全程赋能教育模式在永久性结肠造口患者整合护理中的应用效果

Application effect of whole course empowering education mode in integrated nursing of patients with permanent colostomy

  • 摘要:
      目的  探讨全程赋能教育模式对永久性结肠造口患者的应用效果。
      方法  选取直肠癌行Miles术患者78例,按随机数字表法分为观察组和对照组,各39例。对照组实施常规健康教育,观察组实施全程赋能健康教育。比较2组的护理效果,包括出院前患者肠道功能恢复(首次通气、排便)情况、造口并发症发生率、造口自我效能以及出院后半个月内造口并发症发生情况、非计划入院情况。
      结果  护理后,观察组的自我效能总分高于对照组,差异有统计学意义(P<0.01); 观察组的并发症发生率(12.8%)低于对照组(33.3%), 差异有统计学意义(P<0.05); 出院半个月后,观察组的造口并发症发生率(2.6%)低于对照组(20.5%), 非计划入院率低于对照组,差异均有统计学意义(P<0.05)。
      结论  全程赋能教育模式对永久性结肠造口患者的自我效能、生活质量可产生积极影响。

     

    Abstract:
      Objective  To explore the effect of whole-course empowerment education model for patients with permanent colostomy.
      Methods  A total of 78 patients with permanent colostomy undergoing miles surgery were selected as study subjects, among whom 39 patients with permanent colostomy were selected as control group given routine health education, and another 39 patients with permanent colostomy were selected as observation group group, given whole course empowering education mode. The nursing effects of the two groups were compared, including the recovery of intestinal function (first exhaust, defecation) before discharge, the incidence of stoma complications, self-efficacy of stoma, and the occurrence of stoma complications within half a month after discharge and unplanned admission.
      Results  The self-efficacy improved significantly in the observation group after nursing (P < 0.01), and the incidence of complications in the observation group was 12.8%, which was lower than 33.3% in the control group(P < 0.05). The incidence of stoma complications in the observation group was lower than that in the control group (2.6% vs. 20.5%, P < 0.05). The non-planned admission rate in the observation group was lower than that in the control group, the difference was statistically significant (P < 0.05).
      Conclusion  The whole-process empowerment education model has positive impact on self-efficacy and quality of life of patients with permanent colostomy.

     

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