由造口治疗师为主体的延续护理对肠造口患者自我护理能力的影响

摘要

Objective To explore the effect of extended nursing mainly by stoma therapists on the self-care ability of permanent colostomy patients group.Methods Seventy-eight patients with permanent colostomy were equally randomized by random digits table into control group and observation group.The former received routine discharge education by duty nurses and the latter the extended nursing mainly by stoma therapists. Three months after discharge,the exercise of self-care agency scale (ESCA) was used to conduct the assessments for comparisons of two groups.Result The score on ESCA in the observation group was significantly higher than that of the control group (P<0.01).Conclusion The extended nursing mainly by stoma therapists can improve colostomy patients’quality of life effectively and help them more knowledgeable about the stoma knowledge and skills to enhance self-care ability.%目的：探讨由造口治疗师为主体的延续护理对提高永久性肠造口患者自我护理能力的效果。方法选择78例永久性肠造口患者，按照随机数字表法将患者分为观察组和对照组，每组各39例，对照组由责任护士常规进行出院指导，观察组实施由造口治疗师为主体的延续护理。患者出院3个月后，采用自我护理能力测定量表（exercise of self-care agencyscale， ESCA）对患者进行测评。结果观察组患者ESCA得分高于对照组，两组比较，差异均有统计学意义（P＜0.01）。结论由造口治疗师为主体的专科护理团队对永久性肠造口患者进行出院后延续护理，能使患者巩固肠造口知识和技巧，从而提高患者自我护理能力。