Effectiveness of home management based on ecological systems theory in patients undergoing endoscopic colon polypectomy
10.3760/cma.j.cn115682-20241011-05565
- VernacularTitle:基于生态系统理论的家庭管理在内镜下结肠息肉切除术后患者中的应用
- Author:
Jian TIAN
1
;
Na DU
;
Chong QU
Author Information
1. 吉林大学中日联谊医院胃肠内科（内镜中心），长春 130033
- Publication Type:Journal Article
- Keywords:
Colonic polyps;
Endoscopy;
Ecological systems theory;
Family management;
Postoperative care
- From:
Chinese Journal of Modern Nursing
2025;31(21):2895-2900
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effectiveness of home management based on ecological systems theory (EST) in the nursing of patients undergoing endoscopic colon polypectomy.Methods:Convenience sampling was used to select 562 patients undergoing endoscopic colon polypectomy admitted to the China-Japan Union Hospital of Jilin University from July 2023 to January 2024 as study subjects. The patients were divided into a control group ( n=280) and an intervention group ( n=282) . Control group was given routine postoperative nursing and intervention group was treated with EST-based home management on the basis of control group. The incidence of postoperative complications, colonoscopy review rate, and scores on the Self-Management Ability Scale (SMAS) , the Connor-Davidson Resilience Scale (CD-RISC) , and the Short Form-36 Health Survey (SF-36) before and after the intervention were compared between the two groups. Results:After intervention, the overall incidence of postoperative complications in the two groups was not statistically significant (χ 2=0.124, P>0.05) . The colonoscopy review rate of patients in intervention group was higher than that of control group, and the difference was statistically significant (χ 2=12.204, P<0.01) . After intervention, the scores of the dimensions in SMAS and the total scores of both groups were higher than those before intervention, and the scores of the dimensions in SMAS and the total scores of the patients in intervention group were higher than those in control group, and the differences were statistically significant (all P<0.05) . After intervention, the scores of the dimensions in CD-RISC and the total scores of the patients in both groups were higher than those before intervention, and the scores of the dimensions in CD-RISC and the total scores of the patients in intervention group were higher than those in control group, and the differences were statistically significant (all P<0.05) . After intervention, the scores of all dimensions in SF-36 of both groups were higher than those before intervention, and the scores of all dimensions in SF-36 in intervention group were higher than those in control group, and the differences were statistically significant (all P<0.05) . Conclusions:EST-based home management is effective in patients undergoing endoscopic colon polypectomy, and can enhance postoperative patients' compliance with colonoscopy review, increase their self-management ability, and improve their psychological condition and quality of life.
