摘要
目的探讨行动导向教学法对直肠癌造口患者健康教育效果的影响。方法选取2012年6月至2015月12月间苏州大学附属第二医院收治的108例直肠癌行结肠造口患者,采用随机数字表法分为观察组与对照组,每组54例。观察组患者给予行动导向教学法的健康教育模式,对照组患者给予常规健康教育模式。6个月后,对两组患者的焦虑和抑郁情况、自我护理能力、并发症及满意度进行对比。结果干预前,两组患者焦虑和抑郁评分,差异均无统计学意义。干预后,两组患者焦虑和抑郁评分均比干预前降低,差异均有统计学意义(均P<0.05);且观察组患者焦虑评分(39.1±5.9)分和抑郁评分(40.3±5.1)分,均显著低于对照组患者的(49.5±6.6)分和(47.6±5.8)分,两组比较,差异均有统计学意义(均P<0.05)。观察组患者自我护理技能(35.9±4.9)分、自我责任感(27.8±5.9)分、自我概念(22.4±3.4)分、健康知识水平(47.4±5.4)分及总分(133.5±7.2)分均显著高于对照组患者的(29.7±4.7)分、(20.5±4.6)分、(17.9±3.0)分、(36.5±7.4)分及(104.6±6.9)分,两组比较,差异均有统计学意义(均P<0.05)。观察组患者并发症发生4例,显著低于对照组的29例,观察组患者满意度为96.3%(52/54),显著高于对照组患者的83.3%(45/54),两组比较,差异均有统计学意义(均P<0.05)。结论将行动导向教学法应用于直肠癌造口患者的健康教育中,可有效缓解患者的焦虑和抑郁情绪,提升自我护理能力和满意度,降低并发症,值得临床推广。
Objective To explore effect of action-oriented teaching approach on health education in patients receiving colostomy for colorectal cancer. Methods A total of 108 patients with rectal cancer who were admitted to The Second Hospital Affiliated to Suzhou University from June 2012 to December 2015 were selected and randomly divided into an observation group and a control group with 54 patients in each group.The patients in the observation group were given health education based on action oriented teaching approach,while the control group was given routine health education. After 6 months,anxiety and depression were compared between the two groups. Results Before the intervention,there was no significant difference in anxiety and depression scores between the two groups. After the intervention,anxiety and depression scores reduced in both groups than before the intervention（ P〈0. 05）. Anxiety score and depression score was（ 39. 1 ＋ 5. 9） and（ 40. 3 ＋ 5. 1） respectively in the observation group which were significantly lower than（ 49. 5 ＋ 6. 6） and（ 47. 6 ＋ 5. 8） of the control group respectively（ P〈0. 05）. Score of self nursing skills,sense of self responsibility,self-concept and health knowledge level and overall score were significantly higher in the observation group（ 35. 9 ± 4. 9,27. 8 ± 5. 9,22. 4 ± 3. 4,47. 4 ± 5. 4 and 133. 5 ± 7. 2respectively） than in the control group（ 29. 7 ± 4. 7,20. 5 ± 4. 6,17. 9 ± 3. 0,36. 5 ± 7. 4 and 104. 6 ± 6. 9respectively）（ P〈0. 05）. Complications was found in 4 patients in the observation group which was significantly lower than 29 patients of the control group. 96. 3% patients（ 52/54） satisfied with the care in the observation group which was significantly higher than 83. 3% patients（ 45/54） of the control group（ P〈0. 05）. Conclusion The action-oriented teaching approach for health education can effectively relieve patients＇ anxiety and depression,improve self-care ability and satisfaction,reduce the complications in patients experienced colostomy for colorectal cancer,which is worthy of promotion.
出处
《中国肿瘤临床与康复》
2017年第3期352-355,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
行动导向教学法
直肠肿瘤造口
健康教育
Action-oriented teaching approach
Colostomy for rectal cancer
Health education
