以互动达标指导的出院准备对临时性肠造口患者睡眠质量的影响

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AbstractObjective:Toexplore theinfluenceof discharge preparationunderthetheoryof goalatainmentonslepqualityinpatientswithtemporaryenterostomy.Methods:Atotalof128patientswithtemporaryenterostomyadmitedintheFirstAfiliated Hospital of Xiamen University from June2O23 to April 2O24were selected and divided into control group( n=64 )and observation group( n=64 )byrandom number table.The control group was given conventional discharge preparation,whereas the observation groupreceiveddischargepreparationunderthetheoryof goalatainment.Thedischargereadiness[Readiness for HospitalDischarge Scale(RHDS)],self-care level[ExerciseofSelf-Care AgencyScale(ESCA)],sleepquality[Pitsburgh SleepQualityIndex(PSQI),InsomniaSeverityIndex(ISI)]andactivitiesfordailyliving(Barthel index)beforeandafterinterventionwerecompared between the groups.Results:The scoresof RHDS intheobservation group were higherthanthose inthecontrol group( P< 0.05). The scores of ESCA and BI in the two groups were increased( P<0.05 ),and the scores were higher in the observation group( P<0.05) . The score of PSQI and ISI in both groups were decreased( P<0.05 ),and the observation group had lower PSQI score and ISI score( P<0.05 ). BI score in both groups was rised after intervention( P<0.05 ),and the score in the observation group was higher than that in the control group( P<0.05 ). Conclusion: Goal attainment-guided intervention for discharge preparationcanefectivelyenhancethedischargereadinessandself-careposibilityof patientswithtemporaryenterostomy,and improve their sleep quality and quality of life.

KeywordsTheoryof goal atainment;Discharge preparation;Temporary enterostomy;Dischargereadiness;Self-care;Sleep quality;Activities of daily living

中图分类号:R338.63; R472.9+1 文献标识码:A doi:10.3969/j. issn.2095-7130.2025.04.034

临时性肠造口术是腹部外科最常见的手术之一,通常是为缓解症状而临时使用造口排出粪便或肠内容物,一般待腹腔炎症完全消失后,需再行造口还纳术[1]。(剩余5612字)

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