论文部分内容阅读
目的探讨社区结肠造口术后管理模式承接出院后患者管理的效果。方法选取广州市居住的出院造口患者62例,进行社区结肠造口术患者的管理,管理3个月,前后分别使用SF36生活质量评价量表和社会支持评定量表及健康行为能力自评量表进行管理效果评估。结果 SF36生活质量评价量表调查问卷对患者干预前后生活质量进行多维评价。干预前后一般健康状况、精力、情感职能、精神健康以及总分的差异有统计学意义(P<0.05)。社会支持评定量表SSRS评价中,其中主观支持、对支持的利用度及总分差异有统计学意义(P<0.01)。健康行为能力自评量表SRAHP4个分量表干预后得分均高于干预前,其中营养、心理安适及总分的差异有统计学意义(P<0.01)。结论社区结肠造口术后管理模式承接出院后患者管理能提高造口患者的综合状态和生命质量,为社区开展出院后造口患者的继续康复提供可操作性的经验。
Objective To explore the effect of management mode of community colostomy after patient discharged from hospital. Methods Sixty-two discharged discharge stomatologists were enrolled in this study. The management and management of community colostomy patients were conducted for three months. Before and after treatment, the SF36 quality of life assessment scale, social support rating scale and self- Table for management effectiveness evaluation. Results SF36 questionnaire of quality of life questionnaire for multi-dimensional evaluation of quality of life before and after intervention. Before and after intervention, there were significant differences in general health, energy, emotional function, mental health and total score (P <0.05). Social support rating scale SSRS evaluation, including subjective support, support for utilization and total score difference was statistically significant (P <0.01). The scores of SRAHP 4 subscales after intervention were higher than those before intervention, and the difference of nutrition, psychological well-being and total score were statistically significant (P <0.01). Conclusion Management of post-colonial colostomy management in post-discharge patients can improve the comprehensive status and quality of life of patients with stoma, and provide practical experience for the community to continue rehabilitation after stoma discharge.