Effect of standardized operation procedure in homogenization nursing for patients with colostomy
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摘要:目的 评价标准化操作规程(SOP)在本院肠造口患者同质化护理中的应用效果。方法 纳入本院伤口造口专业小组27名成员为研究对象，对其先后采取了普通法和SOP法培训，将专业小组不同培训阶段管理的患者分为对照组(采用普通法)和观察组(采用SOP法)。对比2种培训后小组成员考核成绩、患者自我管理能力、住院期间并发症发生率和护理满意度的变化; 评价SOP在肠造口患者同质化护理中的应用效果。结果 专科小组成员在SOP培训后考核成绩均优于普通培训后(P < 0.01); 观察组患者自我管理能力、并发症发生率及护理满意度显著优于对照组(P < 0.05)。结论 标准化操作规程能有效提高专科护理质量。Abstract:Objective To evaluate the application effect of the standardized operation procedure (SOP) in homogenization nursing for patients with colostomy.Methods A total of 27 members in the wound ostomy professional group of our hospital were selected as study subjects, and were successively trained by general method and SOP method. The patients managed by general method were selected as control group and those with SOP method were as observation group. The changes of members′ assessment scores, self-management ability, incidence of complications, and nursing satisfaction during hospitalization after two different methods were evaluated.Results The assessment scores of the members after SOP training were higher than that of general training (P < 0.01). The self-management ability, incidence of complications, and nursing satisfaction of the observation group were significantly better than the control group (P < 0.05).Conclusion SOP can effectively improve the quality of specialist nursing.
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表 1 2组患者一般情况比较[n(%)]
项目 对照组(n=100) 观察组(n=100) 性别 男 63 (63.00) 65 (65.00) 女 37 (37.00) 35 (35.00) 年龄 <60岁 42 (42.00) 51 (51.00) ≥60岁 58 (58.00) 49 (49.00) 婚姻状况 已婚 84 (84.00) 75 (75.00) 未婚 16 (16.00) 25 (25.00) 文化程度 小学及以下 56 (56.00) 51 (51.00) 初中及高中 28 (28.00) 35 (35.00) 本科及以上 16 (16.00) 14 (14.00) 职业 农民 51 (51.00) 49 (49.00) 职工 43 (43.00) 44 (44.00) 其他 6 (6.00) 7 (7.00) 月人均收入 <2000元 8 (8.00) 14 (14.00) 2000~4000元 77 (77.00) 77 (77.00) >4000元 15 (15.00) 9 (9.00) 
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表 2 2组患者自我管理能力比较(x±s)
分 自我管理能力 对照组(n=100) 观察组(n=100) 造口护理能力 25.33±4.26 30.14±4.08* 日常生活能力 25.50±2.31 32.76±1.62* 社交管理 10.36±1.47 14.24±1.28* 心理管理 10.37±1.52 13.64±1.78* 总分 71.56±5.25 90.42±6.09* 与对照组比较, *P < 0.05。
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