影响日常生活和门的因素 门患者的自我护理管理:一项混合方法研究
Elif Budak Ertürk1, Hacer Ari2, Çiğdem Üstündağ2
1Faculty of Health Sciences, Department of Nursing, Baskent University, Ankara, Turkey.
骨髓切割患者面临着影响日常活动和自我护理的身体和心理挑战. 慢性疾病进一步增加了依赖性,需要针对性支持和护理干预措施来对骨进行管理.
科学领域:
- Ostomy 的护理和管理
- 日常生活活动 (ADL)
- 患者的自我护理
背景情况:
- 造骨术显著影响患者执行日常活动和管理自我护理的能力.
- 了解这些挑战对于制定有效的支持策略至关重要.
研究的目的:
- 调查影响骨体日常生活能力和骨体自我护理能力的因素.
- 为了识别身体和心理障碍,以骨自我管理.
主要方法:
- 混合方法设计结合了调查 (n=60) 和半结构面试 (n=12).
- 使用了描述性和临床特征表格,以及卡茨日常生活活动 (ADL) 尺度.
- 从无法进行骨髓切割自我护理的患者收集的定性数据.
主要成果:
- 身体 (68.3%) 和心理 (66.7%) 的因素被确定为主要障碍.
- 患有慢性疾病的个体在日常活动中表现出明显更高的依赖 (卡茨ADL得分高出12.6倍,p=0.004).
- 定性分析揭示了口腔护理方面的挑战以及影响生活质量的因素.
结论:
- 奥斯托米对独立的日常活动和自我护理管理产生负面影响.
- 慢性疾病的存在预示着体动物的日常活动依赖性增加.
- 量身定制的护理干预措施和支持机制至关重要,应对个体需求和慢性病并发症.
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An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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