|
|
|
| Effect of cross-media health education on self-care ability and adaptability of patients with enterostomy |
| YANG Yang WANG Wenshuang XIAN Hongtao SHAO Yinfang WANG Xinran▲ |
| Department of General Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
|
|
|
|
Abstract Objective To explore the effect of cross-media health education on self-care ability and adaptability of patients with enterostomy. Methods A total of 66 patients with enterostomy admitted to Xuanwu Hospital, Capital Medical University from August 2018 to May 2020 were selected as the research objects. According to the random number table method, the patients were divided into control group and intervention group, control group 35 cases, intervention group 31 cases. The patients in the control group were given routine health education, and the intervention group was given cross-media health education on the basis of the control group. The self-care ability and the level of postoperative psychosocial adaptation were compared one day before discharge, one month after discharge, and three months after discharge. Results The overall analysis found that the differences between the two groups, time points and interaction were statistically significant (P＜0.05); further analysis and intra-group comparison: there were statistically significant differences in the scores of self-care ability of the two groups at each time point (P＜0.05), comparison between groups: one and three months after discharge, the self-care ability of the intervention group was higher than that of the control group, the differences were statistically significant (P＜0.05); further analysis and intra-group comparison: the stoma adaptability scores of each time point in the intervention group were compared, and the differences were statistically significant (P＜0.05). Comparison between groups: one day before and three months after discharge, the stoma adaptability score of the intervention group was higher than that of the control group, and the differences were statistically significant (P＜0.05) Conclusion The cross-media health education can effectively improve the self-care ability of patients with enterostomy, promote early adaptation to the stoma, and improve postoperative quality of life.
|
|
|
|
|
|
[1] Ferrara F，Parini D，Bondurri A，et al. Italian guidelines for the surgical management of enteral stomas in adults [J]. Tech Coloproctol，2019，23（11）：1037-1056.
[2] You YN，Hardiman KM，Bafford A，et al. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Rectal Cancer [J]. Dis Colon Rectum，2020，63（9）：1191-1222.
[3] Braumann C，Müller V，Knies M，et al. Quality of life and need for care in patients with an ostomy：a survey of 2647 patients of the Berlin OStomy-Study （BOSS） [J]. Langenbecks Arch Surg，2016，401（8）：1191-1201.
[4] 黄梅雪，黄艳青，凌玉芳，等.肠造口患者社会心理适应现状及影响因素分析[J].中国医药导报，2017，14（18）：172-176.
[5] 唐云跃，岳树锦，郭彤，等.国外最佳肠造口临床实践指南健康教育推荐意见的分析研究[J].护理研究，2020，34（10）：1733-1738.
[6] Grahn SW，Lowry AC，Osborne MC，et al. System-Wide Improvement for Transitions After Ileostomy Surgery：Can Intensive Monitoring of Protocol Compliance Decrease Readmissions? A Randomized Trial [J]. Dis Colon Rectum，2019， 62（3）：363-370.
[7] Sena JF，Silva I，Lucena S，et al. Validation of educational material for the care of people with intestinal stoma [J]. Rev Lat Am Enfermagem，2020，28：e3269.
[8] Lopez-Olivo MA，des Bordes J，Lin H，et al. Comparison of multimedia and printed patient education tools for patients with osteoporosis：a 6-month randomized controlled trial [J]. Osteoporos Int，2020，31（5）：857-866.
[9] 邓益君，郑美春，张俊娥，等.膀胱癌回肠导管术后患者造口护理自我效能的研究[J].护理管理杂志，2015，15（11）：766-769.
[10] 皋文君，袁长蓉.中文版造口患者适应量表的信效度测评[J].中华护理杂志，2011，46（8）：811-813.
[11] 李之华，张庆芬，刘子晗.多媒体健康教育在围手术期胰腺肿瘤患者自我管理中的应用研究[J].护士进修杂志，2018，33（12）：1135-1137.
[12] Wang SY，Chang TH，Han CY. Effectiveness of a Multimedia Patient Education Intervention on Improving Self-care Knowledge and Skills in Patients with Colorectal Cancer after Enterostomy Surgery：A Pilot Study [J]. Adv Skin Wound Care，2021，34（2）：1-6.
[13] Dalmolin A，Girardon-Perlini NM，Coppetti LC，et al. Educational video as a healthcare education resource for people with colostomy and their families [J]. Rev Gaucha Enferm，2017，37（spe）：e68373.
[14] 王帅颖，刘琴，栾涛，等.基于互联网平台的4C延续性护理模式在肠造口患者中的应用[J].中国医药导报，2021， 18（26）：165-169.
[15] 杜娴，杨燕，王丽，等.微视频教育对永久性肠造口患者自我护理能力及生活质量的影响[J].护理学杂志，2021， 36（16）：47-49.
[16] 陆芳芹，陈丽娟，茅志娟，等.多媒体健康教育应用于经皮穿刺腰椎间盘髓核摘除术患者的效果评价[J].中国医药导报，2021，18（8）：181-184.
[17] Steves SL，Scafide KN. Multimedia in preoperative patient education for adults undergoing cancer surgery：A systematic review [J]. Eur J Oncol Nurs，2021，52：101981.
[18] Yi■ito■lu ET，■endir M. Effect of a mobile patient education application on adjustment to stoma and development of peristomal skin lesions：a quasi-experimental study [J]. Wound Manag Prev，2021，67（12）：30-40.
[19] 邱沙，王建宏，路伟.基于多媒体为主导的健康教育对超声造影肝癌介入治疗患者知信行水平及自我护理能力的影响[J].中国医药导报，2021，18（31）：176-179.
[20] Folguera-Arnau M，Gutiérrez-Vilaplana JM，González- María E，et al. Implementation of best practice guidelines for ostomy care and management：Care outcomes [J]. Enferm Clin （Engl Ed），2020，30（3）：176-184.
[21] Liu H，Zhu X，Yu J，et al. The Quality of Life of Patients with Colorectal Cancer and a Stoma in China：A Quantitative Cross-sectional Study [J]. Adv Skin Wound Care，2021， 34（6）：302-307.
[22] Szpilewska K，Juzwiszyn J，Bolanowska Z，et al. Acceptance of disease and the quality of life in patients with enteric stoma [J]. Pol Przegl Chir，2018，90（1）：13-17.
[23] Karada■ A，Karabulut H，Baykara ZG，et al. A Prospective，Multicentered Study to Assess Social Adjustment in Patients With an Intestinal Stoma in Turkey [J]. Ostomy Wound Manage，2015，61（10）：16-29.
[24] Turner MC，O’Brien JD，Kahn RM，et al. Impact of Disgust on Intentions to Undergo Colorectal Surgery [J]. Dis Colon Rectum，2018，61（12）：1386-1392.
[25] Lim SH，Chan S，Chow A，et al. Pilot trial of a STOMA psychosocial intervention programme for colorectal cancer patients with stomas [J]. J Adv Nurs，2019，75（6）：1338-1346. |
|
|
|
