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Journal of Nursing ›› 2020, Vol. 27 ›› Issue (8): 54-58.doi: 10.16460/j.issn1008-9969.2020.08.054

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Effect of Nursing Intervention based on Behaviour Change Wheel for Patients after Enterostomy

WANG Yan, ZHU Gui-lin   

  1. Dept. of Colorectal Surgery, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, China
  • Received:2019-12-19 Online:2020-04-25 Published:2020-07-14

Abstract: Objective To explore the effect of nursing model based on Behaviour Change Wheel (BCW) in colorectal cancer patients with stoma. Methods Using convenient sampling method, 100 cases of colorectal post-operative stoma patients admitted to General Surgery Department of the First Affiliated Hospital of Harbin Medical University from January to February 2019 were selected as the research subjects. The patients were divided according to their length of stay, into control group with 46 patients admitted in January 2019, and another 48 patients admitted in February 2019 as observation group. Patients in the control group were given conventional colorectal stoma nursing measures, and those in the observation group intervention based on nursing model established by BCW. The self-management questionnaire and knowledge-attitude-practice scale for patients with colostomy were used to evaluate the effect of the intervention at the day before the surgery and at the end of one and three month after discharge. Results At the first and third month after discharge, the total score and the scores of each dimension of self-management questionnaire of the patients in the observation group were higher than those in the control group, and the differences were statistically significant (P<0.05). The total score and scores of each dimension of knowledge-attitude-practice scale were higher than those of the control group, indicating statistical significance (P<0.05). Conclusion The nursing model based on BCW is effective for improving self-management and the level of knowledge, attitude and practice of patients after enterostomy, which is worth to be promoted.

Key words: enterostomy, behaviour change wheel, self-management ability, knowledge-attitude-practice

CLC Number: 

  • R473.6
[1] Chen W, Zheng R, Zeng H, et al.The Incidence and Mortality of Major Cancers in China,2012[J]. Chin J Cancer,2016, 35(1):73. DOI:10.1186/s40880-016-0137-8.
[2] 李乐之,路潜.外科护理学[M].5版.北京:人民卫生出版社,2012:467-470.
[3] 万德森. 结直肠癌流行病学与预防[J].中国中西医结合外科杂志,2011,17(1):3-7. DOI:CNKI:SUN:ZGZX.0.2011-01-003.
[4] Danielsen AK, Soerensen EE, Burcharth K, et al.Impact of a Temporary Stoma on Patients' Everyday Lives: Feelings of Uncertainty While Waiting for Closure of the Stoma[J]. J Clin Nurs,2013,22(9/10):1343-1352.DOI:10.1111/jocn.12011.
[5] 卢玉仙,温芬.基于跨理论模型的社区-家庭协同护理模式对直肠癌造口患者社会适应性的效果研究[J].护士进修杂志,2019,34(5):394-397.DOI:CNKI:SUN:FSJX.0.2019-05-003.
[6] Michie S, Van Stralen MM, West R.The Behavior Change Wheel:A New Method for Characterizing and Designing Behaviour Change Interventions[J].Implement Sci,2011, 6:42.DOI:10.1186/1748-5908-6-42.
[7] 李福霞,申洪昌,秦珂,等.癌痛患者基于BCW理论健康教育模式应用研究[J].中华肿瘤防治杂志,2018,25(7):518-523.
[8] 余松林. 医学统计学[M].北京:人民卫生出版社,2005:45;342-343;377.
[9] 韩舒,陆连芳,温肇霞,等.肠造口病人自我管理现状调查及影响因素分析[J].青岛大学医学院学报, 2014, 50(2):161-166. DOI:10.13361/j.qdyxy.201402025.
[10] 魏清风,谢志芬,魏舵秀,等.肠造口患者造口知信行量表的编制及信效度检验[J].中华护理教育,2017,14(11):815-819. DOI:10.3761/j.issn.1672-9234.2017.11.003.
[11] Loft ML, Martinsen, Esbensen BA, et al.Strengthening the Role and Functions of Nursing Staff in Inpatient Stroke Rehabilitation:Developing a Complex Intervention Using the Behaviour Change Wheel[J]. Int J Qual Stu Health Well-being, 2017, 12(1):1392218.DOI:10.1080/17482631.2017.1392218.
[12] 陈晓燕,许容芳,王艳,等.口服内分泌药物治疗乳腺癌患者实施行为改变模式健康教育的效果观察[J]. 护理学报,2019,26(10):68-72. DOI:10.16460/j.issn1008-9969.2019.10.068.
[13] Seymour JE, Almack K, Kennedy S, et al.Peer Education for Advance Care Planning: Volunteers' Perspectives on Training and Community Engagement Activities[J]. Health Expect,2013, 16(1):43-55.DOI:10.1111/j.1369-7625.2011.00688.x.
[14] 胡莹,李响,张茜,等.健康信念模式健康教育对直肠癌肠造口患者自护能力及生活质量的影响[J].癌症进展,2018,16(13):1684-1687. DOI:10.11877/j.issn.1672-1535.2018.16.13.32.
[15] 杨廷忠. 健康教育理论与方法[M].杭州:浙江大学出版社,2004.
[16] 黄敬亨. 健康教育学[M].上海:复旦大学出版社,2002:28-29.
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