Application effect of hospital-family integrated continuous nursing based on "internet plus" platform in patients with colostomy
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摘要:目的
观察基于“互联网+”平台的医院-家庭一体化延续性护理在结肠造口患者中的应用效果。
方法选取77例结直肠癌(CRC)结肠造口患者作为研究对象，根据随机数字表法分为观察组39例和对照组38例。对照组进行常规护理，观察组基于“互联网+”平台进行医院-家庭一体化延续性护理。比较2组患者干预前后自我效能、不良情绪、造口适应性，并统计2组患者造口并发症发生情况。
结果干预前, 2组造口自我效能感量表(SSES)评分、汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分、造口适应量表(OAI)评分比较，差异无统计学意义(P>0.05);干预后, 2组HAMD评分、HAMA评分低于干预前，且观察组低于对照组，差异有统计学意义(P < 0.05);干预后, 2组患者SSES评分、OAI评分高于干预前，且观察组高于对照组，差异有统计学意义(P < 0.05)。干预期间，观察组造口并发症总发生率为15.38%, 低于对照组的36.84%, 差异有统计学意义(P < 0.05)。
结论基于“互联网+”平台的医院-家庭一体化延续性护理能够提升CRC结肠造口患者自我效能感，减轻不良情绪，增强其造口适应性，并减少术后并发症的发生。
Abstract:ObjectiveTo observe the application effect of hospital-family integrated continuous nursing based on "internet plus" platform in patients with colorectal colostomy.
MethodsA total of 77 patients with colorectal cancer (CRC) undergoing colostomy were selected and divided into observation group (39 cases) and control group (38 cases) according to random number table method. The control group received routine nursing, and the observation group received hospital-family integrated continuous nursing based on the "internet plus" platform. The self-efficacy, bad mood and colostomy adaptability of the two groups were compared before and after the intervention, and the occurrence of colostomy complications in the two groups were statistically analyzed.
ResultsBefore intervention, the Stoma Self-efficacy Scale (SSES) score, Hamilton Depression Scale (HAMD) score, Hamilton Anxiety Scale (HAMA) score and Ostomy Adaptation Scale (OAI) score of the two groups showed no statistical significant differences (P>0.05). The HAMA and HAMD scores of the two groups were lower than before intervention, and were lower in the observation group than those of the control group (P < 0.05). After intervention, the SSES score and OAI score of two groups were higher than before intervention, and were higher in the observation group than those in the control group (P < 0.05). During intervention, the total incidence of ostomy-related complications in the observation group was lower than that in the control group, and the difference was statistically significant (15.38% versus 36.84%, P < 0.05).
ConclusionHospital-family integrated continuous nursing based on "internet plus" platform can improve the self-efficacy of patients with CRC colostomy, enhance their adaptability to the stoma, and reduce the occurrence of postoperative complications.
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Keywords:
- colostomy /
- hospital-family integration /
- continued care /
- "internet plus" /
- colorectal cancer
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表 1 2组患者干预前后SSES评分比较(x±s)
分 组别 n 干预前 干预后 对照组 38 70.76±8.68 84.61±9.26* 观察组 39 71.14±8.34 98.28±10.64*# SSES: 造口自我效能感量表。与干预前比较, *P < 0.05; 与对照组比较, #P < 0.05。 
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表 2 2组患者干预前后不良情绪评分比较(x±s)
分 组别 n HAMA评分 HAMD评分 干预前 干预后 干预前 干预后 对照组 38 24.46±5.40 19.46±4.59* 21.44±4.54 17.86±4.05* 观察组 39 23.72±5.26 13.71±3.36*# 22.18±4.78 13.53±3.84*# HAMA: 汉密尔顿焦虑量表; HAMD: 汉密尔顿抑郁量表。与干预前比较, *P < 0.05; 与对照组比较, #P < 0.05。
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表 3 2组患者干预前后OAI评分比较(x±s)
分 组别 n 干预前 干预后 对照组 38 32.76±4.31 55.10±6.38* 观察组 39 33.14±4.74 64.27±6.84*# OAI: 造口适应量表。与干预前比较, *P < 0.05; 与对照组比较, #P < 0.05。
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表 4 2组患者造口并发症发生情况比较[n(%)]
组别 n 造口黏膜分离 造口感染 造口出血 造口回缩或脱出 合计 对照组 38 3(7.89) 5(13.16) 4(10.53) 2(5.26) 14(36.84) 观察组 39 2(5.13) 1(2.56) 2(5.13) 1(2.56) 6(15.38)* 与对照组比较, *P < 0.05。
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