Effects of a peer-supported continuation of care model for patientswith permanent colostomy for rectal cancer
基于同伴支持的延续护理模式对直肠癌永久性结肠造口术患者的效果

摘要

目的 探究基于同伴支持的延续护理模式对直肠癌永久性结肠造口术患者的效果。方法 选取我院2022年1月-2022年12月期间进行直肠癌永久性结肠造口术治疗的患者60例，按照护理方式不同分为对照组和观察组，每组各30例患者，对照组进行常规护理干预，观察组进行基于同伴支持的延续护理模式干预，对比两组护理干预后的自我护理能力、生活质量评分以及心理状态。结果 观察组的自我护理能力明显强于对照组，差异具有统计学意义（p＜0.05）；观察组的生活质量评分明显高于对照组，差异具有统计学意义（p＜0.05）；观察组的心理状态明显优于对照组，差异具有统计学意义（p＜0.05）。结论 基于同伴支持的延续护理模式对直肠癌永久性结肠造口术患者有显著效果，能够有效地提高患者自我护理的能力，改善患者的生活质量和心理状态，值得临床推广应用。

Abstract

Objective To explore the effectiveness of a continuous care model based on peer support for patients undergoing permanent colostomy for rectal cancer.
Methods Sixty patients who underwent permanent colostomy for rectal cancer in our hospital from January 2021 to December 2022 were selected and divided into a control group and an observation group according to different nursing methods. Each group had 30 patients. The control group received routine nursing intervention, while the observation group received continuous nursing intervention based on peer support. The self-care ability, quality of life score, and psychological state of the two groups were compared after nursing intervention.
Results The self-care ability of the observation group was significantly stronger than that of the control group, with a statistically significant difference (p<0.05); The quality of life score of the observation group was significantly higher than that of the control group, and the difference was statistically significant (p<0.05); The psychological state of the observation group was significantly better than that of the control group, and the difference was statistically significant (p<0.05).
Conclusion   The continuous care model based on peer support has a significant effect on patients with permanent colostomy for rectal cancer, which can effectively improve their self-care ability, improve their quality of life and psychological state, and is worthy of clinical promotion and application.