以质量求发展,以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (5): 74-78.doi: 10.16460/j.issn1008-9969.2022.05.074

Previous Articles    

Construction of Timing It Right Theory-based Phase Intervention Program for Parents of Infants with Enterostomy

HUANG Wen-juan, WU Dong-mei, ZHAN Li-ru   

  1. Surgical Neonatal Intensive Care Unit, Guangzhou Women and Children’s Medical Center, Guangzhou 510623, China
  • Received:2021-11-11 Online:2022-03-10 Published:2022-04-11

Abstract: Objective To construct a phase intervention program for parents of infants with enterostomy based on Timing it Right (TIR) theory. Methods Based on the framework of TIR theory, the draft of the intervention program was developed after literature review, and 10 experts were selected to modify the intervention period and specific measures after 2 rounds of expert letter consultation. Finally, the construction of the phase intervention program for parents of infants with enterostomy was completed. Results The recovery rate and enthusiasm of experts were 100%; the expert authority coefficients were all greater than 0.90, and Kendall’s W coefficients were 0.223 and 0.293, respectively, with statistical significance (P<0.05). After two rounds of expert consultation, four intervention phases which included perioperative period, discharge preparation period, adjustment period and adaptation period, were finally determined, and 13 intervention measures, including sending education handbook and video in the hospital, guiding how to make use of enterostomy model to practice, and the combination of ostomy nursing specialist outpatient service and online extended care service after discharge, etc. Conclusion The TIR theory-based phase intervention program for parents of infants with enterostomy is scientific and reliable, which provides reference and guidance for the formulation of nursing support and the development of extending nursing for infants with enterostomy as well as their parents in different phases.

Key words: timing it right, enterostomy, parent, Delphi, intervention program

CLC Number: 

  • R473.72
[1] 张玉侠. 新生儿实用护理学[M].北京:人民卫生出版社,2019:343.
[2] 耿守凡,王月琦,张丹,等. 肠造口新生儿母亲照护体验的质性研究[J].护士进修杂志, 2019, 34(3):244-246. DOI:10.16821/j.cnki.hsjx.2019.03.013.
[3] Vance AJ, Knafl K, Brandon DH. Patterns of Parenting Confidence Among Infants with Medical Complexity:A Mixed-methods Analysis[J]. Adv Neonatal Care,2021,21(2):160-168. DOI:10.1097/A NC.0000000000000754.
[4] 张楠,韩月姣,王亚菲,等. 105例肠造口患儿主要照顾者照顾负担现状及影响因素分析[J]. 护理学报, 2019,26(18):51-54. DOI:10.16460/j.issn1008-9969.2019.18.051.
[5] Li OM, Wu LJ, Huang YL, et al. Nursing Care for Infants after Enterostomy: Experience with 483 Cases Over a 5-Year Period[J]. J Nurs Manag,2019,27(8):1614-1619. DOI:10.1111/jonm.12844.
[6] Zhang X, Gao R, Lin JL, et al. Effects of Hospital-family Holistic Care Model on the Health Outcome of Patients with Permanent Enterostomy Based on the Theory of ‘Timing It Right'[J]. J Clin Nurs, 2020, 29(13-14):2196-2208. DOI: 10.1111/jocn.15199.
[7] 雷娜,任向芳,郭露萍,等.延续护理在降低新生儿肠造口并发症发生率中的效果观察[J].护理管理杂志, 2016,16(6):430-431.
[8] 张楠,韩月皎,苏莉莉,等.儿童肠造口延续性护理现状及研究进展[J].中国护理管理,2020,20(8):1183-1187. DOI:10.3969/j.issn.1672-1756.2020.08.014.
[9] 曹晶,赵颖,何许,等.基于循证构建肠造口患者护理团队核心要素指标体系[J].护理学报, 2020, 27(1):64-69. DOI: 10.16460/j.issn1008-9969.2020.01.064.
[10] Cameron JI, Gignac MA. “Timing It Right”: A Conceptual Framework for Addressing the Support Needs of Family Caregivers to Stroke Survivors from the Hospital to the Home[J]. Patient Educ Couns, 2008, 70(3):305-314. DOI: 10.1016/j.pec.2007.10.020.
[11] 胡爱玲,郑美娟,李伟娟.现代伤口与肠造口临床护理实践[M].2版.北京:中国协和医科大学出版社,2018:446-450.
[12] 卞荆晶,朱丹,胡露红.以家庭为中心护理模式在造口患儿中的应用研究[J].护理学杂志,2014, 29(16):4-6. DOI:10.3870/hlxzz.2014.16.004.
[13] World Councill of Enterostomal Therapists.WCET International Ostomy Guideline[EB/OL].[2021-06-29].https://wcetonline-store.myshopify.com/products /international-ostomy-guideline downloadable.
[14] 中国肠造口护理指导意见编委会.中国肠造口护理指导意见2013版[M]. 北京:中华护理学会造口、伤口、失禁护理专业委员会, 2013.
[15] The World Council of Enterostomal Therapists. International Ostomy Guideline 2nd Edition[EB/OL]. [2021-06-29]. https://wcet-online-store.myshopify.com/collections/all.
[16] 唐云跃,岳树锦,郭彤,等.国外最佳肠造口临床实践指南健康教育推荐意见的分析研究[J].护理研究, 2020,34(10):1733-1738. DOI: 10.12102/j.issn.1009-6493.2020.10.010.
[17] 司龙妹,刘飞,张佩英,等.造口患者围手术期健康教育的最佳证据总结[J].中华护理杂志,2021,56(3):452-457. DOI: 10.3761/j.issn.0254-1769.2021.03.024.
[18] Robatmili A, Anboohi SZ, Farahani A, et al. Effect of Providing Ostomy Care Education to Mothers of Neonates with Peristomal Skin Complications[J]. Adv Nurs Midwifery,2018,27(3):6-10. DOI:10.21859/ANM-027033.
[19] Prinz A, Colwell JC, Cross HH, et al. Discharge Planning for a Patient with a New Ostomy:Best Practice for Clinicians[J]. J Wound Ostomy Continence Nurs, 2015,42(1):79-82. DOI: 10.1097/WON.0000000000000094.
[20] Goudarzi Z, Askari M, Seyed-Fatemi N, et al. The Effect of Educational Program on Stress, Anxiety and Depression of the Mothers of Neonates Having Colostomy[J]. J Matern Fetal Neonatal Med,2016,29(23):3902-3905. DOI:10.3109/14767058.2016.1152242.
[21] Mcdonald J, Mckinlay E, Keeling S, et al. Becoming an Expert Carer: The Process of Family Carers Learning to Manage Technical Health Procedures at Home[J]. J Adv Nurs, 2016, 72(9):2173-2184. DOI:10.1111/jan.12984.
[22] 苏锦绣,李丽红.互联网+智慧医院背景下伤口造口失禁专科护理管理实践[J].护理研究,2021, 35(4):728-730. DOI:10.12102/j.issn.1009-6493.2021.04.035.
[23] 唐文娟,陆群峰,屈文倩,等.动机性访谈在肠造口患儿照顾者中的应用[J].中华护理杂志,2019,54(6):896-901. DOI:10.3761/j.issn.0254-1769.2019.06.018.
[24] 吴玲,魏敏,夏冬云,等.肠造口患者出院准备度指标的构建[J].中国护理管理,2021,21(4):512-516.DOI:10.3969/j.issn.1672-1756.2021.04.008.
[25] Dabas H, Sharma K K, Joshi P, et al. Video Teaching Program on Management of Colostomy: Evaluation of Its Impact on Caregivers[J]. J Indian Assoc Pediatr Surg, 2016, 21(2):54-56. DOI:10.4103/0971-9261.176933.
[26] 刘美玲,殷彩欣,符白玲,等.妇女儿童互联网护理门诊建设实践[J].中国护理管理,2021,21(2):293-297. DOI:10.3969/j.issn.1672-1756.2021.02.027.
[1] WANG Qiu-ting, WEI Lin, LIU Yang-chen, LIN Jing-xia, LIN Li-jun, HU Ping, ZHU Li-jia, LIN Mei-zhen. Development of Core Competence Evaluation Index System of Nursing Specialists of Chinese Medicine [J]. Journal of Nursing, 2022, 29(4): 1-6.
[2] BU Xiao-li, WANG Yan-hong, LI Hui-ju, SHI Su-jie, YANG Pu-rui. Establishment of Formative Assessment System of “Community Nursing” [J]. Journal of Nursing, 2022, 29(2): 7-10.
[3] REN Li, ZHAO Xiu-fang. Construction of Competency Model and Index System of New Nurses in Maternity and Children’s Hospital Based on Onion Model [J]. Journal of Nursing, 2021, 28(7): 21-25.
[4] ZHEN Yong-qi, YE Xiang-hong, WANG Ling-ling. Development of Nursing Rounds Checklist for Patients with Severe Abdominal Trauma [J]. Journal of Nursing, 2021, 28(3): 15-19.
[5] CHENG Zhong-sha, BAI Xiao-lin, XIE Gui-hua, ZHANG Yong-chun, YI Yi-le, WEI Qing, YANG Zeng-zhen. Construction of Decision Aids for Patients with Cardio Valve Replacement [J]. Journal of Nursing, 2021, 28(24): 22-25.
[6] Zhang Rui, Ye Xiang-hong, Zhao Ze-hua, Han Zhen, Xie Wen-hui, Wu Cui-li. Construction of Early Warning and Assessment Index System of Enteral Nutrition Intolerance for Patients with Abdominal Trauma [J]. Journal of Nursing, 2021, 28(23): 1-5.
[7] PENG Lei, CHEN Xue-mei, LIU Jian, SHI Hai-liu, XU Fang-lei. Construction of Quality Evaluation Index System of Emergency Nursing for Severe Trauma [J]. Journal of Nursing, 2021, 28(23): 20-24.
[8] SHAO Ke, JING Jin, FU Lan. Construction of Sensitivity Index System for Nursing Quality in Geriatric Stomatological Outpatient [J]. Journal of Nursing, 2021, 28(22): 30-35.
[9] WEI Qing, BAI Xiao-ling, PANG Jin, ZHANG Jia-xing, LOU Ting, LIANG Qing-long, YANG Zeng-zhen. TEvidence-based Radiation Protection Standard of Medical Staff in Interventional Diagnosis and Treatment [J]. Journal of Nursing, 2021, 28(21): 41-46.
[10] CHENG Xue, XU Cui-ping, ZHANG Min, WANG Jun-zhi, CHU Liang-liang, WU Yu, DING Kai-wen, LI Chang-e. Construction of Painless Labor Intention Self-rating Scale Based on Theory of Planned Behavior [J]. Journal of Nursing, 2021, 28(2): 5-9.
[11] XIONG Zhao-yu, LI Su-yun, YANG Sai, KE Hui, HUANG Hai-yan, ZHOU Hui-Min, YAN Rong, LIU Yun-Fang, LIU Tian-Yi. Construction of Evidence-based Early Warning Grading Standard and Interventions for Enteral Nutrition-related Constipation in Inpatients [J]. Journal of Nursing, 2021, 28(17): 70-75.
[12] YUAN Lin, QIU Zheng-qing, LI Rong-rong, SUN Jing, LI Yang. Formulation of Bestevidence-based Dietary Management Program for Children with Glycogen Storage Disease TypeⅠ [J]. Journal of Nursing, 2021, 28(16): 52-57.
[13] SONG Hui-juan, LIAO Shao-na, QIAO Hui, MA Guo-zhen, RUAN Shu-hua, KONG Bi-hua, LIU Nai-rong, TAN Yu-ling, WANG Lin, ZHOU Chun-lan. Construction of Standard for Nursing Humanistic Care Demonstration Ward [J]. Journal of Nursing, 2021, 28(16): 63-68.
[14] XIE Xiao-min, LI Ya-li, LIANG Ya-hong, FENG Bei, LIN Yan, JIANG Xun. Mediating Effect of Dysfunctional Attitude between Parenting Stylesand Depressive Symptoms in Adolescents [J]. Journal of Nursing, 2021, 28(13): 52-57.
[15] YANG Li-feng. Construction of Formative Assessment Index System of Academic Performance of Nursing Undergraduates in Flipped Classroom Teaching Mode [J]. Journal of Nursing, 2021, 28(12): 6-9.
Viewed
Full text


Abstract

Cited

  Shared   
[1] SUN Cai-yun, LIN Zheng, ZHOU Mei-jing, GU Zi-jun, WANG Mi, GU Jun-yi, ZHU Zhan-hui. Current Status of Benefit Finding among Patients with Inflammatory Bowel Diseases and Its Influence Factors[J]. Journal of Nursing, 2022, 29(6): 1 -6 .
[2] REN Peng-na, HU Xiao-yi, TANG Ai-ling, ZHANG Yue, XU Fang-lei. Construction of Evidence-based Nursing Plan for Discharge Preparation of Elderly Patients with Urinary Incontinence[J]. Journal of Nursing, 2022, 29(6): 7 -10 .
[3] WU Xiao-yun, BI Qing-quan, ZHOU Gui-qin, PAN Hai-feng. Mediating Effect of Psychological Resilience between Emotional Creativity and Post-traumatic Growth in Patients with Cornea Transplant[J]. Journal of Nursing, 2022, 29(6): 11 -14 .
[4] MI Yuan-yuan, HUANG Hai-yan, CHEN Hui, CHEN Han-zhen, MING Yao-hui, NIE Tao. Construction and Evaluation of Safety Management Project for Unplanned ICU Readmission[J]. Journal of Nursing, 2022, 29(6): 15 -19 .
[5] . [J]. Journal of Nursing, 2022, 29(6): 20 -25 .
[6] RUAN An-ran, HU Hao-ran, REN Ya-hao, YANG Xue-ting, CHENG Kang-yao, TENG Wen-zhe. Visual Analysis of Research Hotspots in Psychological Care for Inflammatory Bowel Disease from 2010 to 2020[J]. Journal of Nursing, 2022, 29(6): 26 -31 .
[7] . [J]. Journal of Nursing, 2022, 29(6): 32 -36 .
[8] ZHANG Hui-chao, WHANG Nan-nan, ZHANG Yu-xi. Emotional Labor Experience of Hospice Nurses: A Systematic Review of Qualitative Studies[J]. Journal of Nursing, 2022, 29(6): 37 -43 .
[9] CAO Mi, ZHANG Jun, YUE Shao-ting. Best Evidence Summary for Post-hospital Neurodevelopmental Supportive Care for Preterm Infants[J]. Journal of Nursing, 2022, 29(6): 44 -49 .
[10] CAI Ying-ying, ZHANG Jun-feng, CAI Ai-fang, ZENG Ya-yan, LI Ling, HUANG Qiong-shan, LIU Xing-ling. Development of Evidence-based Core Competence-oriented Nursing Round Model[J]. Journal of Nursing, 2022, 29(6): 50 -54 .