Effects of health education based on the information motivation behavioral skills model on discharge readiness and early postoperative complications of patients with permanent enterostomy
10.3760/cma.j.cn115682-20220721-03553
- VernacularTitle:基于信息-动机-行为技巧模型的健康教育对永久性肠造口患者出院准备度及出院早期造口并发症的影响
- Author:
Limin XIA
1
;
Jingyue WANG
;
Xiaoxuan CHEN
;
Bin XIE
;
Minzhi DAI
;
Caixia SUN
Author Information
1. 温州医科大学附属第一医院结直肠外科，温州 325000
- Keywords:
Enterostomy;
Health education;
Information motivation behavioral skills model;
Readiness for discharge;
Self-efficacy
- From:
Chinese Journal of Modern Nursing
2023;29(13):1752-1758
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a health education program for patients with permanent enterostomy based on the information motivation behavioral skills model, and to test its effectiveness in improving patient readiness for discharge and reducing the incidence of early ostomy complications after discharge.Methods:From February 2021 to January 2022, convenience sampling was used to select 68 patients with low rectal cancer who were diagnosed by the Colorectal Surgery Department at the First Affiliated Hospital of Wenzhou Medical University and underwent abdominal perineal combined radical resection of rectal cancer (Miles) as research subjects. Randomized number series were generated using the digital table method, and the subjects were randomly divided into control group (33 cases) and intervention group (35 cases) using the envelope method. The control group was housed in the first ward, while the intervention group was housed in the second ward. The control group implemented the conventional health education, while the intervention group carried out the health education based on the information motivation behavioral skills model. The discharge readiness scores, ostomy self-efficacy and ostomy complications were compared between the two groups on the day of discharge and one month after discharge.Results:Patients in the intervention group had higher discharge readiness scores and higher discharge readiness levels than those in the control group, with statistical differences ( P<0.01) . The intervention group had higher levels of ostomy self-efficacy than the control group one month after discharge, with statistically significant difference ( P<0.01) . At the time of discharge for one month, the overall incidence of ostomy complications in the intervention group was 11.43% (4/35) , lower than 42.42% (14/33) in the control group, with a statistically significant difference ( P<0.01) . Conclusions:The health education program based on the information motivation behavioral skills model can effectively increase the readiness of patients with permanent enterostomy for discharge, reduce the incidence of complications of the ostomy and surrounding skin, improve the ostomy self-efficacy and promote patient rehabilitation.
