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1+N 延伸护理服务对造口患者功能康复的影响。

Effect of 1 + N Extended Nursing Service on Functional Recovery of Colostomy Patients.

机构信息

Department of Nursing, Wuwei Cancer Hospital, Wuwei 733000, Gansu, China.

Department of Nursing, Heavy Ion Center of Wuwei Cancer Hospital, Wuwei 733000, Gansu, China.

出版信息

Comput Intell Neurosci. 2022 Aug 29;2022:2645528. doi: 10.1155/2022/2645528. eCollection 2022.

DOI:10.1155/2022/2645528
PMID:36072734
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9444352/
Abstract

To many hospitals' management as well as to patients, the nursing service is one of the most important aspects. Many diseases like sugar, blood pressure, urine passage, and gas are a little bit dangerous to handle by patients themselves. The earlier stage models are unable to give good services to patients; therefore, an advanced JHE: Effect of 1 + N extended nursing service is necessary to crossover the above limitations. Colostomy and colorectal cancers are very dangerous syndromes thus, disease monitoring is so difficult. In this research work, an extended JHE: Effect of 1 + N extended nursing service modeling is discussed with experimental modeling. Apart from conventional nursing care provided by the observation group, it was given online training as well as service providing. Self-efficacy and self-care competence were assessed in both groups 6 months after the discharge. Quality of life and mental health were also assessed. Besides, their dimensional and total self-care ability scores, and the observation group's self-efficacy ratings were substantially higher than those of the control group ( 0.05) after the intervention. It was observed that the intervention group's 6-month adjustment to the stoma was statistically more favorable than the control group's ( 0.001), and only the intervention group showed a significantly major change ( 0.001) between their two evaluations. This proposed methodology can improve the accuracy rate by 93.23%, and succussive treatment rate of 92.14% had been attained.

摘要

对于许多医院的管理和患者来说,护理服务是最重要的方面之一。许多疾病,如血糖、血压、尿液和气体,患者自己处理起来有点危险。早期的模型无法为患者提供良好的服务;因此,需要一种先进的 JHE:1+N 延伸护理服务来克服上述限制。结肠造口术和结直肠癌是非常危险的综合征,因此疾病监测非常困难。在这项研究工作中,讨论了一种扩展 JHE:1+N 延伸护理服务建模,采用实验建模。除了观察组提供的常规护理外,还提供在线培训和服务。两组患者在出院后 6 个月进行自我效能和自我护理能力评估。还评估了生活质量和心理健康。此外,观察组的维度和总分自我护理能力评分以及自我效能评分均明显高于对照组(0.05)。干预后。观察到干预组在 6 个月内对造口的适应在统计学上优于对照组(0.001),并且只有干预组在这两个评估之间显示出显著的变化(0.001)。该方法可将准确率提高 93.23%,连续治疗率达到 92.14%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c74/9444352/178f6ccbd81b/CIN2022-2645528.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c74/9444352/5840d56c7651/CIN2022-2645528.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c74/9444352/92a649355797/CIN2022-2645528.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c74/9444352/6c5b59c45a61/CIN2022-2645528.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c74/9444352/a7c03e3f2445/CIN2022-2645528.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c74/9444352/178f6ccbd81b/CIN2022-2645528.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c74/9444352/5840d56c7651/CIN2022-2645528.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c74/9444352/92a649355797/CIN2022-2645528.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c74/9444352/6c5b59c45a61/CIN2022-2645528.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c74/9444352/a7c03e3f2445/CIN2022-2645528.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c74/9444352/178f6ccbd81b/CIN2022-2645528.005.jpg

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本文引用的文献

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Effects of continuous care on health outcomes in patients with stoma: A systematic review and meta-analysis.持续护理对造口患者健康结局的影响:一项系统评价和荟萃分析。
Asia Pac J Oncol Nurs. 2021 Dec 25;9(1):21-31. doi: 10.1016/j.apjon.2021.12.006. eCollection 2022 Jan.
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Effects of a Self-Management Program for Patients With Colorectal Cancer and a Colostomy: A Nonrandomized Clinical Trial.《结直肠癌并肠造口患者自我管理方案的效果:一项非随机临床试验》。
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The effect of online training-based continuous nursing care for rectal cancer-patients undergoing permanent colostomy.
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。
Am J Transl Res. 2021 Apr 15;13(4):3084-3092. eCollection 2021.
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Dealing With the Unthinkable: Bladder and Colorectal Cancer Patients' and Informal Caregivers' Unmet Needs and Challenges in Life After Ostomies.应对难以想象的问题:造口术后患者及其非专业照护者的未满足需求和生活挑战
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