护理干预在直肠癌术后患者中的应用
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摘要
目的探究不同护理干预对腹腔镜下低位和超低位直肠癌术后肛门功能的影响。方法选取2016年1月—2018年12月我院行腹腔镜手术的低位和超低位直肠癌患者100例作为研究对象。将2016年1月—2017年12月采用常规护理患者50例作为常规护理组,将2018年1—12月给予专科护理管理模式护理的患者50例作为专科护理组。结果专科护理组第1次自主控气时间(t=11.569,P=0.000)、第1次自主控便时间(t=7.946,P=0.000)均短于常规护理组,差异均具有统计学意义(P <0.05)。结论专科护理管理模式能够提高护理质量,改善患者肛门功能。
Objective To explore the effect of different nursing intervention on anal function after laparoscopic operation for low and ultra-low rectal cancer. Methods 100 patients with low and ultra-low rectal cancer who underwent laparoscopic surgery in our hospital from January 2016 to December 2018 were selected as the study subjects. 50 patients with routine nursing from January 2016 to December 2017 were selected as routine nursing group. 50 patients who received specialist nursing management model nursing from January to December 2018 were selected as specialist nursing group. Results The first exhaust time(t=11.569, P=0.000) and the first defecation time(t=7.946, P=0.000) of the specialist nursing group were shorter than those of the conventional nursing group, and the difference was statistically significant(P<0.05). Conclusion Specialized nursing management model can improve the quality of nursing and the anal function of patients.
Objective To explore the effect of different nursing intervention on anal function after laparoscopic operation for low and ultra-low rectal cancer. Methods 100 patients with low and ultra-low rectal cancer who underwent laparoscopic surgery in our hospital from January 2016 to December 2018 were selected as the study subjects. 50 patients with routine nursing from January 2016 to December 2017 were selected as routine nursing group. 50 patients who received specialist nursing management model nursing from January to December 2018 were selected as specialist nursing group. Results The first exhaust time(t=11.569, P=0.000) and the first defecation time(t=7.946, P=0.000) of the specialist nursing group were shorter than those of the conventional nursing group, and the difference was statistically significant(P<0.05). Conclusion Specialized nursing management model can improve the quality of nursing and the anal function of patients.
引文
[1]Battersby NJ,How P,Moran B,et al.Prospective Validation of a Low Rectal Cancer Magnetic Resonance Imaging Staging System and Development of a Local Recurrence Risk Stratification Model[J].Annals of Surgery,2015,263(4):751.
[2]郭天安,谢丽,赵江,等.中国结直肠癌1988-2009年发病率和死亡率趋势分析[J].中华胃肠外科杂志,2018,21(1):33.
[3]茆家定,茆家定,吴佩,等.超低位直肠癌保肛术的临床应用价值[J].中华消化外科杂志,2015,14(6):461-465.
[4]杨华,马华,严正蓉.术后综合护理减少低位直肠癌保肛患者术后排便异常的效果观察[J].实用临床医药杂志,2015,19(4):69-72.
[5]蒲羽,邱远,李祥,等.直肠癌保肛术后低位前切除综合征发生率、恢复情况及影响因素的回顾性分析[J].第三军医大学学报,2017,39(10):1025-1030.
[6]吴利蓉,何芳,赵平武,等.护理干预对腹腔镜结直肠癌手术患者胃肠功能的影响(附84例报告)[J].结直肠肛门外科,2015,21(2):151-153.
[7]王天兴.血清中淀粉样蛋白A和趋化因子5水平与肛瘘术后患者肛门功能和生活质量的关系[J].中国卫生检验杂志,2017,27(18):55-57.
[8]赵天舒,郑珊红.中文版癌症病人照护满意度量表信效度研究[J].泰山医学院学报,2018,39(1):21-23.
[9]刘淑霞,范福玲.癌症患者感知护理服务质量量表的汉化及信效度研究[J].中国实用护理杂志,2015,31(23):1770-1773.
[10]刘岩.超低位直肠癌ISR术后康复训练依从性的影响因素及护理对策研究[J].结直肠肛门外科,2017,23(6):792-795.
[11]Carrillo A,EnríquezNavascués JM,Rodríguez A,et al.Incidence and characterization of the anterior resection syndrome through the use of the LARS scale(low anterior resection score)[J].Cirugia Espanola,2016,94(3):137-143.
[12]陈艳秋,袁春华.超低位直肠癌患者经肛门内外括约肌间切除术后排便功能训练的依从性研究[J].中国实用护理杂志,2016,32(24):1863.
[13]刘毓姝,姜桂春.综合护理干预对超低位直肠癌前切除术患者排便及排尿功能的影响评价[J].现代消化及介入诊疗,2016,21(4):651-653.
[2]郭天安,谢丽,赵江,等.中国结直肠癌1988-2009年发病率和死亡率趋势分析[J].中华胃肠外科杂志,2018,21(1):33.
[3]茆家定,茆家定,吴佩,等.超低位直肠癌保肛术的临床应用价值[J].中华消化外科杂志,2015,14(6):461-465.
[4]杨华,马华,严正蓉.术后综合护理减少低位直肠癌保肛患者术后排便异常的效果观察[J].实用临床医药杂志,2015,19(4):69-72.
[5]蒲羽,邱远,李祥,等.直肠癌保肛术后低位前切除综合征发生率、恢复情况及影响因素的回顾性分析[J].第三军医大学学报,2017,39(10):1025-1030.
[6]吴利蓉,何芳,赵平武,等.护理干预对腹腔镜结直肠癌手术患者胃肠功能的影响(附84例报告)[J].结直肠肛门外科,2015,21(2):151-153.
[7]王天兴.血清中淀粉样蛋白A和趋化因子5水平与肛瘘术后患者肛门功能和生活质量的关系[J].中国卫生检验杂志,2017,27(18):55-57.
[8]赵天舒,郑珊红.中文版癌症病人照护满意度量表信效度研究[J].泰山医学院学报,2018,39(1):21-23.
[9]刘淑霞,范福玲.癌症患者感知护理服务质量量表的汉化及信效度研究[J].中国实用护理杂志,2015,31(23):1770-1773.
[10]刘岩.超低位直肠癌ISR术后康复训练依从性的影响因素及护理对策研究[J].结直肠肛门外科,2017,23(6):792-795.
[11]Carrillo A,EnríquezNavascués JM,Rodríguez A,et al.Incidence and characterization of the anterior resection syndrome through the use of the LARS scale(low anterior resection score)[J].Cirugia Espanola,2016,94(3):137-143.
[12]陈艳秋,袁春华.超低位直肠癌患者经肛门内外括约肌间切除术后排便功能训练的依从性研究[J].中国实用护理杂志,2016,32(24):1863.
[13]刘毓姝,姜桂春.综合护理干预对超低位直肠癌前切除术患者排便及排尿功能的影响评价[J].现代消化及介入诊疗,2016,21(4):651-653.