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Improve the self-care ability of enterrostomal patients

Improve the self-care ability of enterrostomal patients

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Problem Description: 
Every year there’s at  least 100000  patients  having the enterostomal operations for a variety of reasons, and the patients were severely hit by the enterostomal operation physiologically and psychologically, they need either care and  help  or  more guidance  and treatment  from  nursing  specialists; secondly, the complications of enterostomal operation can make patients very  distressed,  and  seriously  affect  the  quality  of  life.  According  to domestic  literatures,  the  early  complication  of  enterostomy  in  general counted  for 30%-40%, that means one third stoma patients suffered  from enterostomal complications.  Relevant  studies  have  indicated  that 66.7%- 84.3%  patients  did  not  understand  observation  and  treatment  of  the complications and the enterostomal related products applications. Lacking of related knowledge of enterostomal care leaded to low self- care abilities, they were unable to prevent enterostomal complications, resulting in a decline in the quality of life of the patients, help and treatment were needed by trained enterostomal therapist.
Solution: 
Whole course of standardized nursing enterostomal patients:
1.  Psychological  nursing  and  preoperative  enterostomal  location  which provided maximum guarantee for the future self- care, improving the quality of life of enterostomal patients.
 
2. Strengthening health education by the combination of lectures and bedside guidance  to  improve  the  enterostomal  related  knowledge  and  self- care abilities. Every Wednesday afternoons 16:00-17:00 we had a lecture in the meeting room of the 25th department, the contents mainly involved: the basic enterostomal  knowledge,  observation  and  treatment  of  the  enterostomal enterostomal complications,  life enterostomal patients,  instructions of the application of enterostomal products. On the other hand, we trained on the practice of replacing enterostomal bag, such as removing the enterostomal chassis, cutting, pasting in the models. Participants included  enterostomal patients of the  whole  hospital,  family  members,  discharged  enterostomal patients and their  families, student nurses and  nurses.  The teachers were enterostomal therapists and the staff from the enterostomal specialist team.
 
3.Providing enterostomal clinic service: providing services to the discharged enterostomal patients. 
 
4.Strengthening social support: strengthening the communications and support by the establishment of enterostomal patients QQ group and enterostomal Associations. 
Achievement: 
The results of enterostomal patients questionnaire from the enterostomal clinic showed:
 
From  November, 2008 to May, 2012  among the enterostomal patients: 28.98% full self- care, 50.53% partial self-care, 20.69% was unable taking care of themselves; 41.33% had enterostomal complications
 
From  June, 2012 – May to 2014 among the enterostomal patients: 40.45% full self- care, 55.12% partial self-care,4.43% was unable taking care of themselves; 23.67% had enterostomal complications
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