CAJ | 학술논문

目的探讨电话回访对直肠癌永久性结肠造口患者自我效能与生活质量的影响.方法选择160例直肠癌行永久性结肠造口患者,随机分为对照组和观察组,各80例.两组患者按结肠造口术后护理常规进行护理,观察组在此基础上实施电话回访进行跟踪式的康复指导6个月.采用造口相关的自我效能量表和癌症患者生活质量问卷(QLQ-C30)对患者进行调查,评价两组患者术后6个月的自我效能与生活质量的情况.结果对照组患者自我效能总得分为(87.63±30.51)分,只有28.8％患者处于高自我效能水平,有71.2％患者处于中、低自我效能水平;观察组患者自我效能总得分为(102.68±25.65)分,有66.2％患者处于高自我效能水平,只有3.8％患者处于低自我效能水平,两组患者对比,差异有统计学意义(P＜0.05).两组结肠造口患者的QLQ-C30得分与欧洲癌症治疗组织推荐的参考值比较,各方面功能状况得分都较参考值小,差异有统计学意义(P＜0.05).但观察组患者QLQ-C30得分比对照组较高,两组比较差异有统计学意义(P＜0.05).结论电话回访能有效地提高结肠造口患者的自我效能水平,促进患者的心理康复和社会适应能力,提高患者的生活质量.
목적 탐토전화회방대직장암영구성결장조구환자자아효능여생활질량적영향.방법 선택160례직장암행영구성결장조구환자,수궤분위대조조화관찰조,각80례.량조환자안결장조구술후호리상규진행호리,관찰조재차기출상실시전화회방진행근종식적강복지도6개월.채용조구상관적자아효능량표화암증환자생활질량문권(QLQ-C30)대환자진행조사,평개량조환자술후6개월적자아효능여생활질량적정황.결과 대조조환자자아효능총득분위(87.63±30.51)분,지유28.8％환자처우고자아효능수평,유71.2％환자처우중、저자아효능수평;관찰조환자자아효능총득분위(102.68±25.65)분,유66.2％환자처우고자아효능수평,지유3.8％환자처우저자아효능수평,량조환자대비,차이유통계학의의(P＜0.05).량조결장조구환자적QLQ-C30득분여구주암증치료조직추천적삼고치비교,각방면공능상황득분도교삼고치소,차이유통계학의의(P＜0.05).단관찰조환자QLQ-C30득분비대조조교고,량조비교차이유통계학의의(P＜0.05).결론 전화회방능유효지제고결장조구환자적자아효능수평,촉진환자적심리강복화사회괄응능력,제고환자적생활질량.
Objective To explore the influence of telephone follow-up on the self-efficacy and life quality of patients undertaking permanent colostomy.Methods 160 patients with colorectal cancer undertaking permanent colostomy were randomly divided into an observation group (n=80) and a control group (n=80).All patients received routine nursing care after colostomy operation; in addition,the observation group were being rehabilitated guided by telephone follow-up for six months.All patients were measured with self-efficacy scale and quality of life questionnaire core 30 (QLQ-C30).The condition of self-efficacy and life quality were compared between the two groups 6 months after the operation.Results The total score of self-efficacy was (87.63±30.51) and only 28.8％ patient's self-efficacy was high and 71.2％ middle or low in the control group; the total score of self-efficacy was (102.68±25.65),66.2％ patients' self-efficacy was higher and only 3.8％ low in the observation; with statistical differences between the two groups (P＜0.05).The score of QLQ-C30 in both groups was lower than the referent value of European Organization for Treatment of Cancer with statistical differences (P＜0.05); however the score of life quality was higher in the observation group than in the control group,with statistical differences (P＜0.05).Conclusions Telephone follow-up can effectively improve the level of self-efficacy of patients undertaking colostomy,promote the psychological rehabilitation of patients and their ability to adopt social environment,and improve their life quality.