目的：研究延续护理对直肠癌术后永久性结肠造口患者自我护理能力及生活质量的影响。方法46例直肠癌手术后永久性结肠造口的患者，随机分为试验组和对照组，每组23例。对照组患者采取一般性常规处理，试验组在对照组护理基础上加用延续护理，比较两组患者在出院时和出院8个月后的自我护理能力以及生活质量。结果出院时，两组患者的自我护理能力测定量表(ESCA)评分比较差异无统计学意义(P>0.05)；出院8个月后，两组患者的 ESCA 评分均有一定程度升高，试验组评分上升程度明显大于对照组(P<0.05)。出院时，两组患者 ESCA 总评分比较差异无统计学意义(P>0.05)；出院8个月后，试验组患者ESCA总评分为(158.98±10.86)分，明显高于对照组的(121.07±6.89)分(P<0.05)。出院时，两组患者的健康调查简表(SF-36)评分比较差异无统计学意义(P>0.05)；出院8个月后，两组患者的 SF-36评分均有一定程度升高，试验组评分上升程度明显大于对照组(P<0.05)。结论延续护理可以明显提高直肠癌术后永久性结肠造口患者的自我护理能力及生活质量。%Objective To research influence by continued nursing on self-nursing capability and quality of life in patients with permanent colostomy after rectal cancer operation. Methods A total of 46 patients with permanent colostomy after rectal cancer operation were randomly divided into experimental group and control group, with 23 cases in each group. The control group received conventional management, while the experimental group also received additional continued nursing. Comparison was made on self-nursing capability and quality of life at discharge and in 8 months after discharge between the two groups. Results There was no statistically significant difference of exercise of self-care agency scale (ESCA) scores between the two groups at discharge (P>0.05). In 8 months after discharge, both groups had increased ESCA scores, while the experimental group had much higher increasing degree than the control group (P<0.05). Total ESCA score at discharge had no statistically significant difference between the two groups (P>0.05). The experimental group had total ESCA score in 8 months after discharge as (158.98±10.86) points, which was much higher than (121.07±6.89) points in the control group (P<0.05). At discharge, there was no statistically significant difference of short form health survey questionnaire 36 (SF-36) scores between the two groups (P>0.05). In 8 months after discharge, both groups had increased SF-36 scores, and the experimental group had obviously higher increasing degree than the control group (P<0.05). Conclusion Self-nursing capability and quality of life can be remarkably improved by continued nursing in patients with permanent colostomy after rectal cancer operation.
展开▼
