论文部分内容阅读
目的:探讨专病管理模式在肠造口患者随访中的实施效果,为专病模式的广泛开展提供循证依据。方法:选取浙江省肿瘤医院2014年5月~2015年7月收治的143例肠造口患者为研究对象,随机分为两组,常规组(71例),按照常规模式对肠造口患者进行术后随访;专病管理组(72例)按照专病管理模式对肠造口患者实行以造口师为主导的专病管理干预。统计分析两组患者肠造口术后半年的焦虑水平和造口适应水平,以探讨专病管理模式在肠造口患者随访中的实施效果。结果:造口适应水平以造口者社会心理适应量表(Ostomy Adjustment Inventory-20,OAI-20)为评价工具,显示两组患者干预后均比干预前评分(P<0.05),专病管理组OAI-20评分明显比常规组高;焦虑水平以焦虑自评量表(SAS)为评价工具,显示两组患者干预后均比干预前评分低(P<0.05),专病管理组SAS评分明显比常规组低。结论:专病管理模式在肠造口患者随访中的实施效果显著,能有效降低患者焦虑水平,提高患者造口适应水平。
Objective: To explore the implementation effect of special disease management in follow-up of patients with enterostoma and to provide evidence-based evidence for the extensive disease mode. METHODS: A total of 143 patients with enterostomy from May 2014 to July 2015 in Zhejiang Cancer Hospital were enrolled and randomly divided into two groups. The conventional group (71 cases) Postoperative follow-up; special disease management group (72 cases) in accordance with the special disease management mode for patients with stoma stomatology-led specialist disease management intervention. The levels of anxiety and stoma adaptation in the two groups were statistically analyzed in two groups in order to investigate the effect of special disease management in follow-up of patients with enterostoma. Results: The Ostomy Adaptation Inventory-20 (OAI-20) was used as an assessment tool in the stoma adaptation, showing that both groups were better than the pre-intervention score (P <0.05) Group OAI-20 score was significantly higher than the conventional group; anxiety level by anxiety self-rating scale (SAS) as a tool to evaluate the two groups were significantly lower than the intervention before intervention scores (P <0.05), the special disease management group SAS score Obviously lower than the conventional group. Conclusion: The special disease management mode has a significant effect in the follow-up of patients with enterostoma, which can effectively reduce the level of anxiety and improve the patients’ adaptation to stoma.