Effect of stoma visitor on the life quality of patients with stoma colostomy
10.3760/cma.j.issn.1674-2907.2012.23.004
- VernacularTitle:造口访问对结肠造口患者生活质量的影响
- Author:
Zhen-Hua WU
1
;
Xiao-Ying MAO
;
Yan-Fei YU
;
Xue-Zhen LI
Author Information
1. 广东省佛山市第一人民医院
- Keywords:
Life quality;
Colostomy surgery;
Stoma visitor
- From:
Chinese Journal of Modern Nursing
2012;18(23):2742-2746
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of the visitor with stoma colostomy on improve the quality of life of the patients with stoma colostomy.Methods A total of 80 patients who were going to receive the colostomy surgery were randomly divided into experimental group( n =40) and control group ( n =40) according to random number table.All groups received the routine nursing before and after surgery and routine periodic review after discharge.While,on that basis,two visitors were for the experimental group,they visited the patients 1 to 2 days before surgery and 4 to 10 days after surgery,they interviewed the patients by telephone or took a home visit periodically,interventions including provision of counseling of daily life for patients and their families,job,emotional support,stoma self-care,self-image and social support.The quality of life was evaluated by the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30) before and after intervention.Results Before intervention,there were no significant differences in the life quality and demographic data between two groups ( P ＞ 0.05 ).Three months after intervention,the function dimension scores of experimental group were significantly higher than that of the control group,such as physical function ( 85.92 ± 10.06 vs 69.58 ± 12.86),role function ( 70.05 ± 18.85 vs 41.66 ± 23.35 ),emotional function (89.77 ± 17.03 vs 70.43 ± 16.98 ),cognitive function(90.25 ± 14.85 vs 71.03 ± 15.64),social function(73.15 ± 18.70 vs 40.87 ± 20.88 ),and the life quality score of experimental group was significantly higher than that of the control group (77.84 ± 16.94 vs 53.16 ± 19.12),and the difference were statistically significant ( t =6.329,5.983,5.086,5.636,7.284 6.110,respectively;P＜0.05).The score of fatigued and pain of experimental group respectively were ( 19.44 ± 10.96) and (9.46 ±4.55),and that of the control group were (40.74 ± 17.63)and( 17.85 ± 8.95),and the difference were statistically significant (t =- 6.489,- 5.285,respectively; P ＜ 0.01 ).And the cases number of sleep disorder,anorexia,diarrhea in experimental group were significantly lower than that of control group ( 17 vs 31,10 vs 35,2 vs 8 ; x2 =10.208,31.746,4.114,respectively; P ＜ 0.05 或 P ＜ 0.01 ).And there were no significant difference in the score of nausea and vomiting symptoms,single problem of breath shortness and constipation,and the economic problems between experimental group and control group ( P ＞ 0.05 ).Conclusions The intervention of stoma visitor can effectively improve the quality of life of patients with stoma colostomy.
