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知信行延续护理健康教育在肠造口术后患者中的应用价值

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目的 探讨知信行延续护理健康教育在肠造口术后患者中的应用效果.方法 选取2023 年 3-7 月在辽宁省某三甲医院大肠外科接受肠造口手术的患者 72 例为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,每组 36 例.对照组接受常规院外延续护理,观察组在对照组基础上行知信行延续护理健康教育,干预周期为3个月.比较两组患者知信行水平[肠造口患者造口知信行量表(CPCKAPS)]、病耻感[社会影响量表(SIS)]、生活质量[造口患者生活质量量表(Stoma-QOL)].结果 干预前,两组患者肠造口患者造口知信行量表、社会影响量表、造口患者生活质量量表评分及各维度评分比较,差异均无统计学意义(P>0.05).干预后,观察组肠造口患者造口知信行量表得分及各维度得分均高于对照组,观察组社会影响量表得分及各维度得分均低于对照组,观察组造口患者生活质量量表得分及各维度得分均高于对照组,差异有统计学意义(P<0.05).结论 通过知信行模式结合延续护理健康教育方案,能够有效提高肠造口术后出院患者的肠造口知信行水平,降低因肠造口带来的病耻感,进而提高生活质量,帮助患者尽早恢复正常生活、融入社会,为肠造口术后患者制定延续护理健康教育方案提供一定的参考依据.
The application of knowledge-attitude-belief-practice model in enterostomy postoperation patients
Objective To explore the application effect of knowledge-attitude-belief-practice in enterostomy postoperation patients.Methods There were 72 patients after colostomy in the Department of Colorectal Surgery of a Grade A Class III hospital in Liaoning Province from March to July 2023 were selected as the study subjects,they were divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 36 patients in each group.The control group received routine out-of-hospital extended nursing,and the observation group continued nursing health education based on knowledge-attitude-belief and practice on the basis of the control group.The intervention period was 3 months.Compare the two groups of patients'colostomy knowledge-attitude-belief-practice scale(CPCKAPS),stigma[Social Impact Scale(SIS)],and quality of life[Stoma Quality of life Scale(Stoma-QOL)].Results Before the intervention,there was no statistically significant difference between the two groups(P>0.05)in the score of the Stoma Knowledge and Information Scale,the Social Impact Scale,the Stoma Patient Quality of Life Scale,and the scores of each dimension.After the intervention,the scores of the ostomy information scale and the scores of each dimension in the observation group were higher than those in the control group.The scores of the social impact scale and the scores of each dimension in the observation group were lower than those in the control group.The scores of the quality of life scale and the scores of each dimension in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion By taking the combination of knowledge,attitude,belief and practice and continuous nursing health education program,effectively improve the knowledge,attitude,belief and practice of enterostomy patients discharged after enterostomy,reduce the sense of stigma caused by enterostomy,improve the quality of life,help patients to normal life and integrate into society as soon as possible,and provide a certain reference for patients after enterostomy to formulate a continuous nursing health education program.

EnterostomyKnowledge-attitude-belief-practiceContinuous careStigmaQuality of life

张新玉、马艳梅、于潇、李亚茹、张辛剑、栾新、孙敬博

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锦州医科大学护理学院(辽宁省锦州市,121001)

锦州医科大学附属第一医院(辽宁省锦州市,121001)

肠造口 知信行 延续性护理 病耻感 生活质量

辽宁省教育厅科学研究经费项目

320.11

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(10)