At Harbin Medical University Cancer Hospital, China, Ju Hao, BS, and Yanyan Xu, BS, are Charge Nurses, Department of Colorectal Surgery, and Huiyan Li, MS, is Chief Nurse, Department of Nursing Management.
Adv Skin Wound Care. 2023 Apr 1;36(4):206-212. doi: 10.1097/01.ASW.0000919960.94295.53.
To explore the application potential of continuous nursing training based on a comprehensive virtual platform in patients with colostomy or ileostomy.
A total of 100 patients with colostomy or ileostomy were equally divided into two groups. Patients in the control group received standardized routine care, whereas patients in the experimental group received continuous nursing care through the virtual platform. Both the control group and the experimental group were followed up by regular telephone calls once per week and completed the following questionnaires both 1 week after discharge and 3 months after discharge: Stoma Care Self-efficacy Scale, Exercise of Self-care Agency Scale, State-Trait Anxiety Inventory, Short Form-36 Health Survey Questionnaire, and a questionnaire on postoperative complications.
Patients in the experimental group, who received continuous care, exhibited significantly higher scores in self-efficacy (P = .029), self-care responsibility (P = 0.030), state anxiety and trait anxiety (both Ps < .001), and mental health (P < .001) 1 week after discharge in comparison with patients in the control group. At 3 months postdischarge, compared with the control group, the experimental group showed significant advantages in all dimensions of self-efficacy, self-care ability, mental health, and quality-of-life questionnaires (P < .001). In addition, the incidence of complications in the experimental group was significantly lower (P < .0001).
The virtual platform-based continuous nursing model effectively improves the self-care ability and self-efficacy of patients with a colostomy or ileostomy after colorectal cancer, thereby promoting an improved quality of life and psychological state while simultaneously reducing the incidence of complications after discharge.
探讨基于综合虚拟平台的延续护理培训在结直肠造口或肠造口患者中的应用潜力。
将 100 例结直肠造口或肠造口患者等分为两组，对照组患者接受常规标准化护理，实验组患者通过虚拟平台接受延续护理。两组患者均每周通过常规电话进行随访，并在出院后 1 周和 3 个月时完成以下问卷：造口自我护理效能感量表、自我护理能力量表、状态-特质焦虑量表、简明健康状况量表和术后并发症问卷。
与对照组相比，接受延续护理的实验组患者在出院后 1 周时自我效能感（P=0.029）、自我护理责任感（P=0.030）、状态焦虑和特质焦虑（均 P<0.001）以及心理健康（P<0.001）方面的评分显著更高。在出院后 3 个月时，与对照组相比，实验组在自我效能感、自我护理能力、心理健康和生活质量问卷的所有维度均表现出显著优势（P<0.001）。此外，实验组并发症发生率显著更低（P<0.0001）。
基于虚拟平台的延续护理模式可有效提高结直肠造口或肠造口患者的自我护理能力和自我效能感，从而改善患者的生活质量和心理状态，同时降低出院后并发症的发生率。
