Study On The Application Effect Of Empowerment-based Education On Care Ability Of Primary Caregivers In Patients With Early Permanent Colostomy

Objective1 Understand the current problems in the health education of early permanent colostomy patients and primary caregivers and the needs of primary caregivers of early permanent colostomy patients in the care process,as the model and content of clinical health education Provide the basis for the formulation.2 According to the characteristics of primary caregivers of patients with early permanent colostomy,develop a more standardized,comprehensive,and systematic health education model for caregivers based on authorization theory.3 Explore the feasibility of using authorized health education in the primary caregivers of patients with early permanent colostomy,and evaluate the impact of authorized health education on the caregiver capacity,burden of care,and quality of life of primary caregivers for patients with permanent colostomy.In order to meet the care needs of the primary caregivers of early permanent colostomy patients,a health education method worthy of reference is provided.methodThis study was conducted in two parts.The first part was a qualitative study.The purpose of sampling was used to select the 15 patients who were admitted to the anorectal department of a tertiary Class A hospital in Tianjin from April to May 2019.The primary caregivers of patients undergoing colostomy and conducted semi-structured interviews to understand the psychological status,health education content and methods of the primary caregivers of patients after the operation,and provide a basis for the formulation of intervention programs.The second part is an interventional study.The convenience sampling method was used to select the patients who had undergone permanent colostomy who were admitted to the anorectal department of an anorectal department in a tertiary Class A hospital in Tianjin from June 2019 to December 2019.There were 100 caregivers,including 50 in the control group and the intervention group.The control group received traditional health education,and the intervention group received authorized health education.The scores of the caregivers and the burden of care of the main caregivers before intervention,before discharge,2 weeks after discharge,and 1 month after discharge were compared,and were measured 3 days after stoma,before discharge,2 weeks after discharge,and 1 month after discharge.The quality of life scores of patients were calculated before the discharge,2 weeks after discharge,and 1 month after discharge.SPSS 23.0 was used for statistical analysis.The general data of patients and primary caregivers were described by frequency,percentage,mean ± standard deviation,and analyzed by chi-square test and independent sample t test.The main caregivers' care ability,care burden,and patient's quality of life were statistically described by means ± standard deviation.The scores of two groups of samples were compared at different time points using a chi-square test,two independent sample t-tests,and repeated measures analysis of variance.Peripheral skin complications were described by frequency,percentage,and composition ratio,and analyzed by chi-square test.result1 There was no statistically significant difference in general demographic data between the two groups of patients and primary caregivers(P> 0.05),and the balance was comparable.2 Before the intervention,there was no significant difference in the total scores of the caregivers and the scores of each dimension between the two groups of caregivers(P> 0.05).The scores in the intervention group before discharge,2 weeks after discharge,and 1 month after discharge were lower than those in the control group.The total score of care ability and the scores of each dimension after repeated measurement analysis of variance showed that time,between groups,and interaction effects were statistically significant(P <0.05).3 Before the intervention,there was no significant difference in the scores of the caregivers of the two groups of caregivers(P> 0.05).The scores in the intervention group before discharge,2 weeks after discharge,and 1 month after discharge were lower than those in the control group.Analysis of repeated measurement of variance of care burden scores showed that the time effect was statistically significant(F = 2688.692,P <0.05),and the effect between groups(F = 55.778,P <0.05)was statistically significant.The interaction between time and grouping(F = 183.475,P <0.05)was statistically significant.4 There were no statistically significant differences in the quality of life scores between the two groups of patients at 3 days after ostomy,before discharge,and 2 weeks after discharge(P> 0.05).The intervention group score was higher than the control group 1 month after discharge.The repeated analysis of variance of the quality of life score of the patients showed that the time effect was statistically significant(F = 342.287,P <0.05),and the inter-group effect(F = 4.240,P <0.05)was statistically significant.(F = 9.792,P <0.05)has statistical significance.5 There was no statistical difference in the incidence of ostomy and surrounding skin complications between the two groups of patients before and 2 weeks after discharge(P> 0.05),and there was a statistical difference in the incidence of 1 month after discharge(P <0.05).conclusion:In the current health education for primary caregivers of patients with permanent enterostomy,the content of education lacks pertinence and stageliness;the education method cannot effectively arouse the enthusiasm of primary caregivers.Authorized health education can improve the care ability of primary caregivers,reduce the care burden of primary caregivers,reduce the incidence of ostomy and surrounding skin complications,and thus improve the quality of life of patients.