| Objective: To explore the effect of green mode health education on improving self-management cognition and attitude of patients with preventive enterostomy,and correcting and standardizing their self-management behavior,so as to prevent the occurrence of preventive enterostomy complications and improve the quality of life of patients.Methods: A total of 80 patients with preventive enterostomy who were admitted to the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine from March 2020 to December 2021 were selected as subjects and randomly divided into control group and observation group with40 patients in each group by random number table method.There were 7cases of detachment during the study period(1 case in the control group voluntarily withdrew,2 cases lost to follow-up,and 1 case was transferred to hospital;In the observation group,there was 1 case of disease metastasis,1case of hospital transfer and 1 case of lost follow-up),and a total of 73 cases were included.The control group received routine health education(oral education + distribution of health education manual)for health education,and the observation group received green mode health education method for program intervention,and both groups received intervention for 12 weeks.The self-management abilities and qualities of life of patients in the two groups were scored 1 day after surgery,and the factors affecting the self-management of patients were analyzed.The efficacy of the two groups was evaluated at 4 weeks and 12 weeks after operation(Patients’ self-management ability,quality of life,skin conditions around the stoma,and the occurrence of stoma complications were included).SPSS22.0 was used for statistical processing,and P<0.05 was considered to be statistically significant.The effect of green model health education on self-management ability of patients with preventive enterostomy was determined by data analysis.Results: 1.Before intervention,a total of 73 patients were included in this study,including 37 in the observation group and 36 in the control group.There was no significant difference in general data between the two groups 1day after surgery(P>0.05).There was no significant difference in self-management ability of enterostomy(t=0.261,P>0.05).There was no significant difference in quality of life of ostomy(t=-0.112,P>0.05).2.Post-intervention ⑴Comparison of self-management ability: at 4 weeks and 12 weeks after surgery,the self-management level of enterostomy in the observation group was significantly higher than that in the control group,and the difference was statistically significant(t=-9.045,P<0.05;t=-10.793,P<0.05).⑵Comparison of quality of life of ostomy: At 4 and 12 weeks after operation,the quality of life of enterostomy in the observation group was significantly better than that in the control group,and the difference was statistically significant(t=-2.042,P<0.05;t=-4.562,P<0.05).⑶ Comparison of skin score around the stoma: At 4 and 12 weeks after surgery,DET score in the observation group was significantly lower than that in the control group,the difference was statistically significant(t=2.217,P<0.05;t= 2.215,P<0.05).⑷Comparison of the incidence of ostomy complications: at 4 weeks and 12 weeks after surgery,the incidence of ostomy complications in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion: ⑴ Green mode health education can improve the self-management ability of patients with preventive enterostomy.⑵ Green’s mode of health education can effectively improve the quality of life of patients with preventive enterostomy.⑶ Green model health education can significantly reduce the score of skin around stoma and the incidence of stoma complications,and improve the condition of skin around patients with preventive enterostomy. |
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