Construction and empirical study of self management program for patients with ureteral skin stoma
10.3760/cma.j.issn.1672-7088.2018.06.004
- VernacularTitle:输尿管皮肤造口患者自我管理方案的构建与实证研究
- Author:
Shuangfeng WANG
1
;
Huifan LIU
;
Qingqing DING
;
Shuqiang ZUO
;
Yan QI
;
Wenqing LI
Author Information
1. 450052,郑州大学第一附属医院外科医学部
- Keywords:
Ureterostomy;
Self-management;
Continuing nursing;
Delphi technique
- From:
Chinese Journal of Practical Nursing
2018;34(6):417-421
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct a self management program for patients with ureteral stoma, then validate the proposal. Methods The expert consensus reached an agreement after 2 rounds of Delphi expert consultation of "self management programme", according with the contents of the manual requirements,the intervention patients(41 cases)were given these self management interventions:regular one-on-one ostomy skills training, mental support and motivational interview, recording stoma diary, the control patients were given routine nursing interventions,after 1,3 and 6 months of implementation,their results of self management was evaluated. Results The total score of self-management ability was 99.32±10.41,105.34±13.75,109.18±10.91 in the control group after the intervention of 1,3 and 6 months respectively,and 106.73 ± 13.82,117.65 ± 15.47,129.43 ± 12.37 in the test group,the differences were statistically significant (t=7.847, 9.318, 11.416, P<0.01). The total score of quality of life was 167.18 ± 24.62, 173.36 ± 25.33, 179.48 ± 22.17 in the control group after the intervention of 1, 3 and 6 months respectively,and 178.66 ± 23.47,185.41 ± 22.67,213.17 ± 26.75 in the test group,the differences were statistically significant (t=6.839, 10.241, 13.926, P<0.01). Conclusions The construction of the ureterostomy self-management program, enhance patients'self-management consciousness, and improve the ability of self-management.
