老年永久性肠造口患者过渡期护理方案的构建及应用
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女,硕士在读,主管护师,护士长

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2021年河南省医学科技攻关计划联合共建项目(LHGJ20210417)


Construction and application of a transitional care programme for elderly patients with permanent enterostomy
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    目的 构建老年永久性肠造口患者过渡期护理方案并评价其应用效果。方法 将88例老年肠造口患者按病区分为对照组与观察组各44例。对照组采用术后常规护理,观察组在常规护理基础上构建并实施过渡期护理方案。比较两组干预前、干预完成时及干预后3个月护理依赖水平、肠造口自我照护行为执行意向评分。结果 对照组42例、观察组43例完成本研究。两组护理依赖得分、自我照护行为执行意向得分比较,组间效应、时间效应及交互效应差异有统计学意义(均P<0.05)。结论 对老年肠造口患者实施过渡期护理方案,能够降低患者护理依赖水平,增强患者自我护理意向,有利于促进患者康复。

    Abstract:

    Objective To construct a transitional care programme for elderly patients with permanent enterostomy, and to evaluate its application effect. Methods Eighty-eitht elderly patients with enterostomy were divided into a control group and an intervention group, with 44 cases in each group by ward. The control group received routine postoperative care, while the intervention group additionally received a transitional care programme.The Care Dependency Scale (CDS) and Entorostomy Self-care Implementation Intention Questionnaire (ESIIQ) were utilized to assess and compare the two groups before the intervention, after the intervention and 3 months after the intervention. Results Totally 42 cases in the control group and 43 cases in the intervention group completed the study. There were significant main effects for group, time, and group-by-time interaction on the scores of CDS and ESIIQ between the two groups (P<0.05 for all). Conclusion Implementing the transitional care programme for elderly patients with enterostomy can reduce their care dependence, enhance their self-care intention, and promote their rehabilitation.

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杜淑娜,郑蔚,翟清华,张苇,史小艳.老年永久性肠造口患者过渡期护理方案的构建及应用[J].护理学杂志,2022,37(18):25-28

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  • 收稿日期:2022-04-27
  • 最后修改日期:2022-06-06
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  • 在线发布日期: 2023-08-29