Objective To explore the effect of continuous nursing model under the guidance of hierarchy of needs theory(HNT)in patients with enterostomy.Methods A total of 110 patients with postoperative enterostomy for rectal cancer admitted to Northern Jiangsu People's Hospital from January 2020 to October 2022 were selected.According to random number table method,they were divided into the control group and the observation group,each with 55 cases.The control group was given routine nursing,and the observation group was assigned continuous nursing under the guidance of HNT.The exercise of self-care agency scale(ESCA)and ostomy adjustment inventory(OAI-20)were used to evaluate the self-care ability and the social psychological adaptability of the two groups.The quality of life and the incidence of enterostomy complications in the two groups were compared by the Chinese Version of the Quality of Life Scale(C-COH)for patients with enterostomy.Results After 1 and 3 months of intervention,the ESCA score of self-care ability in the observation group was higher than that in the control group(P＜0.05),and the scores of each dimension of OAI-20 scale and C-COH were higher than those in the control group(P＜0.05).The incidence of ostomy complications in the observation group was lower than that in the control group(7.27％vs 21.82％,x2=4.681,P=0.031).Conclusion The continuous nursing model guided by the HNT can enhance the self-care ability and social psychosocial adaptability of patients with enterostomy,improve the quality of life,and reduce the risk of enterostomy-related complications.
Hierarchy of needs theoryContinuous nursingEnterostomySelf-managementSocial psychological adaptabilityQuality of life
维普
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