首页|基于同质医疗理念干预模式对结直肠癌造口患者术后并发症、适应水平、病耻感及自我效能的影响

基于同质医疗理念干预模式对结直肠癌造口患者术后并发症、适应水平、病耻感及自我效能的影响

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目的:观察分析结直肠癌造口患者实施基于行同质医疗理念相关的干预模式对其术后并发症、适应水平、病耻感及自我效能的影响。方法:将62例结直肠癌造口患者随机分为对照组和观察组,每组31例。对照组患者行常规护理,观察组患者行同质医疗理念的干预模式,比较2组患者术后并发症、社会心理适应能力、病耻感及自我效能变化。结果:干预后,观察组患者造口术后并发症发生率低于对照组(P<0。05)。观察组患者干预后社会心理适应水平高于对照组(P<0。05)。干预前2组患者社会影响量表(SIS)各维度评分比较差异无统计学意义(P>0。05);干预后2组患者SIS量表各维度评分均低于干预前,且观察组低于对照组(P<0。05)。干预前2组患者自我效能各维度评分以及总分比较差异无统计学意义(P>0。05);干预后2组患者自我效能各个维度评分以及总分均高于干预前,且观察组高于对照组(P<0。05)。结论:同质医疗这一理念的创新型护理方式,不但可以降低患者术后并发症发生率,减轻病耻感,而且还可以提高患者社会心理适应能力和自我效能感,值得临床推广应用。
Effect of Intervention Mode Based on Homogenous Medical Concept on Postoperative Complications,Adapta-tion Level,Stigma and Self-Efficacy in Patients with Ostomy for Colorectal Cancer
Objective To observe and analyze the effect of intervention mode based on homogenous med-ical concept on postoperative complications,adaptation level,stigma and self-efficacy in patients with os-tomy for colorectal cancer.Methods Total 62 patients with colostomy were randomly divided into con-trol group and observation group,with 31 cases in each group.Patients in the control group received rou-tine nursing,while patients in the observation group received intervention mode with homogenous medical concept.Postoperative complications,psychosocial adaptability,stigma and self-efficacy changes were com-pared between the two groups.Results After intervention,the incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).The level of social psycho-logical adaptation in the observation group was higher than that in the control group(P<0.05).There was no significant difference in the scores of social impact scale(SIS)between the two groups before inter-vention(P>0.05).After intervention,the scores of all dimensions of SIS in both groups were lower than those before intervention,which were lower in the observation than in the control group(P<0.05).Be-fore intervention,there was no significant difference in self-efficacy scores and total scores between the two groups(P>0.05).After intervention,the scores of all dimensions and total scores of patients in both groups were higher than those before intervention,which were higher in the observation group than in the control group(P<0.05).Conclusion The innovative nursing mode based on homogenous medical con-cept can not only reduce the incidence of postoperative complications and decrease the sense of stigma,but also improve the social psychological adaptability and self-efficacy of patients,which is worthy of clinical promotion and application.

Colorectal cancerEnterostomyHomogeneous medicine

张少英、王蝶、杨亭

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郑州大学第一附属医院结直肠肛门外科(河南 郑州 450000)

结直肠癌 肠造口 同质医疗

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(7)