CAJ | 학술논문

目的：探讨集束化护理对直肠癌永久性结肠造口患者自我概念的影响,为临床更好地实施结肠造口患者的健康教育和心理护理提供理论参考。方法选择接受结肠造口的患者100例,入院当天采用自我概念量表进行评测,然后实施集束化护理。干预4周后,再次采用自我概念量表重复测试。比较集束干预策略实施前后患者自我概念各维度的变化。测评数据采用 SPSS 17.0软件进行处理,组间比较采用 t 检验。结果通过集束化护理的实施,直肠癌永久性结肠造口患者的自我概念各维度得分与干预前比较,除自我批评因子得分降低外,其他各因子即自我认同、自我满意、自我行动、生理自我、伦理自我、心理自我、家庭自我、社会自我得分均提高,差异均有统计学意义(t 值分别为10.12,9.02,7.82,6．98,7.37,6.18,8.34,7.16,7.40；P <0.01)。结论实施集束化护理能有效改善直肠癌永久性结肠造口患者的自我概念水平,可有效地提高患者的心理健康水平和生存质量。
목적：탐토집속화호리대직장암영구성결장조구환자자아개념적영향,위림상경호지실시결장조구환자적건강교육화심리호리제공이론삼고。방법선택접수결장조구적환자100례,입원당천채용자아개념량표진행평측,연후실시집속화호리。간예4주후,재차채용자아개념량표중복측시。비교집속간예책략실시전후환자자아개념각유도적변화。측평수거채용 SPSS 17.0연건진행처리,조간비교채용 t 검험。결과통과집속화호리적실시,직장암영구성결장조구환자적자아개념각유도득분여간예전비교,제자아비평인자득분강저외,기타각인자즉자아인동、자아만의、자아행동、생리자아、윤리자아、심리자아、가정자아、사회자아득분균제고,차이균유통계학의의(t 치분별위10.12,9.02,7.82,6．98,7.37,6.18,8.34,7.16,7.40；P <0.01)。결론실시집속화호리능유효개선직장암영구성결장조구환자적자아개념수평,가유효지제고환자적심리건강수평화생존질량。
Objective To explore the bundle nursing impacting on self concept among rectal cancer patients with permanent colostomy, and provide evidence for clinical health education and psychological nursing for patients with permanent colostomy. Methods A total of 100 permanent colostomy patients admitted and measured by self-concept scale and them received bundle nursing. After 4 weeks intervention, the self-concept scale was used again. We compared the change of self-concept in each dimensions before and after interventions and analyzed by SPSS 17. 0, and t test for group comparison. Results Through nursing bundle intervention, the each dimensions of self-concept in rectal cancer patients with permanent colostomy improve except self-criticism decreased, including self-identity, self-satisfaction, self-behavior, self-physiology, self-ethic, self-psychology, self-family, and self-society (t = 10. 12,9. 02,7. 82,6. 98,7. 37,6. 18,8. 34,7. 16,7. 40, respectively; P <0. 01). Conclusions Bundle nursing contributes to self-concept level of rectal cancer patients with permanent, and enhances the level of psychological health and quality of life effectively.