RÉSUMÉ
Objective To investigate the level and influence factors of sleep quality for home-care colostomy patients with colorectal cancer. Methods The Pittsburgh sleep quality index were administered on 170 patients with colorectal cancer. Results The score of global Pittsburgh Sleep Quality Index (PSQI) was 7.193±4.355, which was significantly higher than 3.88±2.52 of the norm. And 37.3% (62/166) of colostomy patients with colorectal cancer reported poor sleep quality. 37.3%(62/166) of patients didn′t get 6 hours'sleep every night. The major reasons for sleep disturbance were night toilet visits, 22.3% (37/166) of patients went to night toilet more than 3 times per week. Logistic regression analysis showed that the type of colostomy ( OR=1.969, P=0.012) and discharge time ( OR=2.092, P=0.000) were influencing factors of sleep quality. Conclusion The sleep quality of colostomy patients with colorectal cancer were worse than normal people, and their sleep time were prevalent. The type of colostomy and discharge time were major influencing factors of sleep quality.
RÉSUMÉ
Objective To develop an instrument for measuring ICU staff′s beliefs and attitudes towards patients′early mobility and to establish the psychometric characteristics of this scale. Methods Based on the ICU medical personnel questionnaire developed by Jolley and a large number of related literature, the item pool was formulated. Preliminary draft was formed through expert consultation and a small sample pre-test. Totally 336 ICU staff were surveyed for investigation to test the validity and reliability. Results ICU staff's beliefs and attitudes of patients′ early mobility scale consisted of 38 items; there were 34 belief scales and 4 attitude scales, the exploratory factor analysis identified five principal factors and explained for 60.50％variance. The item content validity index ranged from 0.667 to 1.000, the scale content validity index was 0.911. The Cronbach α coefficient of the beliefs scale was 0.927 and the attitudes scale was 0.822. The Cronbachαcoefficient of each dimension of the beliefs scale was 0.616-0.906. Conclusions The self-designed ICU staff's beliefs and attitudes of patients′ early mobility scale has good validity, reliability and applicability to ICU staff.
RÉSUMÉ
Objective To construct and evaluate the effect of WeChat platform self-management program among colorectal cancer survivors with ostomies. Methods Totally 80 colorectal cancer survivors with ostomies were divided into two groups according the inclusive time with 40 cases each. The patients in the experimental group were applied WeChat platform self-management program, the control group were applied regular discharge telephone follow-up. The patients′ self-efficacy and quality of life were measured and compared prior to discharge, at 1 and 6 weeks after discharge. And the patients' occurrence of stoma complications were measured at 1 and 6 weeks after discharge. Results Due to quit research, finally complete the study of the experimental group for 36 cases, the control group for 35 cases. The total score of self-efficacy at 1 and 6 weeks after discharge were (72.05± 9.68), (84.91±16.01) points in the experimental group, and (63.00 ± 13.26), (72.20 ± 15.61) points in the control group, and there were statistically significant differences (t=-2.586, 3.388, P<0.01). The total score of quality of life at 1 and 6 weeks after discharge were (43.68±8.32), (49.49±8.61) points in the experimental group, and were (37.09± 5.57), (40.42 ± 8.01) points in the control group, and there were statistically significant differences (t=3.926, 4.596, P<0.05). Repeated measures analysis of variance showed that the intervention effect on the overall self-efficacy, stoma care self-efficacy, social self-efficacy and stoma quality of life was significant (F=4.287-10.744, P<0.05);the time effect on the overall self-efficacy and quality of life was significant (F=146.109, 90.105, P < 0.05); there were interactions between the effect of WeChat platform self-management program and time on the overall self-efficacy, stoma care self-efficacy, social self-efficacy, dietary efficacy, sexual life satisfaction efficacy, keep active efficacy and stoma quality of life ( F=4.452-21.777, P<0.05) . Chi-square analysis showed that the patients′occurrence of stoma complications at 1 and 6 weeks after discharge in the experimental group were lower than those in the control group:8.33%(3/36), 5.56%(2/36) and 31.43%(11/35), 25.71%(9/35), the differences were significant (χ2=5.980, 5.508, P < 0.05). Conclusions WeChat platform self-management program may be helpful for colorectal cancer survivors with ostomies after discharge in improving self-efficacy and quality of life, and in reducing stoma complications incidence.