背景:术前教育可以改善造口手术患者的术后生活质量。然而,患病率和何时,where,术前教育的实施方式尚不清楚.因此,本研究旨在评估护士对直肠癌造口手术患者的门诊术前教育现状。此外,它试图确定日本医疗保健提供者提供的信息,作为术前教育的一部分.
方法:这项横断面研究包括1,716个伤口,造口术,和负责日本医院造口诊所的失禁护士(WOCN)。未经签名的自我管理的调查表格已邮寄给参与者,并获得了基于纸张或网络的回复。主要问题包括:与会者及其设施概况,提供门诊术前教育,执行情况,和术前教育组件。为了检查与术前教育相关的因素,自变量是临床术前教育的存在与否,解释变量是作为护士的经验,作为WOCN的多年经验,医院类型,床的数量,和每年肠造口手术的数量。进行回归分析。
结果:我们收到了773份有效回复(有效回复率:45%)。作为护士和WOCN的经验期限分别为24.6年和10.9年,分别。24%的参与者提供了门诊术前教育。大多数术前教育课程是针对患者或护理人员进行的。每位患者术前教育时间为31-60分钟,每月接受1至5例患者术前教育。小册子,造口术器具,和造口模型/娃娃作为术前教育的补充材料。术前教育中最常见的组成部分是造口护理,日常生活,社会保障,造口诊所,旅行和外出,造口手术后的生活质量,和医疗注意事项。此外,在旅途中使用洗手间的教育,备灾,恢复性直肠切除术后排便障碍,造口闭合后的并发症被认为是必要的。
结论:门诊术前教育执行率低(24%)。未来的挑战包括开发适合日本医疗环境的特定教育内容和程序,以及建立造口手术的术前医疗护理团队,以促进提供门诊术前教育。
BACKGROUND: Preoperative education can improve postoperative quality of life in patients undergoing stoma surgery. However, the prevalence and when, where, and how preoperative education is implemented are unclear. Therefore, this
study aimed to assess the current status of outpatient preoperative education for patients undergoing
stoma surgery for rectal cancer as perceived by nurses. Additionally, it sought to identify the information provided by Japanese healthcare providers as a part of preoperative education.
METHODS: This cross-sectional
study included 1,716 wound, ostomy, and continence nurses (WOCNs) in charge of
stoma clinics at Japanese hospitals. Unsigned self-administered survey forms were mailed to the participants, and paper- or web-based responses were obtained. The main questions included: overview of the participants and their facilities, provision of outpatient preoperative education, status of implementation, and preoperative education components. To examine the factors associated with preoperative education, the independent variable was the presence or absence of preoperative education in the clinic, and the explanatory variables were the years of experience as a nurse, years of experience as a WOCN, type of hospital, number of beds, and number of intestinal stoma surgeries per year. Regression analysis was performed.
RESULTS: We received 773 valid responses (valid response rate: 45%). Duration of experience as a nurse and as a WOCN were 24.6 and 10.9 years, respectively. Outpatient preoperative education was provided by 24% of the participants. Most preoperative education sessions were conducted for patients or caregivers. Preoperative education took 31-60 min per patient, and one to five patients received preoperative education each month. Booklets, ostomy appliances, and stoma models/dolls were used as supplementary materials for preoperative education. The most frequently mentioned components of preoperative education were stoma care, daily life, social security,
stoma clinic, traveling and going out, quality of life after
stoma surgery, and precautions for medical treatment. In addition, education on the use of restrooms on the go, disaster preparedness, defecation disorders after restorative proctectomy, and complications after stoma closure were considered necessary.
CONCLUSIONS: The implementation rate of outpatient preoperative education was low (24%). Future challenges include the development of specific educational content and procedures suitable for the Japanese medical environment and the establishment of preoperative medical care teams for stoma surgery to promote the provision of outpatient preoperative education.