首页|肠造口患者围手术期标准造口护理流程联合集束化护理的临床效果分析

肠造口患者围手术期标准造口护理流程联合集束化护理的临床效果分析

扫码查看
目的 分析肠造口围手术期内实施标准造口护理流程+集束化护理的价值.方法 回顾性选取2019年1月—2023年10月扬州大学附属医院收治的80例肠造口患者的临床资料,依据不同护理方案分为对照组、调查组,每组40例.对照组行标准造口护理流程+常规护理,调查组增加集束化护理.比较两组患者心理状态评分、依从性、护理满意率及生活质量评分.结果 调查组依从率高于对照组,差异有统计学意义(P<0.05).护理后,两组患者汉密顿焦虑量表、汉密顿抑郁量表评分均低于护理前,自尊量表评分高于护理前,且调查组优于对照组,差异均有统计学意义(P均<0.05).调查组护理满意率为97.50%(39/40),高于对照组的80.00%(32/40),差异有统计学意义(χ2=4.507,P=0.034).护理后,调查组生活质量评分高于对照组,差异有统计学意义(P<0.05).结论 标准造口护理流程+集束化护理的临床价值高,可减少造口并发症的发生,提高患者生活质量,减轻患者内心负担,提升自尊水平.
Clinical Effect Analysis of Perioperative Standard Ostomy Nursing Process Combined with Cluster Nursing for Patients with Enterostomy
Objective To analyze the value of implementing standard ostomy nursing process+cluster nursing during the perioperative period of enterostomy.Methods The clinical data of 80 patients with enterostomy admitted to the Af-filiated Hospital of Yangzhou University from January 2019 to October 2023 were retrospectively selected and divided into control group and investigation group according to different nursing plans,with 40 cases in each group.The con-trol group received standard ostomy nursing process+routine nursing,and the investigation group received cluster nursing on the basis of the control group.The psychological status score,compliance,nursing satisfaction rate and quality of life score of the two groups were compared.Results The compliance of the investigation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After nursing,the scores of Hamilton anxiety Scale and Hamilton Depression Scale in both groups were lower than before nursing,and the score of Self-esteem Scale was higher than before nursing,and the investigation group was better than the control group,the differences were statistically significant(all P<0.05).Nursing satisfaction in the investigation group was 97.50%(39/40),higher than that in the control group 80.00%(32/40),and the difference was statistically significant(χ2=4.057,P=0.034).After nursing,the quality of life score of the investigation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Standard ostomy nursing process+cluster nursing has high clinical value,which can reduce the occurrence of ostomy complications,improve the quality of life of patients,reduce the inner burden of patients,and enhance the level of self-esteem.

Standard ostomy processPsychological stateCluster nursingComplicationsEnterostomy

曹玲、陈蓉

展开 >

扬州大学附属医院胃肠外科,江苏 扬州 225001

扬州大学附属医院入院服务中心,江苏 扬州 225001

标准造口流程 心理状态 集束化护理 并发症 肠造口

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(34)