基于在线培训的延续性护理对永久性结肠造口直肠癌患者的影响。
The effect of online training-based continuous nursing care for rectal cancer-patients undergoing permanent colostomy.
作者信息
Huang Qian, Zhuang Yufen, Ye Xiaoyi, Li Minxiang, Liu Zan, Li Jifang, Pan Zhaoyan
机构信息
Department of General Surgery/Wound Stoma Care Clinic, The Second Affiliated Hospital of Hainan Medical University Haikou, Hainan 570311, China.
Department of Surgery, Donghu Branch of The Second Affiliated Hospital of Hainan Medical University Haikou 570100, Hainan, China.
出版信息
Am J Transl Res. 2021 Apr 15;13(4):3084-3092. eCollection 2021.
OBJECTIVE
The study explored and analyzed the effects of online training based continuous nursing care on the health-related life quality and self-care ability of rectal cancer patients undergoing permanent colostomy.
METHODS
A total of 119 patients who were hospitalized and underwent permanent colostomy due to rectal cancer from January 2018 to December 2019 were collected as research subjects and were divided into the control group (n=57) and the observation group (n=62) based on their admission time. The control group received routine nursing, while the observation group was treated with online training based continuous nursing care in addition to routine nursing. Both groups' self-efficacy, self-care ability, quality of life, psychological status and complications within 6 months after discharge were compared.
RESULTS
Both groups had increased scores in self-efficacy, and their dimensional scores and total scores of self-care ability after intervention were higher compared with pre-intervention (), and the indexes of the observation group after intervention were significantly higher than that of the control group (). The two groups had remarkably increased SF-36 scores of each dimension after intervention compared with pre-intervention (P<0.05), and the observation group had apparently higher SF-36 scores than the control group after intervention (P<0.05). The two groups had increased SAS and SDS grades in post-intervention compared with pre-intervention (P<0.05), and the observation group had notably higher SAS and SDS scores than the control group (P<0.05). The complication rate within 6 months after discharge in the observation group was obviously lower than which in the control group ().
CONCLUSION
An online training based continuous caring model can effectively improve the self-care ability and self-efficacy of rectal cancer patients with permanent enterostomy, thus promoting better life quality and psychological states, and effectively reducing the incidence of complications after discharge.
目的
探讨并分析基于在线培训的延续性护理对永久性结肠造口直肠癌患者健康相关生活质量及自我护理能力的影响。
方法
选取2018年1月至2019年12月因直肠癌住院并行永久性结肠造口术的119例患者作为研究对象，按入院时间分为对照组（n = 57）和观察组（n = 62）。对照组接受常规护理，观察组在常规护理基础上接受基于在线培训的延续性护理。比较两组出院后6个月内的自我效能感、自我护理能力、生活质量、心理状态及并发症情况。
结果
两组自我效能感评分均升高，干预后自我护理能力各维度评分及总分均高于干预前（），且观察组干预后各项指标显著高于对照组（）。两组干预后SF - 36各维度评分均较干预前显著升高（P < 0.05），且观察组干预后SF - 36评分明显高于对照组（P < 0.05）。两组干预后SAS和SDS评分均较干预前升高（P < 0.05），且观察组SAS和SDS评分显著高于对照组（P < 0.05）。观察组出院后6个月内并发症发生率明显低于对照组（）。
结论
基于在线培训的延续性护理模式可有效提高永久性肠造口直肠癌患者的自我护理能力和自我效能感，从而改善生活质量和心理状态，有效降低出院后并发症发生率。
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