Effect of nursing collaboration on self-care ability of patients with colostomy
协同护理对结肠造口患者自我护理能力的干预效果研究

摘要

目的 探讨针对结肠造口患者加强协同护理干预对自我护理能力产生的影响。方法 选取2021年1月至2022年12月我院收治的直肠癌患者共计76例，随机分组，各有38例计入，对照组运用常规干预方案，观察组运用协同护理干预方案，对比两组自我护理能力评分、并发症率、DET分值。结果 观察组参与实验的患者自我护理技能指标即造口相关用物、造口灌洗评测分值居于更高水平（P<0.05）。观察组参与实验的患者DET指标即变色、侵蚀、 组织增生评测分值居于更低水平（P<0.05）。观察组参与实验的患者造口水肿、造口侵蚀等并发症率居于更高水平（P<0.05）。结论 针对临床收治的结肠造口患者，采用协同护理干预方案，可提高自我护理技能，改善DET水平，降低负性情绪，开展价值显著。

Abstract

Objective To investigate the impact of enhanced collaborative nursing interventions on self-care abilities in patients with colostomy.
Methods A total of 76 rectal cancer patients admitted to our hospital from January 2021 to December 2022 were randomly assigned into two groups (38 cases each). The control group received conventional interventions, while the observation group underwent collaborative nursing interventions. We compared self-care ability scores, complication rates, and Det scores between the two groups.
Results Patients in the observation group demonstrated significantly higher self-care skill indicators (P<0.05) in stoma-related supplies and stoma irrigation evaluations. However, they exhibited lower Det scores (P<0.05) in color changes, erosion, and tissue hyperplasia assessments. Additionally, the observation group showed higher complication rates (P<0.05) including stoma edema and erosion.
Conclusion   For clinically admitted colostomy patients, implementing collaborative nursing interventions can improve self-care skills, enhance Det levels, reduce negative emotions, and demonstrate significant clinical value.