Effects of extended nursing combined with PDSA circle and based on positive psychology on self-efficacy ;of patients with colostomy
10.3760/cma.j.issn.1674-2907.2016.36.005
- VernacularTitle:基于积极心理学的延续护理结合P DSA循环对肠造口患者自我效能感的影响
- Author:
Xiaoxia HE
1
;
Baoying PAN
;
Xuehu XU
;
Rong CHEN
;
Yinying YAN
;
Ruilian QU
;
Hongjuan YANG
Author Information
1. 510150 广州医科大学附属第三医院普外二区
- Keywords:
Enterostomy;
Positive psychology;
PDSA cycle;
Self-efficacy
- From:
Chinese Journal of Modern Nursing
2016;22(36):5202-5206,5207
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the function of extended nursing combined with PDSA circle and based on positivepsychology in improving self-efficacy of patients with colostomy. Methods A total of 80 patients with colostomy match the inclusion and exclusion standard from December 2014 to December 2015, were divided into the control group and the intervention group according to the order of discharge date.Patients in the control group received conventional extended nursing, while patients in the intervention group received extended nursing combined with PDSA circle and based on positivepsychology, and interventions were conducted a week, a month, two months, three months after discharge. Patients were evaluated by stoma related self-efficacy questionnaire before the intervention, after the fourth intervention and 3 months after intervention ( T0 , T1 ,T2 ) . Results There were significant differences in the dimensions, independent items and total scores of stoma related self-efficacy between two groups at different time after intervention except the item of confidence in sexual life (P<0.05), and they also had interactive effect (P<0.05).There was significant difference in the main effect of intervention time for the single item “confidence in sexual life” (P<0.05). In the intervention group, the scores of dimensions, independent items and total scores of stoma related self-efficiency after intervention and three months after intervention were significantly higher than those before intervention. Conclusions The extended nursing combined with PDSA circle and based on positivepsychology can improve the self-efficacy of patients with colostomy.