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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Abstract Full text Figures/Tables Video References Cited by

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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1. 张铁玲, 胡爱玲, 徐洪莲, 等. 结肠造口患者残障接受度与社会关系质量的相关性研究[J]. 中华护理杂志, 2013, 48(3):241-244.
2. 胡爱玲, 张美芬, 张俊娥, 等. 结肠造口患者适应状况及相关因素的研究[J]. 中华护理杂志, 2010, 45(2):109-111.
3. 储红梅. 健康教育路劲在心肌梗死患者中的应用[J]. 吉林医学, 2013, 34(1):147-148.
4. 谢丽娟, 韩伟. 健康教育路径在结肠癌根治术患者快速康复的研究[J]. 中国美容医学, 2012, 21(11):277-278.
5. 侯敏, 付晓爱, 颜艳萍, 等. 定时排便功能训练对结肠造口患者生活质量的影响[J]. 医学临床研究, 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, 张振路. 哮喘患者自我护理能力和健康行为的相关性分析[J]. 中华护理杂志, 2005, 40(3):193-195.
9. 耿桂灵, 梁涛. 自我护理能力的概念和测评方法的研究进展[J]. 护理研究, 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. 周银军, 徐玉红, 徐伟琴. 心理干预护理对直肠癌患者术后康复的影响[J]. 中国医药导报, 2011, 8(1):115-116.
13. 李楠, 王芳, 张国莉. 心理干预对结直肠癌术后造瘘病人抑郁状态的影响[J]. 护理研究, 2010, 24(7):1913-1914.
14. 周美玲, 李惠萍. 肿瘤患者PICC 期间自我护理能力与健康行为相关分析[J]. 护理学报, 2011, 8(4B):1-3.
15. 杨秀秀, 付菊芳, 李秦, 等. 直肠癌结肠造口患者生活质量及影响因素研究[J]. 护理学报, 2012, 19(1):5-9.
16. 朱珍玲. 永久性结肠造口患者自我护理能力与生活质量的相关性研究[J]. 护理学报, 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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