三维互联连续护理干预对造口术患者自我护理能力、负面情绪状态和生活质量的影响
The impact of a three-dimensional interconnected continuity of care intervention on self-care capacity, negative emotional states, and quality of life in patients with ostomies.
摘要(中文译文)
探讨三维互联式延续性护理干预（医院-社区-家庭联动）对造口患者自护能力、负性情绪、病耻感、生活质量及并发症发生率的影响。对2021年10月至2024年6月收治的94例肠造口或泌尿造口患者进行回顾性对比研究。接受常规护理的患者纳入对照组（47例），接受额外三维联动延续性护理干预的患者纳入观察组（47例）。干预措施包括强化随访、基于微信的远程支持和定期家庭访视。结局指标包括依从性、自护能力（ESCA）、焦虑和抑郁（SAS、SDS）、病耻感（SIS）、生活质量（Stoma-QOL）及并发症发生率。观察组总依从性显著高于对照组（93.62% vs. 76.60%，P<0.05）。干预后，观察组ESCA评分改善更为显著（均P<0.05）。观察组SAS和SDS评分下降幅度更大（P<0.05）。观察组SIS中经济歧视、社会排斥、社会隔离及内在羞耻感各维度评分显著更低（P<0.05）。Stoma-QOL评分显著改善，且观察组造口袋影响下降更为明显（P<0.05）。观察组并发症发生率亦显著更低（12.77% vs. 29.79%，P<0.05）。与常规护理相比，三维互联式延续性护理干预可提高造口患者的依从性、自护能力和生活质量，同时减少负性情绪、病耻感及并发症风险。
Abstract
To evaluate the effects of a three-dimensional interconnected continuity of care intervention (hospital-community-family linkage) on self-care capacity, negative emotions, stigma, quality of life, and complication rates in patients with ostomies. A retrospective comparative study was conducted on 94 patients with intestinal or urinary ostomies treated from October 2021 to June 2024. Patients receiving routine nursing care were assigned to the control group ( = 47), while those receiving additional three-dimensional linked continuity care intervention were assigned to the observation group ( = 47). The intervention included enhanced follow-up, WeChat-based remote support, and scheduled home visits. Outcomes included compliance, self-care ability (ESCA), anxiety and depression (SAS, SDS), stigma (SIS), quality of life (Stoma-QOL), and complication rates. The observation group showed significantly higher total compliance than the control group (93.62% vs. 76.60%, < 0.05). After intervention, ESCA scores improved more significantly in the observation group (all < 0.05). SAS and SDS scores decreased more substantially in the observation group ( < 0.05). SIS subscores for economic discrimination, social exclusion, social isolation, and internalized shame were significantly lower in the observation group ( < 0.05). Stoma-QOL scores improved significantly, while the impact of the stoma bag decreased more markedly in the observation group ( < 0.05). The complication rate was also significantly lower in the observation group (12.77% vs. 29.79%, < 0.05). Compared with routine nursing care, the three-dimensional interconnected continuity of care intervention was associated with improved compliance, self-care ability, and quality of life, while reducing negative emotions, stigma, and complication risks in patients with ostomies.
如何引用
AMA
Yuqing Zhang, Aihong Pan, Xufeng Wu, Peili Xu, Li Tang, Shengqin Wang. The impact of a three-dimensional interconnected continuity of care intervention on self-care capacity, negative emotional states, and quality of life in patients with ostomies.. Frontiers in public health. 2026; doi:10.3389/fpubh.2026.1854741.
APA
Yuqing Zhang, Aihong Pan, Xufeng Wu, Peili Xu, Li Tang, Shengqin Wang (2026). The impact of a three-dimensional interconnected continuity of care intervention on self-care capacity, negative emotional states, and quality of life in patients with ostomies.. Frontiers in public health. https://doi.org/10.3389/fpubh.2026.1854741
GB/T 7714
Yuqing Zhang, Aihong Pan, Xufeng Wu, Peili Xu, Li Tang, Shengqin Wang. The impact of a three-dimensional interconnected continuity of care intervention on self-care capacity, negative emotional states, and quality of life in patients with ostomies.[J]. Frontiers in public health, 2026 doi:10.3389/fpubh.2026.1854741.
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