| Objective To explore the effects of home care based on behavior change theory on quality of life in patients undergoing permanent cystostomy. Methods A total of 74 patients undergoing permanent cystostomy in Anhui Jimin Cancer Hospital were divided into control group (between June and December 2018, n=37) and observation group (between January and June 2019, n=37) according to discharge order. The control group was given routine home care, while observation group was given home care based on behavior change theory. The differences in psychological status, self-care ability, self-perceived burden, disease perception and quality of life before and after intervention were comparedbetween the two groups. Results After intervention, scores of self-rating anxiety scale (SAS), self-rating depression scale (SDS) and self-perceived burden in observation group were lower than those in control group (P<0.05), while scores of health knowledge, self-care responsibility, self-concept, self-care skills and disease perception were higher than those in control group (P<0.05).The variance analysis of multiple factors repeated measurementat 2, 4 and 6 months after intervention, SF-36 scores were higher than those before intervention in observation group (time effect P<0.05), which were higher in observation group than control group (between-group effect P<0.05).There were interactive effects on SF-36 scores in terms of intervention measures and time (P<0.05). Conclusions Home care based on behavior change theory can significantly relieve negative emotions and self-perceive burden of patients undergoing permanent cystostomy, which can evidently improve disease perception, self-care ability and quality of life. |
