Application of mobile health education platform in continuous nursing for rectal cancer patients with preventive colostomy
10.3760/cma.j.issn.1674-2907.2019.16.010
- VernacularTitle:移动健康教育平台在直肠癌预防性造口患者延续护理中的应用
- Author:
Lin SUN
1
;
Hanhui YAO
;
Jiacheng WANG
;
Hailing ZHANG
;
Minjing SHEN
;
Jing LU
Author Information
1. 中国科学技术大学附属第一医院胃肠外科,合肥 230001
- Keywords:
Rectal cancer;
Colostomy;
Continuous nursing;
Mobile health education platform;
Preventive colostomy;
Knowledge-belief-behavior;
Ostomy adjustment
- From:
Chinese Journal of Modern Nursing
2019;25(16):2019-2023
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To investigate the effect of mobile health education platform in the continuous nursing after discharge for rectal cancer patients with preventive colostomy. Methods? From January to December 2017, 60 rectal cancer patients with preventive colostomy in the Department of Gastrointestinal Surgery in the First Affiliated Hospital of University of Science and Technology of China were selected as the subjects by convenient sampling. Patients were divided into two groups: observation group (n=30) and control group(n=30). The control group received regular health education and continuous nursing care of telephone follow-up after discharge, apart from which the observation group received nursing care based on the mobile health education platform. One month after discharge, the two groups were compared in terms of the effects of intervention by the use of Colostomy Patient Colostomy Knowledge Attitude and Practice Scale (CPCKAPS),Ostomy Adjustment Inventory(OAI),and Patients＇ Satisfactory Questionnaire. Results? One month after surgery, the observation group were higher than the control group in the " knowledge on stoma care(11.80±3.13)", "health belief(51.70±11.72)" and "health behavior (31.73±7.19)"with statistical significances (t=3.76, 2.90, 3.05;P＜ 0.05). There were statistical significance in the score of OAI between the observation group (43.23±11.90) and the control group (37.43±6.33); the observation group was higher than the control group in the "overall satisfaction degree towards continuous care" (76.67% vs. 43.33%) with statistical significance(χ2=7.69,P＜ 0.05). Conclusions? Compared with conventional continuous nursing mode, continuous nursing based on mobile health education platform can improve the knowledge, belief and behavior of colostomy care for rectal cancer patients with preventive colostomy, and improve the patients＇adaptability on colostomy, as well as their satisfaction.
