Effect of Enterostomal Therapist-Led Visual Health Education Combined with Peer Education on the Self-Nursing Ability, Quality of Life and Peristomial Complications in Patients with a Permanent Colostomy.

IF 2 3区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Patient preference and adherence Pub Date : 2024-06-20 eCollection Date: 2024-01-01 DOI:10.2147/PPA.S458601
Ying Wang, Huan Ren, Meng Li, Ling Xie, Lin Lin, Yan-Le Fang
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Abstract

Objective: This study aimed to analyse the impact of enterostomal therapist-led visual health education combined with peer education on the postoperative self-nursing ability, quality of life and peristomial complications in patients with a permanent colostomy.

Methods: Patients with a permanent colostomy admitted to Second Hospital of Hebei Medical University between March 2021 and March 2023 were selected and divided into the study group (60 patients) and the control group (60 patients). Enterostomal therapist-led visual health education combined with peer education was adopted in the study group, and regular education was adopted in the control group. The clinical effects between the two groups were compared.

Results: Repeated measurement analysis of variance showed that the two educational methods had different effects on the quality of life (Ftreatment = 342.734, p < 0.001), self-nursing ability (Ftreatment = 256.321, p < 0.001), adaptability (Ftreatment = 321.734, p < 0.001) of patients with a permanent colostomy. After the 3-month intervention, the differences in all aspects of the quality of life, self-nursing ability and adaptability between the two groups were statistically significant, and the score of the study group was higher than that of the control group (p < 0.05). Compared with the control group, the study group had a lower incidence of the five complications (p < 0.05) and higher nursing satisfaction (Z = -2.968, p < 0.05).

Conclusion: Enterostomal therapist-led visual health education combined with peer education can improve the quality of life of patients with a permanent colostomy, improve their positive mood, reduce their negative mood, improve their adaptability to the stoma, reduce complications and improve their daily living conditions. In the future, the clinical application of visual health education and peer education in patients with permanent colostomy should be increased.

肠造口治疗师引导的视觉健康教育与同伴教育相结合对永久性结肠造口患者自我护理能力、生活质量和造口周围并发症的影响
研究目的本研究旨在分析肠造口治疗师主导的视觉健康教育与同伴教育相结合对永久性结肠造口患者术后自我护理能力、生活质量和造口周围并发症的影响:选择 2021 年 3 月至 2023 年 3 月期间河北医科大学第二医院收治的永久性结肠造口患者,将其分为研究组(60 例)和对照组(60 例)。研究组采用肠造口治疗师主导的视觉健康教育结合同伴教育,对照组采用常规教育。比较两组的临床效果:重复测量方差分析显示,两种教育方法对永久性结肠造口患者的生活质量(Ftreatment = 342.734,P < 0.001)、自我护理能力(Ftreatment = 256.321,P < 0.001)、适应能力(Ftreatment = 321.734,P < 0.001)的影响不同。经过 3 个月的干预后,两组患者在生活质量、自我护理能力和适应能力等各方面的差异均有统计学意义,研究组得分高于对照组(P < 0.05)。与对照组相比,研究组五种并发症的发生率较低(P < 0.05),护理满意度较高(Z = -2.968,P < 0.05):肠造口治疗师主导的视觉健康教育与同伴教育相结合,可提高永久性结肠造口患者的生活质量,改善其积极情绪,减少其消极情绪,提高其对造口的适应性,减少并发症的发生,改善其日常生活条件。今后,应加大视觉健康教育和同伴教育在永久性结肠造口患者中的临床应用。
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来源期刊
Patient preference and adherence
Patient preference and adherence MEDICINE, GENERAL & INTERNAL-
CiteScore
3.60
自引率
4.50%
发文量
354
审稿时长
6-12 weeks
期刊介绍: Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.
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