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| Study on the application of family integrated care in improving the care ability of family members of elderly patients with enterostomy |
| GU Tiantian1 ZHANG Yongmei1 ZHENG Xilan2 LI Xiaojuan3 HE Jinyan2 |
1.School of Nursing, Zunyi Medical University, Guizhou Province, Zunyi 563000, China;
2.Gastrointestinal Surgery, Affiliated Hospital of Zunyi Medical University, Guizhou Province, Zunyi 563000, China;
3.Intensive Care Unit, Affiliated Hospital of Zunyi Medical University, Guizhou Province, Zunyi 563000, China |
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Abstract Objective To explore the role of family integrated care in improving the care ability of family members of elderly patients with enterostomy. Methods The convenience sampling method was used to select 67 family members of elderly patients with enterostomy who underwent gastrointestinal surgery in the Gastrointestinal Surgery, Affiliated Hospital of Zunyi Medical University from March to December 2018 as the research objects. A randomized controlled trial was conducted to divide family members into the experimental group (34 cases) and the control group (33 cases) according to the random number table. The control group received routine nursing care of gastrointestinal surgery. The experimental group received family integrated care. The awareness of enterostomy health knowledge, mastery of nursing skills and care ability of family members were compared between two groups. Results The overall analysis of family members′ mastery of knowledge of enterostomy health in the two groups showed that the differences in inter-group, time and interaction were highly statistically significant (all P ＜ 0.01). The awareness scores of stoma knowledge of the family members of the two groups on the day before operation and the day of discharge were higher than that on the day of admission, the differences were highly statistically significant (all P ＜ 0.01); the awareness scores of stoma knowledge of the family members of the experimental group on the day before operation and the day of discharge were higher than that of the control group, the differences were highly statistically significant (all P ＜ 0.01). The nursing skill scores of the two groups on the day of discharge were higher than 1 d before the operation, and the nursing skill scores of the experimental group on the day of discharge and 1 d before the operation were higher than that of the control group, the differences were highly statistically significant (all P ＜ 0.01). The experimental group was lower than the control group in the scores of adjusting to the role of care, responding to and providing assistance, assessing individual emotions, assessing family and community resources, adjusting life to meet the care needs and the total score of care ability, the differences were all highly statistically significant (all P ＜ 0.01). Conclusion Family integrated care for elderly enterostomy patients can effectively improve the health knowledge level and nursing skills of primary caregivers, enhance their care ability and improve the prognosis of patients.
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