Effects of positive psychological intervention in patients with permanent enterostomy
10.3761/j.issn.0254-1769.2024.12.002
- VernacularTitle:积极心理干预在永久性肠造口患者中的应用研究
- Author:
Shengmei QU
1
;
Xiangxiu QI
;
Qun LI
;
Ke LI
;
Yan LI
;
Li HAN
;
Jingying LI
Author Information
1. 110000 沈阳市中国医科大学附属盛京医院护理部
- Keywords:
Permanent Enterostomy;
Positive Psychological Intervention;
Stigma;
Quality of Life;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(12):1422-1428
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of positive psychological intervention based on PERMA model of wellbeing on stigma,adaptation to ostomy and quality of life in patients with permanent enterostomy.Methods A total of 83 patients with permanent enterostomy were recruited from October 2022 to September 2023 in a tertiary hospital in Liaoning Province.They were randomly divided into an experimental group and a control group.While the control group received routine nursing,the experimental group received nursing intervention based on PERMA.The intervention lasted 8 weeks,and data were collected before and after the intervention.The scores of the Social Impact Scale(SIS),Ostomy Adjustment Inventory-20(OAI-20)and Stoma Quality of Life(Stoma-QOL)in the 2 groups were compared.Results Experimental group and control group were 40 cases each completed the study.After the intervention,the SIS score of the experimental group was(44.70±9.10),which was significantly lower than(62.15±12.43)of the control group,and the difference between 2 groups was statistically significant(t=-7.163,P<0.001).The OAI-20 score of the experimental group was(52.28±5.80),which was significantly higher than(41.53±9.00)of the control group,and the difference between the 2 groups was statistically significant(t=6.349,P<0.001).The Stoma-QOL score of the experimental group was(54.08±8.29),which was significantly higher than(42.95±9.19)of the control group,and the difference between the 2 groups was statistically significant(t=5.688,P<0.001).Conclusion Nursing interventions based on PERMA are beneficial in reducing stigma of patients with permanent enterostomy,improving their ostomy adjustment and postoperative quality of life.