综合家庭护理干预改善直肠癌根治术后造口患者性生活质量的疗效观察
摘要
<正>传统开腹的直肠癌扩大根治术治疗直肠癌的效果已经得到一致认同,但不少学者认为因术中容易损伤盆腔自主神经丛,故术后患者泌尿生殖功能障碍的发生率较高~([1]);加上部分患者由于术后初期对躯体形象的改变不适应、对造口护理不熟练、化疗药物的毒副反应和心理状态发生变化等,其术后生存质量和性生活质量受到极大的影响~([1-3])。因此,近年来越来越多的学者提倡采用腹腔镜手术以保留盆腔自主神经丛。虽然腹腔镜手术相比较传统开放手术对泌尿生殖功能的影响
引文
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[7]Lim R S,Yang T X,Chua T C.Postoperative bladder and sexual function in patients undergoing surgery for rectal cancer:a systematic review and meta-analysis of laparoscopic versus open resection of rectal cancer[J],Tech Coloproctol,2014,18(11):993-1002.
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[12]姜丹。杨铮,万崇华,等.大肠癌患者生命质量测定量表QLQ—CR68中文版的研制与应用评价[J].中国肿瘤,2007,1 6(11):862—865.
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[14]李晓伟,蒋文慧.直肠癌永久性结肠造口患者生存质量及其影响因素研究进展[J].护理实践与研究.2015,12(1):16—18.
[15]王薇.牟旭红.直肠癌造口患者生活质量与自我效能相关性的研究进展[J].护理与康复.2011.10(7):577—579.
[16]Yazdanpanah Y,Klein O,Gambiez L,et al.Impact of surgery on quality of life in Crohn's disease[J].Am J Gastroenterol,1997,92(10):1897-1900.
[17]Gemmill R,Sun V,Ferrell B,et al.Going with the flow:quality-of-life outcomes of cancer survivors with urinary diversion[J].J Wound Ostomy Continence Nurs,2010,37(1):65-72.
[18]羡红涛,寇京莉.韩斌如.永久性结肠造口患者规律排便现状调查分析[J]l中华护理杂志,2007.42(4):31 5—31 6.
[19]Hendren S K,O'Connor B I,Liu M,et al.Prevalence of male and female sexual dysfunction is high following surgery for rectal cancer[J].Ann Surg,2005,242(2):212-223.
[20]荆淑红.护理干预对直肠癌术后肠造口患者生存质量的影响[J].齐鲁护理杂志,2010.16(21):22—23.
[21]余立群综合护理干预对直肠癌结肠造口术患者的生存质量影响分析[J].吉林医学,2013,34(16):3220—3221.
[22]马雪玲.王玉珏肠造口患者性生活的影响因素及护理进展[J].护士进修杂志.2014.29(22):2041—2043.
[23]蒋慧湘。黄婵好.黄巧宜.等.综合护理干预对结肠癌造口患者性生活质量的影响[J].现代临床护理。2008,7(1):6—8.
[2]李长艳.陈亚红,胡海霞,等.直肠癌结肠造口患者生活质量及其影响因素的研究进展[J].护理学杂志,2008.23(2):79—81.
[3]Kasparek M S,Hassan I,Cima R R,et al.Long-term quality of life and sexual and urinary function after abdominoperineal resection for distal rectal cancer[J].Dis Colon Rectum,2012,55(2):147-154.
[4]王超洋,洪剑波.徐浩雄.等.腹腔镜与开腹手术治疗低位直肠癌疗效比较[J].浙江医学.2007,29(6):606—607.
[5]姚学清.欧阳植安,林锋.等.影响直肠癌全直肠系膜切除术预后因素[J].中国临床解剖学杂志.2005,23(5):547—549.
[6]Pocard M,Zinzindohoue F,Haab F,et al.A prospective study of sexual and urinary function before and after total mesorectal excision with autonomic nerve preservation for rectal cancer[J].Surgery.2002,131(4):368-372.
[7]Lim R S,Yang T X,Chua T C.Postoperative bladder and sexual function in patients undergoing surgery for rectal cancer:a systematic review and meta-analysis of laparoscopic versus open resection of rectal cancer[J],Tech Coloproctol,2014,18(11):993-1002.
[8]Williams J.Sexual health:case study of a patient who has undergone stoma formation[J].Br J Nurs,2006.15(14):760-763.
[9]方文.陈永彤.诸蕊玉.等.直肠癌术后人工肛门患者生活质量调查研究[J].护士进修杂志.2002.17(7):560—561.
[10]Sprangers M A,te Velde A,Aaronson N K.The construction and testing of the EORTC colorectal cancer-specific quality of life questionnaire module(QLQ-CR38).European Organization for Research and Treatment of Cancer Study Group on Quality of Life[J].Eur J Cancer,1999,35(2):238-247.
[11]王建平.陈仲庚.林文娟.等.中国癌症病人生活质量的测定——EORTC QLQ-C30在中国的试用[J].心理学报,2000,32(4):438—442.
[12]姜丹。杨铮,万崇华,等.大肠癌患者生命质量测定量表QLQ—CR68中文版的研制与应用评价[J].中国肿瘤,2007,1 6(11):862—865.
[13]张华.李峥.永久性结肠造口患者生存质量的调查分析[J].中华护理杂志,2006,41(7):594—597.
[14]李晓伟,蒋文慧.直肠癌永久性结肠造口患者生存质量及其影响因素研究进展[J].护理实践与研究.2015,12(1):16—18.
[15]王薇.牟旭红.直肠癌造口患者生活质量与自我效能相关性的研究进展[J].护理与康复.2011.10(7):577—579.
[16]Yazdanpanah Y,Klein O,Gambiez L,et al.Impact of surgery on quality of life in Crohn's disease[J].Am J Gastroenterol,1997,92(10):1897-1900.
[17]Gemmill R,Sun V,Ferrell B,et al.Going with the flow:quality-of-life outcomes of cancer survivors with urinary diversion[J].J Wound Ostomy Continence Nurs,2010,37(1):65-72.
[18]羡红涛,寇京莉.韩斌如.永久性结肠造口患者规律排便现状调查分析[J]l中华护理杂志,2007.42(4):31 5—31 6.
[19]Hendren S K,O'Connor B I,Liu M,et al.Prevalence of male and female sexual dysfunction is high following surgery for rectal cancer[J].Ann Surg,2005,242(2):212-223.
[20]荆淑红.护理干预对直肠癌术后肠造口患者生存质量的影响[J].齐鲁护理杂志,2010.16(21):22—23.
[21]余立群综合护理干预对直肠癌结肠造口术患者的生存质量影响分析[J].吉林医学,2013,34(16):3220—3221.
[22]马雪玲.王玉珏肠造口患者性生活的影响因素及护理进展[J].护士进修杂志.2014.29(22):2041—2043.
[23]蒋慧湘。黄婵好.黄巧宜.等.综合护理干预对结肠癌造口患者性生活质量的影响[J].现代临床护理。2008,7(1):6—8.