective intervention in people with gastrointestinal ostomy.
结直肠癌是全球第三大致癌死亡原因，在发展中国家则是第二大致死原因。家庭护理可对患者的整体健康系统产生积极影响。本研究旨在确定并比较以家庭为中心和以患者为中心的培训方法对消化造口术患者生活质量的影响。这是一项针对60名个体开展的半实验性研究。参与本研究的个体选自消化造口术患者或其护理人员。参与者符合进入本研究的要求（标准）。为进行培训程序，两组均接受了以家庭为中心或以患者为中心的培训。两个月后，再次对消化造口术患者的生活质量进行测量。然后使用卡方检验、配对t检验和独立t检验在SPSS 21版中对数据进行分析。根据本研究的结果，以家庭为中心的组和以患者为中心的组在人口统计学特征方面没有显著差异。通过调查两组的平均变化，以家庭为中心的组在干预前后生活质量得分和精神心理方面得分存在显著差异。本研究结果表明，以家庭为中心的教育可提高胃肠造口术患者的生活质量。本研究得出结论，以家庭为中心的教育可被视为对胃肠造口术患者的一种有效干预措施。
