基于跨理论模型的社区-家庭协同护理模式对直肠癌造口患者社会适应性的效果研究
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摘要
目的探讨基于跨理论模型的社区-家庭协同护理模式对直肠癌造口术患者社会适应性的效果。方法采用整群抽样法,选择2016年4月-2017年3月社区中的100例造口术后的患者分为对照组和观察组,对照组53例,观察组47例。对照组给予常规的健康教育,观察组应用基于跨理论模型的社区-家庭协同护理模式的健康教育,评估观察组造口患者所处的行为意向阶段的变化,比较两组造口患者的社会心理适应水平。结果干预后观察组大部分造口患者处于准备阶段和行动阶段,干预后观察组造口患者的正性情绪、负性情绪、社会生活适应及社会心理适应水平的得分明显高于对照组(P<0.05)。结论基于跨理论模型的社区-家庭协同护理模式能够改变造口患者所处的行为意向阶段,提高造口患者的社会心理适应水平。
Objective To study the effect of community-family cooperative nursing model based on cross-theoretical model on social adaptability of patients with rectal cancer stoma. Methods Based on random sampling, totally of 100 patients with permanent colostomy were randomly divided into control group(53 cases) and observation group(47 cases). The control group was given routine health education, while the observation group received health education with community-family cooperative care based on trans-theoretical model. The changes of behavioral intention stage of patients with stoma in the observation group was evaluated to compare the psychosocial adaptation level of patients with stoma between the two groups. Results After the intervention, most patients with permanent colostomy in the observation group were in the preparatory stage and the action stage, the scores of positive emotion, negative emotion, social adjustment and social psychological adjustment of the patients with permanent colostomy of the observation group were significantly higher than that of the control group(P<0.05). Conclusions The social adjustment based on trans-theoretical model can change the behavior intention stage of patients with permanent colostomy, and to improve the level of social psychological adjustment.
Objective To study the effect of community-family cooperative nursing model based on cross-theoretical model on social adaptability of patients with rectal cancer stoma. Methods Based on random sampling, totally of 100 patients with permanent colostomy were randomly divided into control group(53 cases) and observation group(47 cases). The control group was given routine health education, while the observation group received health education with community-family cooperative care based on trans-theoretical model. The changes of behavioral intention stage of patients with stoma in the observation group was evaluated to compare the psychosocial adaptation level of patients with stoma between the two groups. Results After the intervention, most patients with permanent colostomy in the observation group were in the preparatory stage and the action stage, the scores of positive emotion, negative emotion, social adjustment and social psychological adjustment of the patients with permanent colostomy of the observation group were significantly higher than that of the control group(P<0.05). Conclusions The social adjustment based on trans-theoretical model can change the behavior intention stage of patients with permanent colostomy, and to improve the level of social psychological adjustment.
引文
[1] 李道娟,李倩,贺宇彤.结直肠癌流行病学趋势[J].肿瘤防治研究,2015,42(3):305-310.
[2] Krouse F,Grant M,Ferrell B,et al.Quality of life outcomes in 599 cancer and non-cancer patients with colostomies[J].J Surg Res,2007,138(1):79-87.
[3] Danielsen A K,Soerensen E E,Burcharth K,et al.Impact of a temporary stoma on patients' everyday lives:Feelings of uncertainty while waiting for closure of the stoma[J].J Clin Nurs,2013,22(9-10):1343-1352.
[4] 施晓茜,葛品,李国凯,徐玉英,刘桂华.基于跨理论模型的营养指导对低危早产儿钙质状况的影响[J].福建医药杂志,2018,40(1):162-163.
[5] 陈巍,林平,李玲,等.基于跨理论模型的健康教育对心力衰竭患者自我护理行为的影响[J].中华护理杂志,2013,48(4):293-296.
[6] 许勤,程芳,戴晓冬,等.永久性结肠造口患者社会心理适应及相关因素分析[J].中华护理杂志,2010,45(10):883-885.
[7] Simmons K L,Smith J A,Maekawa A.Development and psychometric evaluation of the ostomy adjustment inventory-23[J].J Wound Ostomy Continence Nurs,2009,36(1):69-76.
[8] 沈洁,赵文凤,陈友慧,等.跨理论模型对COPD患者氧疗及生活质量的影响研究[J].护士进修杂志,2018,33(23):2156-2158.
[2] Krouse F,Grant M,Ferrell B,et al.Quality of life outcomes in 599 cancer and non-cancer patients with colostomies[J].J Surg Res,2007,138(1):79-87.
[3] Danielsen A K,Soerensen E E,Burcharth K,et al.Impact of a temporary stoma on patients' everyday lives:Feelings of uncertainty while waiting for closure of the stoma[J].J Clin Nurs,2013,22(9-10):1343-1352.
[4] 施晓茜,葛品,李国凯,徐玉英,刘桂华.基于跨理论模型的营养指导对低危早产儿钙质状况的影响[J].福建医药杂志,2018,40(1):162-163.
[5] 陈巍,林平,李玲,等.基于跨理论模型的健康教育对心力衰竭患者自我护理行为的影响[J].中华护理杂志,2013,48(4):293-296.
[6] 许勤,程芳,戴晓冬,等.永久性结肠造口患者社会心理适应及相关因素分析[J].中华护理杂志,2010,45(10):883-885.
[7] Simmons K L,Smith J A,Maekawa A.Development and psychometric evaluation of the ostomy adjustment inventory-23[J].J Wound Ostomy Continence Nurs,2009,36(1):69-76.
[8] 沈洁,赵文凤,陈友慧,等.跨理论模型对COPD患者氧疗及生活质量的影响研究[J].护士进修杂志,2018,33(23):2156-2158.