1.Impact of personalized continuing health education on the compliance of permanent colostomy patients
Linmin ZHUGE ; Yiying WANG ; Lingqin WANG ; Aihua CHEN ; Rong CHEN
Chinese Journal of Modern Nursing 2015;(17):1996-1998,1999
Objective To investigate the effect of personalized continuing education on the compliance of permanent colostomy patients. Methods A total of 160 cases to accept a permanent colostomy were selected from October 2011 to December 2013, and were averagely divided into experimental group and control group according to random number table method in accordance with the composition. The patients of the control group were given conventional educational methods while the patients of the experimental group were given personalized continuing health education on the basis of the control group. The Excise of Self-care Agency Scale ( ESCA) had been used for the assessment of patient′s self-care ability about colostomy. Results The score of the experimental group was higher than that of the control group at ESCA ( P <0. 05 ); the color judgment of colostomy, subsidiary products application of colostomy, the prevention and its nursing of colostomy complications in the experimental group were better than those of the control group (P <0. 05). The higher score in the experimental group also represented at aspects of patient′s self-care knowledge control (97. 5%), self-care implementation (92. 5%), achieving personalized health goal (97. 5%) and complier (96. 3%) compared with those of the control group (χ2 =4. 574, 6. 874, 7. 873, 9. 872,respectively;P <0. 05). Conclusions The personalized continuing health education can improve the compliance of permanent colostomy patients.
2.Application of integrated mode of medical and nursing in colostomy patients
Yiying WANG ; Linmin ZHUGE ; Lingxue FU ; Weiwei ZHAO ; Min LU ; Ying HE
Chinese Journal of Modern Nursing 2021;27(28):3899-3902
Objective:To explore the application effect of integrated mode of medical and nursing in colostomy patients.Methods:Using the convenient sampling method, a total of 60 patients who underwent colostomy in the Second Affiliated Hospital of Wenzhou Medical University from January 2019 to April 2020 were selected as the research objects. The patients who hospitalized from January to August 2019 were included in the control group, and the patients who hospitalized from September 2019 to April 2020 were included in the observation group, with 30 cases in each group. The patients in the control group were treated with routine nursing mode, and the patients in the observation group were treated with integrated mode of medical and nursing. Before discharge, 1, 3 and 6 months after the operation, the status of independent replacement of colostomy bags, scores of the Stoma Self-care Scale-Early Version and the incidence of stoma complications were compared between the two groups.Results:There was no statistically significant difference in the number of patients who changed colostomy bags independently before discharge and 1, 3 and 6 months after the operation between the two group ( P>0.05) . There was no statistically significant difference in the number of cases of periostomy dermatitis, ostomy and mucosal separation and stoma depression between the two groups of patients after surgery ( P>0.05) . The score of the Stoma Self-care Scale-Early Version of the observation group were higher than that of the control group at 3 and 6 months after surgery, and the difference was statistically significant ( P<0.05) . Conclusions:The integrated mode of medical and nursing can improve the self-care ability of patients at 3 and 6 months after the operation , which is worthy of clinical application.