基于授权理论的护理干预模式对直肠癌造口患者自护能力、并发症和生活质量的影响
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北京市医学奖励基金会项目(YXJL-2023-0535-0127);


Effect of nursing intervention model based on empowerment theory on self-care ability,complications and quality of life of patients with rectal cancer stoma
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    摘要:

    目的:探讨基于授权理论的护理干预模式对直肠癌造口患者自护能力、并发症和生活质量的影响。方法:纳入直肠癌造口术的105例患者为研究对象。将给予常规护理干预模式的53例患者作为对照组;将给予基于授权理论护理干预模式的52例患者作为观察组。两组均干预3个月,比较两组患者知信行水平[肠造口患者造口知信行量表(CPCKAPS)]、自护能力[造口自我护理能力评估表]、并发症发生情况、造口周围皮肤情况[造口周围皮肤评估工具(DET)]及生活质量[造口患者生活质量量表(COH-QOL-OQ)]。结果:干预后,两组患者CPCKAPS总分及各维度评分均上升(P<0.05),且观察组更高(P<0.05);两组患者造口自我护理能力评估表总分及各维度评分均上升(P<0.05),且观察组更高(P<0.05)。相较于对照组的18.86%,观察组患者总并发症发生率(5.76%)更低(P<0.05);观察组患者DET总分及各维度评分更低(P<0.05)。干预后,两组患者COH-QOL-OQ总分及各维度评分均上升(P<0.05),且观察组更高(P<0.05)。结论:基于授权理论的护理干预模式可提高直肠癌造口患者知信行水平及自护能力,降低患者并发症发生率,保护患者造口周围皮肤,提高患者生活质量。

    Abstract:

    Objective:To explore the effect of nursing intervention model based on empowerment theory on self-care ability,com-plications and quality of life of rectal cancer patients with stoma.Methods:105 patients who underwent rectal cancer ostomy were in-cluded in the study.According to the different nursing methods,they were divided into control group(n=53)and observation group(n=52).The control group was given routine nursing intervention mode,and the observation group was given nursing intervention mode based on authorization theory.The two groups were intervened for 3 months.The levels of knowledge,belief and practice[the knowl-edge,belief and practice scale for enterostomy patients(CPCKAPS)],self-care ability[the self-care ability assessment scale for enter-ostomy],complications,skin conditions around the stoma[the skin assessment tool around the stoma(DET)]and quality of life[the quality of life scale for enterostomy patients(COH-QOL-OQ)]were compared between the two groups.Results:After intervention,the total score of CPCKAPS and the scores of each dimension in the two groups increased(P<0.05),and the observation group was higher(P<0.05).The total score and each dimension score of the self-care ability assessment scale of the two groups increased(P<0.05),and the observation group was higher(P<0.05).Compared with 18.86%in the control group,the total incidence of complications in the observation group(5.76%)was lower(P<0.05).The observation group's total score of DET and the scores of each dimension were lower(P<0.05).After intervention,the score of COH-QOL-OQ in the two groups increased(P<0.05),and those in the obser-vation group were higher(P<0.05).Conclusion:The nursing intervention model based on empowerment theory can improve the knowledge-attitude-practice level and self-care ability of patients with rectal cancer stoma,reduce the incidence of complications,protect the skin around the stoma,and improve the quality of life of patients.

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李媛;朱艳;孟临翠;马启刚;.基于授权理论的护理干预模式对直肠癌造口患者自护能力、并发症和生活质量的影响[J].川北医学院学报,2025,40(3):404-408.

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  • 在线发布日期: 2025-07-24
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