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目的探讨基于团队的认知干预对直肠癌造口患者自我效能、自护能力及术后情况的影响。方法随机将160例直肠癌患者分为观察组和对照组,每组各80例。两组患者给予基础护理,观察组另给予团队认知干预。随访记录两组患者术后3月并发症及造口周围皮肤情况,并对其自我效能、自护能力及术后恢复情况进行比较。结果观察组术后3月并发症总计发生率为45.00%,对照组为15.00%,差异有统计学意义(P<0.05)。观察组皮肤病变情况要明显优于对照组(P<0.05)。观察组自我效能、自护知识及自护技能得分均高于对照组;出院3月后观察组各项评分仍高于对照组,且观察组组内出院3月后各项评分较出院第一天均有提高,差异均有统计学意义(P<0.05)。结论对直肠癌造口患者进行基于团队的认知干预可有效增强患者自我效能、自护能力,有利于减少术口周围皮肤病变,降低术后并发症的发生率。
Objective To investigate the effect of team-based cognitive intervention on self-efficacy, self-care ability and postoperative condition in patients with rectal cancer. Methods 160 patients with rectal cancer were randomly divided into observation group and control group, 80 cases in each group. Two groups of patients given basic care, the observation group was given another team cognitive intervention. Follow-up records of two groups of patients after 3 months of complications and skin around the stoma, and its self-efficacy, self-protection and postoperative recovery were compared. Results The total incidence of postoperative complications in March was 45.00% in the observation group and 15.00% in the control group, the difference was statistically significant (P <0.05). The observation group skin lesions should be significantly better than the control group (P <0.05). Observation group self-efficacy, self-care knowledge and self-care skills scores were higher than the control group; discharged after 3 months the observation group scores are still higher than the control group, and the observation group after discharge from the hospital in March than the first score There was an increase in mean days, the differences were statistically significant (P <0.05). Conclusion The team-based cognitive intervention in patients with rectal cancer stoma can effectively enhance the patient’s self-efficacy and self-protection ability, reduce the skin lesions around the mouth and reduce the incidence of postoperative complications.