Effects of Health Education Pathway Intervention on Self-care Agency and Health Lifestyle Promotion in Colostomy Patients_West China Medical Journal

Authors：

 ANDan , WANGChun-ju

Department of General Surgery, 309 Hospital of PLA, Beijing 100091, P. R. China;

Corresponding?author：

Keywords：

Health education pathway; Colostomy; Self-care agency; Quality of life

DOI：

10.7507/1002-0179.20150210

Video：

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Objective To investigate the effects of health education pathway intervention on self-care agency and health lifestyle promotion in colostomy patients. Methods Eighty-eight rectal cancer patients who had undergone colostomy were randomly divided into control group and intervention group (with 44 patients in each) between March 2012 and September 2013. The control group received conventional nursing only, while the intervention group were given health education pathway intervention besides conventional nursing. The self-care agency and health lifestyle promotion in the two groups under pre-colostomy state, one week after colostomy and two weeks after colostomy were surveyed and compared based on the exercise of self-care agency scale and the health promotion lifestyle profile. Results After health education pathway intervention, the scores of self-care agency and health lifestyle promotion in the intervention group were significantly higher than those in the control group (P<0.05), and the hospitalization expenditure was also obviously lower. Furthermore, the satisfaction degree on nursing service was significantly higher than that of the control group (P<0.05). Conclusion The health education pathway intervention can greatly improve self-care agency and quality of life in rectal cancer patients who have undergone colostomy.

Citation： ANDan, WANGChun-ju. Effects of Health Education Pathway Intervention on Self-care Agency and Health Lifestyle Promotion in Colostomy Patients. West China Medical Journal, 2015, 30(4): 736-739. doi: 10.7507/1002-0179.20150210 Copy

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12.	周銀軍, 徐玉紅, 徐偉琴. 心理干預護理對直腸癌患者術后康復的影響[J]. 中國醫藥導報, 2011, 8(1):115-116.
13.	李楠, 王芳, 張國莉. 心理干預對結直腸癌術后造瘺病人抑郁狀態的影響[J]. 護理研究, 2010, 24(7):1913-1914.
14.	周美玲, 李惠萍. 腫瘤患者PICC 期間自我護理能力與健康行為相關分析[J]. 護理學報, 2011, 8(4B):1-3.
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16.	朱珍玲. 永久性結腸造口患者自我護理能力與生活質量的相關性研究[J]. 護理學報, 2011, 18(4B):17-20.

1. 張鐵玲, 胡愛玲, 徐洪蓮, 等. 結腸造口患者殘障接受度與社會關系質量的相關性研究[J]. 中華護理雜志, 2013, 48(3):241-244.
2. 胡愛玲, 張美芬, 張俊娥, 等. 結腸造口患者適應狀況及相關因素的研究[J]. 中華護理雜志, 2010, 45(2):109-111.
3. 儲紅梅. 健康教育路勁在心肌梗死患者中的應用[J]. 吉林醫學, 2013, 34(1):147-148.
4. 謝麗娟, 韓偉. 健康教育路徑在結腸癌根治術患者快速康復的研究[J]. 中國美容醫學, 2012, 21(11):277-278.
5. 侯敏, 付曉愛, 顏艷萍, 等. 定時排便功能訓練對結腸造口患者生活質量的影響[J]. 醫學臨床研究, 2010, 21(1):191-192.
6. Wang HH, Laffrey SC. Preliminary development and testing of instruments to measure self-care agency and social support of women in Taiwan[J]. Kaohsiungy Med Sci, 2000, 16(11):459-467.
7. Wang HH, Laffrey SC. A predictive model of well-being and self-care for rural elderly women in Taiwan[J]. Res Nurs Health, 2001, 24(5):122-132.
8. 李淑霞, 張振路. 哮喘患者自我護理能力和健康行為的相關性分析[J]. 中華護理雜志, 2005, 40(3):193-195.
9. 耿桂靈, 梁濤. 自我護理能力的概念和測評方法的研究進展[J]. 護理研究, 2006, 20(1):4-6.
10. Tminic Z, Vidacak A, Vrhovac J, et al. Quality of life after colorectal cancer surgery in patients from University Clinical Hospital Mostar, Bosnia and Herzegoyina[J]. Cell Antropol, 2009, 33(Suppl 2):1-5.
11. Hoerske C, Weber K, Goehl J, et al. Long-term outcomes and quality of life after rectal carcinoma surgery[J]. Br J Surg, 2010, 97(8):1295-1303.
12. 周銀軍, 徐玉紅, 徐偉琴. 心理干預護理對直腸癌患者術后康復的影響[J]. 中國醫藥導報, 2011, 8(1):115-116.
13. 李楠, 王芳, 張國莉. 心理干預對結直腸癌術后造瘺病人抑郁狀態的影響[J]. 護理研究, 2010, 24(7):1913-1914.
14. 周美玲, 李惠萍. 腫瘤患者PICC 期間自我護理能力與健康行為相關分析[J]. 護理學報, 2011, 8(4B):1-3.
15. 楊秀秀, 付菊芳, 李秦, 等. 直腸癌結腸造口患者生活質量及影響因素研究[J]. 護理學報, 2012, 19(1):5-9.
16. 朱珍玲. 永久性結腸造口患者自我護理能力與生活質量的相關性研究[J]. 護理學報, 2011, 18(4B):17-20.

West China Medical Journal

Effects of Health Education Pathway Intervention on Self-care Agency and Health Lifestyle Promotion in Colostomy Patients

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