学术论文

      “6E”模式对直肠癌永久性肠造口患者压力困扰的影响

      Effects of "6E"model on stress distress in patients with colorectal cancer after permanent intestinal stoma

      摘要:
      目的:探讨“6E”模式对直肠癌永久性肠造口患者压力困扰的影响,为实施心理干预提供参考依据。方法将168例直肠癌永久性肠造口患者按照造口术后出院时间顺序分为对照组(85例)和干预组(83例),对照组实施常规护理,干预组从体验(Experience)、情境(Environment)、事件(Event)、浸入(Engaging)、印象(Effect)和延展(Expand)6个方面实施干预,干预时间为1年,应用癌症患者心理压力量表评价造口患者的压力困扰水平。结果干预后,干预组患者的心理压力量表评分(39.62±14.62)分,低于对照组的(46.21±13.68)分,两组差异有统计学意义(t =3.057,P =0.002)。结论基于“6E”模式的护理干预能够有效降低直肠癌永久性肠造口患者心理压力,对造口术后早期的困扰有积极的干预效果,是对造口患者实施成功心理干预的有效途径之一。
      Abstract:
      Objective To discuss the effects of "6E"model on stress distress in patients with colorectal cancer after permanent intestinal stoma and to provide reference for the implementation of psychological intervention. Methods A total of 168 patients with permanent intestinal stoma were divided into control group(85 cases)and intervention group(83 cases).In the control group,routine nursing was adopted,while in intervention group,nursing based "6E"model (including experience,environment,event,engaging,effect,expand)was adopted.The time of intervention was 1 year,and the psychological distress scale for cancer patients was tested.Results After interven-tion,the psychological distress of the intervention group was (39.62 ±14.62)points,which was lower than (46.21 ± 13.68)points of the control group,the difference was statistically significant between the two groups(t =3.057,P =0.002).Conclusion The "6E"model can reduce the level of psychological distress of colorectal cancer after per-manent intestinal stoma,and has positive effects on the early distress following stoma.The intervention can be one of the effective ways to implement psychological intervention for patients with stoma.
      Author: Tang Shengchun Zhang Chuanying Gu Linhong
      作者单位: 宁波市第九医院十三病区, 浙江省宁波,315020
      刊 名: 中国基层医药 ISTIC
      年,卷(期): 2017, 24(6)
      在线出版日期: 2017年3月29日
      基金项目: 浙江省医药卫生科技计划项目(2011ZHB011)Fund programMedical and Health Science and Technology Plan Project of Zhejiang province