中华护理杂志 ›› 2024, Vol. 59 ›› Issue (12): 1422-1428.DOI: 10.3761/j.issn.0254-1769.2024.12.002

• 伤口造口护理专题 • 上一篇    下一篇

积极心理干预在永久性肠造口患者中的应用研究

曲盛美(), 齐向秀(), 李群, 李可, 李妍, 韩丽, 李晶莹   

  1. 110000 沈阳市 中国医科大学附属盛京医院护理部(曲盛美,齐向秀),造口门诊(李群),普外科(李可,李妍,韩丽),研究生工作部(李晶莹)
  • 收稿日期:2023-10-20 出版日期:2024-06-20 发布日期:2024-06-20
  • 通讯作者: 齐向秀,E-mail:qixx@sj-hospital.org
  • 作者简介:曲盛美:女,本科(硕士在读),护士,E-mail:1826473063@qq.com
  • 基金资助:
    中国医科大学护理学院院级课题(2022HL-02)

Effects of positive psychological intervention in patients with permanent enterostomy

QU Shengmei(), QI Xiangxiu(), LI Qun, LI Ke, LI Yan, HAN Li, LI Jingying   

  • Received:2023-10-20 Online:2024-06-20 Published:2024-06-20

摘要:

目的 探讨积极心理干预对永久性肠造口患者病耻感、造口适应能力及生活质量的影响。 方法 采用方便抽样法,选取2022年10月—2023年9月在辽宁省某三级甲等医院行永久性肠造口患者,随机分为试验组41例和对照组42例。试验组实施基于幸福理论模式的积极心理干预,对照组接受常规护理,干预时间共计8周,分别在干预前后进行资料收集,并比较两组的病耻感、造口适应能力和生活质量的得分。 结果 试验组、对照组各40例完成研究。干预后,试验组的病耻感总得分(44.70±9.10)分,低于对照组的(62.15±12.43)分(t=-7.163,P<0.001),试验组的造口适应能力总得分(52.28±5.80)分,高于对照组的(41.53±9.00)分(t=6.349,P<0.001),试验组的生活质量得分(54.08±8.29)分,高于对照组的(42.95±9.19)分(t=5.688,P<0.001),差异均具有统计学意义。 结论 积极心理干预有利于减轻永久性肠造口患者的病耻感,提升患者的造口适应能力,改善患者的术后生活质量。

关键词: 永久性肠造口, 积极心理干预, 病耻感, 生活质量, 护理

Abstract:

Objective To explore the effects of positive psychological intervention based on PERMA model of wellbeing on stigma,adaptation to ostomy and quality of life in patients with permanent enterostomy. Methods A total of 83 patients with permanent enterostomy were recruited from October 2022 to September 2023 in a tertiary hospital in Liaoning Province. They were randomly divided into an experimental group and a control group. While the control group received routine nursing,the experimental group received nursing intervention based on PERMA. The intervention lasted 8 weeks,and data were collected before and after the intervention. The scores of the Social Impact Scale(SIS),Ostomy Adjustment Inventory-20(OAI-20) and Stoma Quality of Life(Stoma-QOL) in the 2 groups were compared. Results Experimental group and control group were 40 cases each completed the study. After the intervention,the SIS score of the experimental group was(44.70±9.10),which was significantly lower than (62.15±12.43) of the control group, and the difference between 2 groups was statistically significant(t=-7.163,P<0.001). The OAI-20 score of the experimental group was(52.28±5.80), which was significantly higher than(41.53±9.00) of the control group, and the difference between the 2 groups was statistically significant(t=6.349,P<0.001). The Stoma-QOL score of the experimental group was(54.08±8.29),which was significantly higher than(42.95±9.19)of the control group, and the difference between the 2 groups was statistically significant(t=5.688,P<0.001). Conclusion Nursing interventions based on PERMA are beneficial in reducing stigma of patients with permanent enterostomy,improving their ostomy adjustment and postoperative quality of life.

Key words: Permanent Enterostomy, Positive Psychological Intervention, Stigma, Quality of Life, Nursing Care