Effects of the doctors, nurses and patients responsibility linkage nursing plan in the out-of-hospital rehabilitation management of enterostomy patients
10.3760/cma.j.cn115682-20201110-06146
- VernacularTitle:医护患责任联动护理干预方案在肠造口患者院外康复管理中的应用
- Author:
Zhiqin ZHANG
1
;
Lianxiang ZHANG
;
Hairong ZHAO
Author Information
1. 青海省人民医院普外科，西宁 810007
- Keywords:
Colorectal neoplasms;
Quality of life;
Enterostomy;
Rehabilitation;
Self-care
- From:
Chinese Journal of Modern Nursing
2021;27(21):2896-2900
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of the doctors, nurses and patients responsibility linkage nursing plan in the out-of-hospital rehabilitation management of patients with enterostomy.Methods:From January 2016 to August 2020, convenience sampling was used to select permanent colorectal cancer stoma patients admitted to Qinghai Provincial People's Hospital as research objects. According to the order of admission, patients were divided into the control group and the intervention group, with 76 cases in each group. The control group carried out routine nursing, and the intervention group implemented the doctor, nurse and patient responsibility linkage nursing plan. The scores of the Stoma Self-care Scale and the incidence of stoma complications were compared between the two groups of patients after the intervention, and the scores of the Chinese Version of City of Hope Quality of Life-Ostomy Questionnaire (C-COH) of patients with stoma before and after the intervention were compared between the two groups.Results:After the intervention, patients in the intervention group had an item average score of (4.25±0.61) on the Stoma Self-care Scale, and an item average score of (7.60±1.26) on C-COH, which were higher than those [ (3.69±0.67) and (6.95± 1.35) ]in the control group, the differences were statistically significant ( t=5.387, 3.068; P<0.05) . The incidence of stoma complications in the intervention group after the intervention was 7.8% (6/76) , which was lower than 19.7% (15/76) in the control group, and the difference was statistically significant ( χ2=4.475, P<0.05) . Conclusions:The application of the doctors, nurses and patients responsibility linkage nursing plan in the out-of-hospital rehabilitation management of patients with enterostomy can improve the self-care ability of patients, reduce the incidence of complications, and improve the quality of life, which is worthy of promotion.
