1. Application of the whole-course nursing service model supported by the network platform in nursing of patients with ileostomy or colostomy (网络平台支持下全病程护理服务模式在回结肠造口患者中的应用)
- Author
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LIANG Meixia (梁美霞), LI Chunhua (李春华), DAI Meihua (戴梅花), FU Xiaomin (符小敏), LI Chao (李超), and LAI Xiaoqin (赖小琴)
- Subjects
ileostomy ,colostomy ,whole-course nursing service mode ,self-care ability ,quality of life ,stoma complications ,回肠造口 ,结肠造口 ,全病程护理 ,自我护理能力 ,生活质量 ,造口并发症 ,Nursing ,RT1-120 - Abstract
Objective To explore the effect of whole-course nursing service model supported by the network platform on health awareness, quality of life and nursing outcomes of patients with ileostomy or colostomy. Methods Totally 120 patients with ileostomy or colostomy were recruited as research objects. Patients who admitted from September 2022 to February 2022 were divided in the control group (58 patients), and patients who admitted from March 2023 to August 2023 were divided into the intervention group (62 patients). The control group received routine nursing mode based on a responsibility system, and the intervention group were given the whole-course nursing service mode with the support of WeChat platform. The self-care ability, the quality of life scale scores and the occurrence of stoma complications of the two groups were compared. Results The incidence of stoma complications in the intervention group was lower than that in the control group(6. 45% vs. 12. 07%, P>0. 05). Patients in the intervention group achieved higher scores of self-willingness, self-care ability and self-care skills compared with those in the control group three months after discharge from hospital (P<0. 01). The total score and scores of COH-QOL-OQ including physical health, psychological health, social health and spiritual scale in the intervention group were higher than those in the control group three months after discharge from hospital (P<0. 01). Conclusion The whole-course nursing service model supported by the network platform helps to improve the self-care ability and quality of life in patients with ileostomy or colostomy. (目的 探讨网络平台支持下全病程护理服务模式对回结肠造口患者自我护理能力、生活质量和护理结局的影响。方法 选择本院120例回结肠造口患者, 其中2022年9月—2023年2月收治入院的患者为对照组(n=58), 2023年3月—2023年8月收治入院的患者为干预组(n=62)。对照组给予常规整体责任制护理模式, 干预组实施微信平台支持下全病程护理服务模式。比较两组回结肠造口患者的自我护理能力、生活质量和并发症发生情况。结果 干预组造口相关并发症发生率6. 45%(4/62), 低于对照组的12. 07%(7/58), 但差异无统计学意义(P>0. 05)。出院3个月后, 干预组患者自我护理能力量表中自我意愿、自我护理能力、自我护理技能得分高于对照组患者, 差异有统计学意义(P<0. 01)。出院3个月后, 干预组患者造口患者生活质量问卷(COH-QOL-OQ)中生理健康、心理健康、社会健康、精神健康及总分高于对照组, 差异有统计学意义(P<0. 01)。结论 通过实施网络平台支持下的全病程护理服务模式, 可提高回结肠造口患者自我护理能力和生活质量。)
- Published
- 2024
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