英文摘要 |
Purposes Complete self-care autonomy following an enterostomy operation has been shown to have significant positive correlations with patients' self-efficacy, social interactions, financial condition, and quality of life. This study aims to improve the levels of self-care awareness and abilities in patients who have undergone an enterostomy, thereby increasing self-care confidence, reducing complications, and improving patients' quality of life. Methods After analyzing the current situation, we found that the levels of self-care awareness and abilities in patients' families were 40% and 51.8%, respectively. The primary issues were: the patients or primary caregivers had very little practice; and the education, training, guidance tools, and nursing procedures for nurse practitioners were inadequate. Hence, doctors, nutritionists, and stoma nurse practitioners jointly developed a QR code-based nursing guidance video and instruction manual, revised the nursing operating procedures, improved the methods for teaching and evaluating the stoma model, and held educational and training lectures. Results After implementing this project, the levels of self-care awareness among the patients' families increased from 40% to 98.4%, and the levels of self-care abilities increased from 51.8% to 97.8%, suggesting that the intervention measures proposed by this study achieved remarkable results. Conclusions Through cross-functional cooperation, improvement of the process framework, and revision of the standard operating procedure, the self-care awareness, abilities, and confidence of patients' families, as well as the quality of life of patients after enterostomy, were effectively improved. |