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健康教育路径干预对肠造口术患者自我护理能力和健康行为的影响 被引量:24

Effects of Health Education Pathway Intervention on Self-care Agency and Health Lifestyle Promotion in Colostomy Patients
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摘要 目的探讨健康教育路径干预对肠造口术患者自我护理能力和健康行为改善的效果。方法将2012年3月-2013年9月符合纳入标准的88例肠造口术患者,按随机数字表法分为干预组和对照组,每组各44例,对照组患者实施常规护理,干预组在常规护理的基础上实行健康教育路径干预,分别在术后造口开放前、术后第7天和第14天采用自我护理能力测定量表和健康行为测定量表评价并比较两组自我护理能力及健康行为状况,同时就住院费用、患者满意度进行比较。结果接受健康教育路径干预的患者自我护理能力及健康行为得分明显高于对照组,两组比差异有统计学意义(P<0.05)。同时,干预组患者住院时间和费用明显减少,患者满意度高于对照组,差异有统计学意义(P<0.05)。结论健康教育路径干预可明显提高肠造口术患者自我护理能力和健康行为,对患者康复及改善生活质量有积极意义。 Objective To investigate the effects of health education pathway intervention on self-care agency and health lifestyle promotion in colostomy patients.Methods Eighty-eight rectal cancer patients who had undergone colostomy were randomly divided into control group and intervention group(with 44 patients in each) between March2012 and September 2013.The control group received conventional nursing only,while the intervention group were given health education pathway intervention besides conventional nursing.The self-care agency and health lifestyle promotion in the two groups under pre-colostomy state,one week after colostomy and two weeks after colostomy were surveyed and compared based on the exercise of self-care agency scale and the health promotion lifestyle profile.Results After health education pathway intervention,the scores of self-care agency and health lifestyle promotion in the intervention group were significantly higher than those in the control group(P〈0.05),and the hospitalization expenditure was also obviously lower.Furthermore,the satisfaction degree on nursing service was significantly higher than that of the control group(P〈0.05).Conclusion The health education pathway intervention can greatly improve self-care agency and quality of life in rectal cancer patients who have undergone colostomy.
作者 安丹 王春菊
出处 《华西医学》 CAS 2015年第4期736-739,共4页 West China Medical Journal
关键词 健康教育路径 肠造口术 自我护理能力 生活质量 Health education pathway Colostomy Self-care agency Quality of life
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