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Effect of timely nursing intervention on skin problems, self-efficacy and quality of life of patients undergoing enterostomy

  

  1. The Second People’s Hospital of Foshan, Foshan Guangdong 528000
  • Received:2017-09-01 Revised:2017-12-04 Online:2018-02-28 Published:2018-03-12

适时护理干预对肠造口患者皮肤问题、自我效能及生活质量的影响

  

  1. 佛山市第二人民医院, 广东 佛山 528000
  • 基金资助:
    佛山市卫生和计生局医学科研课题(20160125)

Abstract:  

Objective: To analyze the effect of timely nursing intervention on skin problems, self-efficacy and quality of life of patients undergoing enterostomy. Methods: A total of 80 patients undergoing enterostomy were divided into the control group and the observation group with 40 patients in each group by the random number table method. The control group was given routine nursing while the observation group was additionally given timely nursing. The skin pain around the stoma at different time after surgery, self-efficacy before and after intervention, and the improvement of quality of life were evaluated with the visual analogue scale (VAS), self-efficacy scale for patients with stoma and quality of life scale (QOL) for patients with stoma. Results: The total incidence of skin problems around the stoma and related complications in the observation group was lower than that in the control group (P<0.05). VAS scores of the observation group were lower than those of the control group at 1 d, 3 d, 1 week and 2 weeks after surgery (P<0.05). After 3 months of intervention, scores of the self-efficacy scale and QOL in the observation group were higher than those in the control group(P<0.05). Conclusion: The application of timely nursing in the clinical intervention of patients undergoing enterostomy can reduce the incidence of stoma related skin problems, reduce postoperative pain, improve self-care ability, and improve the quality of life of patients.

Key words: Intestinal stoma, Dermatitis, Nursing, Self-efficacy

摘要: 目的:分析适时护理干预对肠造口患者皮肤问题、自我效能及生活质量的影响。方法:选择肠造口的80例患者,按照随机数字表法分为对照组与观察组各40例,对照组采用常规护理,观察组在常规护理基础上加用适时护理,比较两组术后造口周围皮肤问题发生率;并采用视觉模拟评分表(VAS)、造口患者自我效能表、造口患者生活质量量表(QOL)评定两组患者术后不同时间造口周围皮肤疼痛情况、干预前后自我效能、生活质量的改善情况。结果:观察组术后造口周围皮肤问题及相关并发症总发生率低于对照组(P<0.05);观察组术后1 d、3 d、1周、2周VAS评分均低于对照组(P<0.05);干预3个月,观察组自我效能量表评分、QOL评分均高于对照组(P<0.05)。结论:在肠造口患者临床干预中采用适时护理可减少肠造口相关皮肤问题发生率,减轻患者术后疼痛,提高自我护理能力,改善其生活质量。

关键词: 肠造口, 皮炎, 护理, 自我效能