CAJ | 학술논문

目的：探讨延伸护理对永久性肠造口患者生活质量的影响。方法根据住院号尾数的奇偶数将268例永久性肠造口患者分为实验组（奇数）154例，对照组（偶数）114例。两组患者住院期间接受常规的护理，出院后对照组实施电话随访，实验组实施家庭访视、组织座谈会、电话随访和联谊会等延伸护理，时间为术后1个月、3个月、6个月、9个月、1年。干预1年后采用生活质量核心问卷（core quality of life questionnaire，QLQ－C30）对患者进行测评。结果实验组患者躯体功能、角色功能、情绪功能、认知功能、社会功能和健康状况评分均高于对照组，两组比较，差异均有统计学意义（P＜0．05）。结论延伸护理可为患者提供较全面、系统、连续性的专业护理，提高患者对相关知识和技能的掌握程度和社会交往能力，从而有效提高患者的生活质量。
목적：탐토연신호리대영구성장조구환자생활질량적영향。방법근거주원호미수적기우수장268례영구성장조구환자분위실험조（기수）154례，대조조（우수）114례。량조환자주원기간접수상규적호리，출원후대조조실시전화수방，실험조실시가정방시、조직좌담회、전화수방화련의회등연신호리，시간위술후1개월、3개월、6개월、9개월、1년。간예1년후채용생활질량핵심문권（core quality of life questionnaire，QLQ－C30）대환자진행측평。결과실험조환자구체공능、각색공능、정서공능、인지공능、사회공능화건강상황평분균고우대조조，량조비교，차이균유통계학의의（P＜0．05）。결론연신호리가위환자제공교전면、계통、련속성적전업호리，제고환자대상관지식화기능적장악정도화사회교왕능력，종이유효제고환자적생활질량。
Objective To explore the effect of extended care on the quality of life of patients with permanent colostomy . Methods Clinical data of 268 patients with permanent colostomy were retrospectively analyzed. The patients were randomly divided into the experiment group (n=154) and control group (n=114). Two groups of patients after colostomy were given conventional nursing and telephone follow-up and the experiment group also received extended care such as home visits , seminars and fraternity care. Postoperative follow-up was done for 1 month, 3 months, 6 months, 9 months and 1 year. Core quality of life questionnaire (QLQ C30) was used to investigate the patients after 1 year intervention. Result Compared with the control group, patients′physical function, role function, emotional function, cognitive function, social function and health status rating were significantly improved in the experiment group (P<0.05). Conclusion Extended nursing can provide more comprehensive, systematic, professional nursing, improve the mastery of relevant knowledge and the skills and finally improve patients′quality of life.