CAJ | 학술논문

目的探讨个体化健康指导在结肠造口患者中的应用效果.方法对78例结肠造口患者进行个体化健康教育,于术后3～5 d、出院时、出院3个月采用自我护理能力实施量表( ESCA)、肠造口患者自护能力评估量表进行问卷调查.结果术后3～5d、出院时、出院3个月患者ESCA总分分别为(96.63±10.13),(106.18±8.94),(134.74.±9.54)分,3个时间段得分差异均有统计学意义(F=336.40,P＜0.01)；自我护理技能、自我护理责任感、自我概念、健康知识水平,肠造口自我护理能力得分3个时间段差异均有统计学意义(P＜0.01).结论对结肠造口患者进行个体化健康指导,能明显提高造口患者自我护理能力,有效减少造口并发症,从而提高生活质量.
목적 탐토개체화건강지도재결장조구환자중적응용효과.방법 대78례결장조구환자진행개체화건강교육,우술후3～5 d、출원시、출원3개월채용자아호리능력실시량표( ESCA)、장조구환자자호능력평고량표진행문권조사.결과 술후3～5d、출원시、출원3개월환자ESCA총분분별위(96.63±10.13),(106.18±8.94),(134.74.±9.54)분,3개시간단득분차이균유통계학의의(F=336.40,P＜0.01)；자아호리기능、자아호리책임감、자아개념、건강지식수평,장조구자아호리능력득분3개시간단차이균유통계학의의(P＜0.01).결론 대결장조구환자진행개체화건강지도,능명현제고조구환자자아호리능력,유효감소조구병발증,종이제고생활질량.
Objective To explore the effect of individual health education on the patients with colostomy.Methods Seventy-eight patients received individual health education.They were investigated with the questionnaire about the exercise of selfvcare-agency(ESCA) and the assessment of self-care agency in third to fifth day after operation,left hospital and three months after discharged.Results The average score of ESCA of patients in third to fifth day after operation,left hospital,three months after discharged was ( 96.63 ± 10.13 ),(106.18 ± 8.94),(134.74 ± 9.54),and different time slot with different score,and the different was statistically different (P ＜ 0.01 ),and the sub-scale score of self-care skill,self-nursing sense,self conception,health knowledge level,colostomy care was significantly different between different time slots ( P ＜ 0.01 ).Conclusions Individual health education can obviously improve the self-care agency of patients with colostomy and effectively reduce the complication of colostomy.