延续护理和常规护理在肠造口患者居家护理中应用对比.docVIP

延续护理和常规护理在肠造口患者居家护理中应用对比 　　【摘要】 目的：探究延续护理和常规护理在肠造口患者居家护理中的应用效果。方法：选取2015年3月-2017年2月本院接收的肠造口患者136例作为研究对象，按照随机数字表法分为试验组与参照组，各68例。参照组采用常规护理措施，试验组在参照组基础上采用延续护理干预措施，两组均以28 d为1个干预疗程。观察比较两组患者护理满意度、并发症发生情况及自我护理能力情况。结果：试验组护理满意度为95.59%，显著高于参照组的77.94%，比较差异有统计学意义（P0.05）；试验组并发症总发生率为8.82%，显著低于参照组的45.59%，比较差异有统计学意义（P0.05）；试验组自我护理知识、自我护理概念、自我护理责任感、自我护理技巧等评分及综合得分均高于参照组，比较差异均有统计学意义（P0.05）。结论：延续护理在肠造口患者居家护理中具有显著的临床效果，与常规护理相比较，能显著提高患者护理的满意度，有效降低患者并发症的发生率，完善患者的自我护理意识，在临床上值得推广与使用。 　　【关键词】 肠造口； 延续护理； 常规护理； 自我护理 　　【Abstract】 Objective：To explore the application effect of continuous nursing and routine nursing in home care of patients with enterostomy.Method：136 cases of enterostomy in our hospital from March 2015 to February 2017 were selected as the subjects，according to the random number table method，they were divided into experimental group and reference group，68 cases in each group.The reference group received routine nursing measures，and experimental group received continuous nursing intervention on basis of reference group，they were treated with 28 days for 1 intervention course.The nursing satisfaction，complications and self-care ability of two groups were observed and compared.Result：The nursing satisfaction of experimental group was 95.59%，significantly higher than 77.94% of the reference group，the difference was statistically significant（P0.05）；the total incidence of complications of experimental group was 8.82%，significantly lower than 45.59% of reference group，the difference was statistically significant（P0.05）；the scores of self-care knowledge，self-care concept，self-care responsibility，self-care skills and comprehensive score of experimental group were higher than those of reference group，the differences were statistically significant（P0.05）.Conclusion：Continue nursing has significant clinical effect in patients with enterostomy in home care，compared with usual care，can significantly improve the patient satisfaction with nursing care，reduce the incidence rate of complicati