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）