家庭-社会支持对肠造口患者不良情绪、生活质量的影响
|
摘要
目的:探究家庭-社会支持对肠造口患者不良情绪、生活质量的影响。方法:将笔者所在医院收治的96例结肠造口患者随机分为常规组与研究组各48例,对照组为常规护理,研究组在常规护理基础上为家庭-社会支持模式的护理,分析两组患者不良情绪、生活质量及护理满意度情况差异。结果:出院3个月后,两组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分均显著降低(P<0.05),且研究组降低幅度更大(P<0.05);出院3个月后,两组肠造口患者生活质量量表(C-COH)各维度评分及总分均显著升高(P<0.05),且研究组升高幅度更大(P<0.05);出院3个月后,研究组护理满意度评分显著高于对照组(P<0.05)。结论:为肠造口患者提供具有良好家庭-社会支持的护理能够调节患者心理状态,缓解其不良情绪,提高其生活质量。
Objective:To explore the effects of family-social support on adverse emotions and quality of life in patients with enterostomy.Method:A total of 96 patients with colostomy admitted to our hospital were randomly divided into routine group and intervention group(each n=48).The control group was given routine nursing,and the study group was given family-social support model nursing on the basis of routine nursing.The adverse emotions,quality of life and nursing satisfaction were analyzed in the two groups.Result:After 3 months of discharge,the scores of Hamilton Anxiety Scale(HAMA) and Hamilton Depression Scale(HAMD) in the two groups were significantly decreased(P<0.05),and the reduction was greater in study group(P<0.05).After 3 months of discharge,the dimensions scores and total score of quality of life(C-COH) in the two groups were significantly increased(P<0.05),and the increases were larger in the study group(P<0.05).After 3 months of discharge,the nursing satisfaction score in the study group was significantly higher than that in the control group(P<0.05).Conclusion:Good family-social support provided for patients with enterostomy can regulate the psychological states,alleviate the negative emotions and improve the quality of life.
Objective:To explore the effects of family-social support on adverse emotions and quality of life in patients with enterostomy.Method:A total of 96 patients with colostomy admitted to our hospital were randomly divided into routine group and intervention group(each n=48).The control group was given routine nursing,and the study group was given family-social support model nursing on the basis of routine nursing.The adverse emotions,quality of life and nursing satisfaction were analyzed in the two groups.Result:After 3 months of discharge,the scores of Hamilton Anxiety Scale(HAMA) and Hamilton Depression Scale(HAMD) in the two groups were significantly decreased(P<0.05),and the reduction was greater in study group(P<0.05).After 3 months of discharge,the dimensions scores and total score of quality of life(C-COH) in the two groups were significantly increased(P<0.05),and the increases were larger in the study group(P<0.05).After 3 months of discharge,the nursing satisfaction score in the study group was significantly higher than that in the control group(P<0.05).Conclusion:Good family-social support provided for patients with enterostomy can regulate the psychological states,alleviate the negative emotions and improve the quality of life.
引文
[1]邓丽娜,刘涛,张会君.老年结肠造口患者家属疾病不确定感及影响因素分析[J].中华护理杂志,2015,50(9):1047-1051.
[2]张娴,杜月娥,阎淑芹,等.肠造口病人生命质量及影响因素的研究[J].循证护理,2017,3(6):599-601.
[3]段立美,高伟,屈秀娜.肠造口病人心理护理的干预及研究进展[J].饮食保健,2016,3(15):157-158.
[4]羡红涛,张宇,杨洋,等.结肠造口患者生活质量现状及影响因素研究[J].中国护理管理,2018,18(6):829-834.
[5]倪建琴,黄玲玲,蒋大艳,等.延续性干预措施对结直肠癌造口患者术后预后与心理状态影响的分析[J].癌症进展,2018,16(2):258-261.
[6]马辉,韦瑞丽,班翠珍,等.个案管理对肠造口患者生活质量、抑郁、自护能力的影响研究[J].结直肠肛门外科,2017,23(6):779-782.
[7]包荣,张巧林.家庭护理干预对提高肠造口病人生活质量的影响[J].中国保健营养,2016,26(20):242-243.
[8]周亚香,戴丽华.永久性结肠造口患者心理障碍的影响因素分析及对策[J].护理实践与研究,2015,12(3):149-151.
[9]靳南囡,马建群,高春兴,等.家庭和社会支持对食管癌患者生活质量的影响[J].中国肿瘤临床与康复,2017,24(2):239-242.
[10]陈建英,方美珍.结肠造口术后康复期患者社会支持和生命质量的相关性[J].中华现代护理杂志,2015,21(4):463-465.
[11]何松雪,刘国杰,刘虹泽,等.永久性结肠造口患者伤残接受度与社会支持及应对方式的相关性分析[J].护理学报,2015,22(13):24-26.
[12]李苗苗,温肇霞.医院-社区-家庭一体化护理模式对肠造口患者生活质量的影响[J].齐鲁护理杂志,2015,21(4):33-34.
[2]张娴,杜月娥,阎淑芹,等.肠造口病人生命质量及影响因素的研究[J].循证护理,2017,3(6):599-601.
[3]段立美,高伟,屈秀娜.肠造口病人心理护理的干预及研究进展[J].饮食保健,2016,3(15):157-158.
[4]羡红涛,张宇,杨洋,等.结肠造口患者生活质量现状及影响因素研究[J].中国护理管理,2018,18(6):829-834.
[5]倪建琴,黄玲玲,蒋大艳,等.延续性干预措施对结直肠癌造口患者术后预后与心理状态影响的分析[J].癌症进展,2018,16(2):258-261.
[6]马辉,韦瑞丽,班翠珍,等.个案管理对肠造口患者生活质量、抑郁、自护能力的影响研究[J].结直肠肛门外科,2017,23(6):779-782.
[7]包荣,张巧林.家庭护理干预对提高肠造口病人生活质量的影响[J].中国保健营养,2016,26(20):242-243.
[8]周亚香,戴丽华.永久性结肠造口患者心理障碍的影响因素分析及对策[J].护理实践与研究,2015,12(3):149-151.
[9]靳南囡,马建群,高春兴,等.家庭和社会支持对食管癌患者生活质量的影响[J].中国肿瘤临床与康复,2017,24(2):239-242.
[10]陈建英,方美珍.结肠造口术后康复期患者社会支持和生命质量的相关性[J].中华现代护理杂志,2015,21(4):463-465.
[11]何松雪,刘国杰,刘虹泽,等.永久性结肠造口患者伤残接受度与社会支持及应对方式的相关性分析[J].护理学报,2015,22(13):24-26.
[12]李苗苗,温肇霞.医院-社区-家庭一体化护理模式对肠造口患者生活质量的影响[J].齐鲁护理杂志,2015,21(4):33-34.