Haixia Liu1, Jingfeng gu2, Jingxin gu3, guangyan Dai1, yaping Hu4
1Department of Anus and Intestine Surgery, The No.1 Hospital of Shijiazhuang, Shijiazhuang City, 050011, Hebei, China - 2Department of General Surgery 3,The first hospital of Hebei Medical University, Shijiazhuang City, 050011, Hebei, China - 3Clinical Laboratory, Hebei Yiling Hospital, Shijiazhuang City, 050091, Hebei, China - 4Department of Nursing, The No.1 Hospital of Shijiazhuang, Shijiazhuang City, 050011, Hebei, China
Objective: Based on the investigation of the actual condition of the enterostomy complications at the time of leaving the hospital and the subsequent 1 to 3 months after the permanent colostomy, the response and effects of patients receiving a continuous care model are studied deeply.
Methods: a total of 80 patients who underwent combined abdominal perineal resection in The No.1 Hospital of Shijiazhuang from January to June 2017 are selected through clinical control and convenience sampling and are divided into control group and experimental group. The scores of the two groups of patients with ostomy complications are compared, and the relevant scales are used as the carrier for lateral comparison. The complications of the patients at different time points are evaluated, and then the data are analyzed.
Results: First, there is no significant difference between the oral complications and the actual conditions in the experimental group and the control group at the time of discharge (P>0.05); until the intervention of 1 month, the actual situation of the stoma and the obvious separation of the mucosal skin of the two groups are significantly different (P<0.05). At 3 months, the complications of the stoma and the occurrence of stoma stenosis are compared between the two groups, and the statistical significance is significant (P<0.05). Second, the control group and the experimental group are compared, and the difference of related items is not obvious (P>0.05). The actual living standard of the two groups of patients in the intervention for 1 month is reflected in the difference of emo- tional part, health status, social function and cognitive function (P>0.05), its difference is small, and the difference in the remaining 11 dimensions was significant (P>0.05); three months after discharge, the patients in the above different groups also have differences in quality of life (P < 0.05).
Conclusion: with the integrated nursing model, the quality of life of patients with stoma is rapidly improved, and the continuous care model is further promoted in the continuous care of stoma patients.
Continuous care, enterostomy, patient health, quality of life