AbstractObjective：Toexplore theinfluenceof discharge preparationunderthetheoryof goalatainmentonslepqualityinpatientswithtemporaryenterostomy.Methods：Atotalof128patientswithtemporaryenterostomyadmitedintheFirstAfiliated Hospital of Xiamen University from June2O23 to April 2O24were selected and divided into control group（ n=64 ）and observation group（ n=64 ）byrandom number table.The control group was given conventional discharge preparation，whereas the observation groupreceiveddischargepreparationunderthetheoryof goalatainment.Thedischargereadiness[Readiness for HospitalDischarge Scale（RHDS）]，self-care level[ExerciseofSelf-Care AgencyScale（ESCA）]，sleepquality[Pitsburgh SleepQualityIndex（PSQI），InsomniaSeverityIndex（ISI）]andactivitiesfordailyliving（Barthel index）beforeandafterinterventionwerecompared between the groups.Results：The scoresof RHDS intheobservation group were higherthanthose inthecontrol group（ Plt; 0.05）. The scores of ESCA and BI in the two groups were increased（ Plt;0.05 ），and the scores were higher in the observation group（ Plt;0.05） . The score of PSQI and ISI in both groups were decreased（ Plt;0.05 ），and the observation group had lower PSQI score and ISI score（ Plt;0.05 ）. BI score in both groups was rised after intervention（ Plt;0.05 ），and the score in the observation group was higher than that in the control group（ Plt;0.05 ）. Conclusion： Goal attainment-guided intervention for discharge preparationcanefectivelyenhancethedischargereadinessandself-careposibilityof patientswithtemporaryenterostomy，and improve their sleep quality and quality of life.

KeywordsTheoryof goal atainment；Discharge preparation；Temporary enterostomy；Dischargereadiness；Self-care；Sleep quality；Activities of daily living

中图分类号：R338.63； R472.9+1 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.04.034

临时性肠造口术是腹部外科最常见的手术之一，通常是为缓解症状而临时使用造口排出粪便或肠内容物，一般待腹腔炎症完全消失后，需再行造口还纳术[1]。造口术后患者需经历适应身体功能变化并进行造口护理，研究显示，肠造口患者普遍存在由造口及造口相关因素引发的焦虑、不安、自我负担感等负性情绪，导致入睡困难及睡眠中断，致使患者睡眠质量不佳，进而加重患者疲乏感，使其日间精力下降，直接影响其自护能力和机体康复进程[2]。因此，针对肠造口患者实施系统化的自我护理培训和充足的出院准备，对提升机体康复进程和睡眠质量至关重要。互动达标理论强调以患者为中心、护患双方共同参与疾病护理工作，形成护患互动模式，以达到疾病康复目标。以互动达标指导的出院准备方案是基于护患沟通交流而制定的个性化干预方案，目前在脑卒中等慢性病患者出院管理中取得满意效果[3]。本研究将探究互动达标指导的出院准备方案在临时性肠造口术患者中的应用效果，现将结果报道如下。

资料与方法

1.1一般资料选取2023年6月至2024年4月厦门大学附属第一医院收治的临时性肠造口患者128例作为研究对象，按照随机数字表法分为对照组和观察组，每组64例。2组患者一般资料见表1，经比较，差异无统计学意义（ Pgt;0.05 ，具有可比性。本研究经我院医学伦理委员会审批通过。

1.2纳入标准1）经临床检查确定手术干预方案，拟行临时性肠造口术治疗;2）年龄 gt;18 岁；……