护理干预在结直肠癌造口术后患者中的应用探讨
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摘要
目的探讨护理干预在结直肠癌造口术后患者中的应用效果。方法方便选取该院2015年3月—2017年12月肿瘤内科收治的98例结直肠癌造口术后患者,根据患者入院的单双号日期随机分为观察组(n=56)及对照组(n=42),对照组给予常规护理,观察组在常规护理的基础上给予健康、饮食、生活指导,并发症的观察处理,心理护理等护理干预,比较两组护理效果。结果观察组患者对护理人员及工作的总满意度为100.00%(χ~2=10.77,P<0.01),治疗3个月后患者对造口的总自我护理能力占比为89.28%(χ~2=10.34,P<0.01),及3个月后造口并发症发生的总例数为4例(χ~2=12.54,P<0.01),均优于对照组,差异有统计学意义。结论护理干预能有效提高患者的满意度,提高结直肠癌患者对造口的自我护理及观察能力,降低并发症发生率,改善患者的生活质量。
Objective To investigate the effect of nursing intervention in patients with colorectal cancer after ostomy. Methods Convenient select ninety-eight patients with colorectal cancer ostomy admitted to our hospital from March 2015 to December 2017 were randomly divided into observation group(n=56) and control group(n=42) according to the single and double date of admission. the control group received routine nursing, and the observation group gave health, diet, life guidance, observation and treatment of complications, psychological nursing and other nursing interventions on the basis of routine nursing, and compared the nursing effects of the two groups. Results The total satisfaction of nursing staff and work in the observation group was 100.00%(χ~2=10.77, P<0.01). After 3 months of treatment, the total self-care ability of the patients to the stoma accounted for 89.28%(χ~2=10.34, P<0.01), and the total number of cases of ostomy complications after 3 months was 4 cases(χ~2=12.54, P<0.01), which were superior to the control group, and the difference was statistically significant. Conclusion Nursing intervention can effectively improve patient satisfaction, improve self-care and observation ability of patients with colorectal cancer, reduce the incidence of complications and improve the quality of life of patients.
Objective To investigate the effect of nursing intervention in patients with colorectal cancer after ostomy. Methods Convenient select ninety-eight patients with colorectal cancer ostomy admitted to our hospital from March 2015 to December 2017 were randomly divided into observation group(n=56) and control group(n=42) according to the single and double date of admission. the control group received routine nursing, and the observation group gave health, diet, life guidance, observation and treatment of complications, psychological nursing and other nursing interventions on the basis of routine nursing, and compared the nursing effects of the two groups. Results The total satisfaction of nursing staff and work in the observation group was 100.00%(χ~2=10.77, P<0.01). After 3 months of treatment, the total self-care ability of the patients to the stoma accounted for 89.28%(χ~2=10.34, P<0.01), and the total number of cases of ostomy complications after 3 months was 4 cases(χ~2=12.54, P<0.01), which were superior to the control group, and the difference was statistically significant. Conclusion Nursing intervention can effectively improve patient satisfaction, improve self-care and observation ability of patients with colorectal cancer, reduce the incidence of complications and improve the quality of life of patients.
引文
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[11]张健.综合护理干预对结直肠造口术后患者生活质量的影响[J].母婴世界,2018(3):216.
[12]周知润.结直肠癌结肠造口术后并发症的观察及护理[J].健康必读,2018(27):173-174.
[13]曾彩云,唐丹,张利凤.个体化护理干预在直肠癌造口术后护理中的应用效果观察[J].中国当代医药,2017,24(15):176-178.
[2]Colon Cancer Laparoscopic or Open Resection Study Group,Buunen M,Veldkamp R,et al.Survival after laparoscopic surgery versus open surgery for colon cancer:long-term outcome of a randomised clinical trial[J].Lancet Oncol,2009,10(1):44-52.
[3]陈洁.健康教育对直肠癌造口术后生活质量的影响[J].医学与哲学,2015,36(12):92-94.
[4]裴祺.李伟东,刘璇.直肠癌结肠造15术后延伸护理服务的效果评价[J].中国实用护理杂志,2015,31(Z2):66-68.
[5]王晓红,吕传江.结直肠癌造口术患者实施临床护理干预对提升患者生活质量的效果分析[J].中国医药指南,2017,15(24):218.
[6]郭玉芝,董启超,梁晖,等.快速康复外科对腹腔镜结直肠肿瘤患者围术期临床指标及生活质量的影响[J].齐鲁护理杂志,2016,19(4):12-14.
[7]余立.综合护理干预对结直肠造口术后患者生活质量的影响[J].中外医学研究,2017,15(20):57-58.
[8]傅晓瑾,赵杰,王章,等.治疗性沟通方案对结肠癌造口患者幸福水平及生活质量的影响[J].世界华人消化杂志,2015,5(4):846-851.
[9]王勤.护理干预对结直肠癌术后肠造口患者自我管理能力的影响[J].国院护理学杂志,2014,33(2):376-377.
[10]张尹芳,赵杰.个体化心理护理干预对结肠、直肠肿瘤术后化疗患者生活质量的影响[J].当代护士,2016,24(6中旬刊):76-77.
[11]张健.综合护理干预对结直肠造口术后患者生活质量的影响[J].母婴世界,2018(3):216.
[12]周知润.结直肠癌结肠造口术后并发症的观察及护理[J].健康必读,2018(27):173-174.
[13]曾彩云,唐丹,张利凤.个体化护理干预在直肠癌造口术后护理中的应用效果观察[J].中国当代医药,2017,24(15):176-178.