目的 探讨以问题管理模式为指导的健康教育对结直肠癌造口患者术后自护能力、疾病知识及生活质量的影响。 方法 选取2019年5月至2022年5月在徐州市第一人民医院接受肠造口治疗的102例结直肠癌患者作为研究对象，根据教育方式不同分为58例观察组(以问题管理模式为指导的健康教育)和44例对照组(常规健康教育)。使用自我护理能力实施量表(ESCA)评估两组自护能力、使用疾病知识调查问卷评估两组疾病知识知晓度、使用生活质量综合评定问卷(GQOLI-74)评估两组生活质量以及分析两组并发症发生率。 结果 两组护理后ESCA评分中各项评分均上升，且观察组高于对照组，差异有统计学意义(P<0。05)；观察组护理后疾病知识知晓率(91。38%)高于对照组(65。91%)，差异有统计学意义(P<0。05)；两组护理后GQOLI-74各项评分均较护理前上升，且观察组高于对照组，差异有统计学意义(P<0。05)；观察组护理后并发症总发生率(5。17%)低于对照组(22。73%)，差异有统计学意义(P<0。05)。 结论 对结直肠癌造口患者实施以问题管理模式为指导的健康教育模式，能提高其术后的自护能力和对疾病知识的认知度，对患者的生活质量以及预后有着积极的作用和影响。 Objective To explore the effects of health education guided by problem management model on self-care ability， disease knowledge and quality of life of patients with colorectal cancer after operation。 Methods A total of 102 patients with colorectal cancer who received enterostomy treatment in the hospital from May 2019 to May 2022 were selected as the study objects。 According to different education methods， they were divided into observation group (using health education guided by problem management mode， 58 cases) and control group (using conventional health education， 44 cases)。 Self-care ability of the two groups was assessed using the Exercise of Self-care Agency (ESCA)， disease knowledge awareness of the two groups was assessed using the disease knowledge questionnaire， quality of life of the two groups was assessed using the Generic Quality of Life Inventory-74(GQOLI-74)， and the incidence of complications was analyzed。 Results All the scores of ESCA after nursing were increased in both groups， and the ESCA score in observation group was higher than that in control group， and the difference was statistically significant(P<0。05)。 The awareness rate of disease knowledge after nursing in observation group (91。38%) was higher than that in control group (65。91%)， and the difference was statistically significant(P<0。05)。 Compared with before nursing， scores of GQOLI-74 increased in both groups after nursing， and GQOLI-74 score in observation group was higher than that in control group， and the difference was statistically significant(P<0。05)。 The total incidence of post-nursing complications in observation group (5。17%) was lower than that in control group (22。73%)， and the difference was statistically significant (P<0。05)。 Conclusions The implementation of health education model guided by problem management model for patients with colostomy of colorectal cancer can improve their self-care ability and awareness of disease knowledge after surgery， and has a positive effect on the quality of life and prognosis of patients。
Effects of health education guided by problem management model on self-care ability, disease knowledge and quality of life of patients with colorectal cancer after surgery
Objective To explore the effects of health education guided by problem management model on self-care ability, disease knowledge and quality of life of patients with colorectal cancer after operation. Methods A total of 102 patients with colorectal cancer who received enterostomy treatment in the hospital from May 2019 to May 2022 were selected as the study objects. According to different education methods, they were divided into observation group (using health education guided by problem management mode, 58 cases) and control group (using conventional health education, 44 cases). Self-care ability of the two groups was assessed using the Exercise of Self-care Agency (ESCA), disease knowledge awareness of the two groups was assessed using the disease knowledge questionnaire, quality of life of the two groups was assessed using the Generic Quality of Life Inventory-74(GQOLI-74), and the incidence of complications was analyzed. Results All the scores of ESCA after nursing were increased in both groups, and the ESCA score in observation group was higher than that in control group, and the difference was statistically significant(P<0.05). The awareness rate of disease knowledge after nursing in observation group (91.38%) was higher than that in control group (65.91%), and the difference was statistically significant(P<0.05). Compared with before nursing, scores of GQOLI-74 increased in both groups after nursing, and GQOLI-74 score in observation group was higher than that in control group, and the difference was statistically significant(P<0.05). The total incidence of post-nursing complications in observation group (5.17%) was lower than that in control group (22.73%), and the difference was statistically significant (P<0.05). Conclusions The implementation of health education model guided by problem management model for patients with colostomy of colorectal cancer can improve their self-care ability and awareness of disease knowledge after surgery, and has a positive effect on the quality of life and prognosis of patients.
Problem management modeHealth educationColostomy for colorectal cancerSelf-care abilityDisease knowledgeQuality of life
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