Abstract:
ObjectiveTo establish a new model of continuous nursing for patients with enterostomy, and evaluate its effects.
MethodsSixty-six patients treated with enterostomy in gastrointestinal surgery department were randomly divided into the observation group and control group(33 cases each group).The control group were nursed with routine postoperative nursing and nursing guidance before discharge, and the observation group were nursed with routine nursing combined with nursing intervention of mobile platform APP before discharge.The ostomy self-care, ostomy adaptability and ostomy related self-efficacy in two groups were investigated using stoma self-early stage version(SSCS-early stage version), Ostomy Adjustment Scale(OAS) and Stoma Self-Efficacy Scale at the time of discharge and after a month of discharge, and compared between two groups.
ResultsThere was no statistical significance in the scores of the ostomy self-care, ostomy adaptability and ostomy related self-efficacy between two groups at the time of discharge(P>0.05).After 1 month of discharge, the score of the ostomy self-care in observation group was significantly higher than that in control group(P < 0.01), the scores of three dimensions and total score of OAS in observation group were higher than those in control group(P < 0.01 to P < 0.05).The total score of ostomy related self-efficacy, score of each dimension and score of functional field in observation group were higher than those in control group(P < 0.01 to P < 0.05).
ConclusionsThe continuous nursing care mode based on mobile platform APP technology can significantly improve the self-care ability, stoma adaptability, self-related efficacy of stoma and quality of life of patients, and improve the service efficiency of nursing staff.
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