护理干预模式对直肠癌Miles术后患者造口自主护理能力及精神心理健康影响.docVIP

护理干预模式对直肠癌Miles术后患者造口自主护理能力及精神心理健康影响 　　 [摘要] 目的 探讨护理干预模式对直肠癌Miles术后患者造口自主护理能力及精神、心理健康的影响。 方法 选择2012年1月～2013年1月在深圳市南山区西丽人民医院和南京军区南京总医院确诊为直肠癌并接受Miles手术的患者90例，随机分为观察组与对照组，每组各45例。两组临床治疗相同，对照组患者给予常规护理，观察组患者在对照组基础上应用护理干预模式。于出院后3、6个月采用自主护理能力实施量表（ESCA）及症状自评量表（SCL-90）分别对自主护理能力及精神、心理健康状况进行测评。 结果 观察组患者出院后3、6个月后在ESCA总分、自主护理技能、自主护理责任感、自主概念、健康知识水平均明显优于对照组，差异均有统计学意义（均P ＜ 0.05）；观察组患者出院后3、6个月后，SCL-90各因子分均明显降低，与对照组比较差异均有统计学意义（P 0.05或P 0.01）。 结论 护理干预模式应用于永久性肠造口患者可提高患者自主护理能力，改善患者的心理状态，值得临床应用推广。 　　[关键词] 护理干预模式；自主护理能力；心理状态 　　[中图分类号] R473.73[文献标识码] B[文章编号] 1673-7210（2014）05（c）-0138-04 　　 　　Effect of nursing intervention mode in colostomy self care ability and mental, physical health of patients with rectal cancer after Miles operation 　　ZHANG Min1 ZHOU Ziying1 WANG Liqun2▲ 　　1.Xili Peoples Hospital of Nanshan District in Shenzhen City, Guangdong Province, Shenzhen 518055, China; 2.Nanjing General Hospital of Nanjing Military Command, Jiangsu Province, Nanjing 210000, China 　　[Abstract] Objective To investigate the effect of nursing intervention mode in colostomy self care ability and mental, physical health of patients with rectal cancer after Miles operation. Methods 90 cases with rectal cancer after Miles operation in Xili Peoples Hospital of Nanshan District in Shenzhen City and Nanjing General Hospital of Nanjing Military Command from January 2012 to January 2013 were selected and divided into observation group and control group randomly with 45 cases in each group. The control group were treated with routine nursing, the observation group were treated with nursing intervention mode combined with routine nursing while the two groups were all received the same clinical therapy. The exercise of self-care agency (ESCA) and SCL-90 were used to evaluate the self-care agency and mental, physical health situation respectively after post-discharge of 3, 6 months. Results The total score of ESCA, self nursing skills, self nursing responsibility, self-concept and health knowledge lev