首页|直肠癌术后永久性结肠造口患者行基于知信行理论的护理对其心理适应及自我护理能力的影响

直肠癌术后永久性结肠造口患者行基于知信行理论的护理对其心理适应及自我护理能力的影响

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目的 观察直肠癌术后永久性结肠造口患者行基于知信行理论的护理对其心理适应及自我护理能力的影响.方法 选择2021年1月至2023年4月就诊于南京医科大学附属淮安第一医院的直肠癌永久性结肠造口患者102例为观察对象,按照随机数字表法将其分为试验组和对照组,每组51例.对照组按照直肠癌永久性结肠造口常规式护理开展服务,护理时间为入院至出院后3个月时,试验组在对照组基础之上引入基于知信行理论的护理干预机制,护理时间同对照组.对两组干预后中文版造口患者社会心理适应量表评分、自我护理能力、生活质量评分、并发症总发生率进行比较.结果 护理后,两组造口患者社会心理适应量表评分较护理前升高,且试验组高于对照组,差异有统计学意义(P<0.05).护理后,两组造口护理技能、日常生活管理、社会交往、功能锻炼评分较护理前升高,且试验组高于对照组,差异有统计学意义(P<0.05).护理后,试验组并发症总发生率低于对照组,差异有统计学意义(P<0.05).护理后,两组心理、社会、物质生活、躯体评分较护理前升高,且试验组高于对照组,差异有统计学意义(P<0.05).结论 于直肠癌术后永久性结肠造口患者中引入基于知信行理论的护理干预机制,可实现社会心理适应度与自我护理能力提升目标,降低造口并发症发生概率,优化生活品质.
Effect of nursing care based on knowledge,attitude,and practice theory on psychological adaptation and self-care ability of patients with perma-nent colostomy after rectal cancer surgery
Objective To observe the effect of nursing care based on knowledge,attitude,and practice theory on psychological adaptation and self-care ability of patients with permanent colostomy after rectal cancer surgery.Methods A total of 102 patients with permanent colostomy after rectal cancer surgery admitted to the Affiliated Huaian NO.1 People's Hospital of Nanjing Medical University from January 2021 to April 2023 were selected as the observation objects,and they were divided into experimental group and control group according to random number table method,with 51 cases in each group.The control group was given routine nursing service based on permanent colostomy for rectal cancer,and the nursing time was from admission to three months after discharge.The experimental group introduced nursing intervention mechanism based on knowledge,attitude,and practice theory on the basis of the control group,and the nursing time was the same as that of the control group.The score of psychosocial adaptation scale,self-care ability,quality of life score,and overall complication rate were compared between the two groups after in-tervention.Results After nursing,the scores of social psychological adjustment scale of the two groups were higher than before nursing,and those in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of ostomy nursing skills,daily life management,social communication,and functional exercise in two groups were higher than before nursing,and those in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the overall complication rate of the experimental group was lower than that of the control group,and the difference was statistically significant(P<0.05).After nursing,the psychological,social,material life,and physical scores of the two groups were higher than those before nursing,and those in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The introduction of nursing intervention mechanism based on knowledge,attitude,and practice theory in patients with permanent colostomy cases after rectal cancer surgery can achieve the goal of improving social psychological fitness and self-care ability,reduce the probability of stomy com-plications,and optimize the quality of life.

Rectal cancerPermanent stomaKnowledge,attitude,and practicePsychological adaptationSelf-care ability

王青青、刘丽丽、张海红

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南京医科大学附属淮安第一医院胃肠外科,江苏淮安 211103

直肠癌 永久性造口 知信行 心理适应 自我护理能力

江苏省自然科学基金资助项目

BK20211378

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(16)