临床护理路径和延续护理联合对肠造口患者自护能力及生活质量影响.docVIP

临床护理路径和延续护理联合对肠造口患者自护能力及生活质量的影响 　　[摘要] 目的 研究?R床护理路径和延续护理联合对肠造口患者自护能力及生活质量的影响。方法 方便选取该院2013年1月―2016年7月期间收治的80例肠造口患者，将患者按照入院时间先后顺序分成观察组与对照组，每组40例。对照组患者采用常规护理方式；观察组患者予以临床护理路径与延续护理联合的方式护理，即患者在住院期间按照临床护理路径予以护理措施，出院后采用延续护理方式护理。观察在不同护理模式下，两组患者术后6个月生活质量及自我护理能力情况。结果 两组患者护理6个月后，观察组患者生活质量各指标评分[总体健康（79.01±12.14）分、生理功能（74.45±14.01）分、生理职能（65.31±10.14）分、躯体疼痛（69.89±11.12）分、活力（80.56±14.25）分、社会功能（80.45±14.53）分、情感职能（90.05±17.68）分、精神健康（76.23±13.45）分]明显高于对照组[总体健康（67.21±10.02）分、生理功能（64.42±10.14）分、生理职能（56.47±8.75）分、躯体疼痛（63.48±10.45）分、活力（71.49±12.26）分、社会功能（73.63±12.24）分、情感职能（74.56±13.52）分、精神健康（65.56±12.96）分]（P0.05）；观察组患者自我护理能力各指标评分[自我护理技能（32.03±4.15）分、自护责任感（38.14±5.01）分、自我概念（35.26±4.65）分、健康知识水平（36.32±4.75）分]明显高于对照组[自我护理技能（25.12±3.20）分、自护责任感（26.13±3.56）分、自我概念（25.42±3.45）分、健康知识水平（24.36±3.42）分]（P0.05）。 结论 对肠造口患者予以临床护理路径和延续护理联合护理能有效的提高患者的自我护理能力及生活质量。 　　[关键词] 临床护理路径；延续护理；自我护理能力；生活质量 　　[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2016）12（c）-0142-04 　　[Abstract] Objective To investigate the effect of combination of clinical nursing path and continue nursing on self-care ability and quality of life in patients with colostomy. Methods Convenient selection 80 cases of colostomy patients in our hospital from January 2013 to July 2016 were selected and divided into observation group and control group （n = 40） according to admission. The control group were treated by routine nursing and the observation group were given combination of clinical nursing path and continue nursing care： the patients in the hospital accepted clinical path nursing and after discharge by continuing nursing care. the quality of life and self-care ability of the two groups after 6 months of operation were observed and compared. Results After 6 months of care， The quality of life of patients in the observation group was significantly[Overall health（79.01±12.14）points、Physiological function（74.45±14.01）points、Physiological function（65.31±10.14）points、Bodily pain（69.89±11.12）points、vitality（80.56±14.25）points、Social function（80.45±1