摘要
目的 探讨同伴支持模式在行直肠癌永久性结肠造口术的患者行延续性护理中的应用效果。方法 使用随机抽样法纳入本院行直肠癌永久性结肠造口术的患者68例,按照随机对照方式分为对照组(延续性护理)和观察组(加用同伴支持模式)各34例,对比两组护理效果。结果 干预前组间自我护理能力评分(健康知识、自我概念、自我护理责任、自我护理技能)均无统计学意义(P>0.05)。干预后观察组患者评分均显著高于对照组,且术后并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论 将同伴支持模式应用于直肠癌永久性结肠造口术患者的延续性护理中,能够减少患者术后并发症发生,提高其自我护理能力。
关键词: 直肠癌永久性结肠造口术;延续性护理;同伴支持模式
Abstract
Objective To explore the application effect of peer support mode in the continuity of care for patients undergoing permanent colostomy for rectal cancer. Methods A total of 68 patients who underwent permanent colostomy for rectal cancer in our hospital were randomly selected and divided into a control group (continuity of care) and an observation group (with peer support mode), with 34 patients in each group. The nursing effects of the two groups were compared. Results There was no statistically significant difference in the self-care ability scores (health knowledge, self-concept, self-care responsibility, self-care skills) between the intervention groups before intervention (P>0.05). After intervention, the patient scores in the observation group were significantly higher than those in the control group, and the incidence of postoperative complications was lower than that in the control group, with statistically significant differences (P<0.05). Conclusion Applying the peer support model to the continuity of care for patients undergoing permanent colostomy for rectal cancer can reduce postoperative complications and improve their self-care ability.
Key words: Permanent colostomy for rectal cancer; Continuity of care; Peer support mode
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