医学
回肠造口术
结肠造口术
焦虑
物理疗法
生活质量(医疗保健)
护理部
护理
外科
精神科
作者
Hao Ju,Yanyan Xu,Yong Li
出处
期刊:Advances in Skin & Wound Care
[Ovid Technologies (Wolters Kluwer)]
日期:2023-04-01
卷期号:36 (4): 206-212
被引量:1
标识
DOI:10.1097/01.asw.0000919960.94295.53
摘要
To explore the application potential of continuous nursing training based on a comprehensive virtual platform in patients with colostomy or ileostomy.A total of 100 patients with colostomy or ileostomy were equally divided into two groups. Patients in the control group received standardized routine care, whereas patients in the experimental group received continuous nursing care through the virtual platform. Both the control group and the experimental group were followed up by regular telephone calls once per week and completed the following questionnaires both 1 week after discharge and 3 months after discharge: Stoma Care Self-efficacy Scale, Exercise of Self-care Agency Scale, State-Trait Anxiety Inventory, Short Form-36 Health Survey Questionnaire, and a questionnaire on postoperative complications.Patients in the experimental group, who received continuous care, exhibited significantly higher scores in self-efficacy (P = .029), self-care responsibility (P = 0.030), state anxiety and trait anxiety (both Ps < .001), and mental health (P < .001) 1 week after discharge in comparison with patients in the control group. At 3 months postdischarge, compared with the control group, the experimental group showed significant advantages in all dimensions of self-efficacy, self-care ability, mental health, and quality-of-life questionnaires (P < .001). In addition, the incidence of complications in the experimental group was significantly lower (P < .0001).The virtual platform-based continuous nursing model effectively improves the self-care ability and self-efficacy of patients with a colostomy or ileostomy after colorectal cancer, thereby promoting an improved quality of life and psychological state while simultaneously reducing the incidence of complications after discharge.
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