Effects of positive psychological intervention in patients with permanent enterostomy

doi:10.3761/j.issn.0254-1769.2024.12.002

Abstract

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

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

QU Shengmei, QI Xiangxiu, LI Qun, LI Ke, LI Yan, HAN Li, LI Jingying. Effects of positive psychological intervention in patients with permanent enterostomy[J]. Chinese Journal of Nursing, 2024, 59(12): 1422-1428.

曲盛美, 齐向秀, 李群, 李可, 李妍, 韩丽, 李晶莹. 积极心理干预在永久性肠造口患者中的应用研究[J]. 中华护理杂志, 2024, 59(12): 1422-1428.

Figures/Tables 5

Table 1 The positive psychological intervention program

Table 2 Comparison of general information between 2 groups[case（percentage，%）]

Table 3 Comparison of stigma scores between 2 groups before and after the intervention （score，$\bar{x}±s$）

Table 4 Comparison of OAI-20 scores between 2 groups before and after the intervention （score，$\bar{x}±s$）

Table 5 Comparison of Stoma-QOL scores between 2 groups before and after the intervention（score，$\bar{x}±s$）

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