Ding Juan-Ying, Pan Ting-Ting, Lu Xu-Jing, You Xiao-Ming, Qi Jia-Xian
The First People's Hospital of Linping, Hangzhou, China.
Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Front Med (Lausanne). 2024 Oct 18;11:1431373. doi: 10.3389/fmed.2024.1431373. eCollection 2024.
To investigate the effects of peer-led intervention on knowledge, attitudes, and practices (KAP) of stoma care, as well as quality of life in bladder cancer patients post-permanent ostomy.
A series of 340 eligible bladder cancer patients who underwent permanent ostomy from January 2019 to December 2022 were enrolled in this study. These participants were randomly assigned to the intervention group (peer-led intervention) and the control group (routine health intervention) using random number table, with 170 cases in each group. A 30-item questionnaire was used to evaluate knowledge, healthy attitudes, and healthy practices (KAP) of disease; the WHO Quality of Life-100 (WHOQOL-100) was utilized to assess the quality of life among patients; and the incidence of complications in two groups were also recorded during six-month intervention. For the comparison of continuous variables within and between groups, paired sample and independent -test were applied. The categorical variables analyzed using test or rank-sum test.
After six-month intervention, 144 participants in the intervention group and 151 participants in the control group were finally retained in this study. The scores of the 20 items in KAP (including basic knowledge of disease, basic knowledge of ostomy, observation of stoma, etc.) in the intervention group were significantly higher than those in the control group (all < 0.05); the scores of 12 items in WHOQOL-100 (including the positive feelings, thinking, learning, memory and concentration, etc.) in the intervention group were markedly higher than those in the control group, while negative feelings and dependence on medical support in the intervention group were significantly lower than those in the control group (all < 0.05); the total rate of complications in the intervention group was significantly lower than that in the control group (18.31% vs. 31.13%, < 0.05).
The peer-led intervention has a positive effect on improving patients' KAP of stoma care and quality of life and reducing the rate of complications, which enables it to be a favorable intervention approach for patients with permanent ostomy.
探讨同伴主导干预对膀胱癌患者永久性造口术后造口护理知识、态度和行为（KAP）以及生活质量的影响。
选取2019年1月至2022年12月期间接受永久性造口术的340例符合条件的膀胱癌患者纳入本研究。采用随机数字表法将这些参与者随机分为干预组（同伴主导干预）和对照组（常规健康干预），每组170例。使用一份30项问卷评估疾病的知识、健康态度和健康行为（KAP）；采用世界卫生组织生活质量量表100（WHOQOL-100）评估患者的生活质量；并记录两组在6个月干预期间的并发症发生率。对于组内和组间连续变量的比较，应用配对样本和独立样本t检验。分类变量采用卡方检验或秩和检验进行分析。
经过6个月的干预，本研究最终保留干预组144例参与者和对照组151例参与者。干预组KAP中20项（包括疾病基本知识、造口基本知识、造口观察等）的得分显著高于对照组（均P＜0.05）；干预组WHOQOL-100中12项（包括积极感受、思维、学习、记忆和注意力等）的得分明显高于对照组，而干预组的消极感受和对医疗支持的依赖明显低于对照组（均P＜0.05）；干预组并发症总发生率显著低于对照组（18.31%比31.13%，P＜0.05）。
同伴主导干预对改善患者造口护理的KAP和生活质量以及降低并发症发生率具有积极作用，使其成为永久性造口患者的一种良好干预方法。
