综合护理干预在直肠癌低位前切除术患者围术期护理中的应用效果
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摘要
目的探讨综合护理干预在直肠癌低位前切除术(Dixon)患者围术期中的应用效果。方法 2012年2月~2016年1月选择在北京大学肿瘤医院诊治的直肠癌患者86例,根据信封法分为观察组与对照组,每组各43例。所有患者都给予Dixon手术,对照组在围术期采取常规护理方法,观察组在对照组基础上给予综合护理干预,记录两组预后情况与护理满意度。结果观察组的排气时间、排便时间与术后住院时间明显少于对照组(P<0.05)。出院时观察组护理满意度明显高于对照组(P<0.05)。术后1个月,观察组并发症发生情况明显低于对照组(P<0.05)。结论综合护理干预在直肠癌Dixon术患者围术期护理中的应用,有利于患者康复,减少并发症的发生,且能提高患者的护理满意度。
Objective To explore the applying values of comprehensive nursing intervention in perioperative period of rectal cancer patients underwent Dixon. Methods From February 2012 to January 2016, 86 patients with rectal cancer in Peking University Cancer Hospital were selected and divided into observation group and control group by envelope method, with 43 cases in each group. All patients were treated with Dixon, and the control group was treated with the perioperative routine nursing, while the observation group was treated with comprehensive nursing care based on the control group. The prognosis and nursing satisfaction of the two groups were recorded. Results The exhaust time, defecation time and postoperative hospital stay in the observation group were significantly less than that those in the control group(P < 0.05). At discharge, the nursing satisfaction of the observation group was significantly higher than that of the control group(P < 0.05). One month after operation, occurrence of complications in the observation group was significantly lower than that of the control group(P < 0.05). Conclusion The comprehensive nursing intervention can be conducive to the rehabilitation of patients, reduce the incidence of complications, and improve nursing satisfaction of patients, which is applied in perioperative nursing in patients with rectal cancer underwent Dixon.
Objective To explore the applying values of comprehensive nursing intervention in perioperative period of rectal cancer patients underwent Dixon. Methods From February 2012 to January 2016, 86 patients with rectal cancer in Peking University Cancer Hospital were selected and divided into observation group and control group by envelope method, with 43 cases in each group. All patients were treated with Dixon, and the control group was treated with the perioperative routine nursing, while the observation group was treated with comprehensive nursing care based on the control group. The prognosis and nursing satisfaction of the two groups were recorded. Results The exhaust time, defecation time and postoperative hospital stay in the observation group were significantly less than that those in the control group(P < 0.05). At discharge, the nursing satisfaction of the observation group was significantly higher than that of the control group(P < 0.05). One month after operation, occurrence of complications in the observation group was significantly lower than that of the control group(P < 0.05). Conclusion The comprehensive nursing intervention can be conducive to the rehabilitation of patients, reduce the incidence of complications, and improve nursing satisfaction of patients, which is applied in perioperative nursing in patients with rectal cancer underwent Dixon.
引文
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[20]王宏伟,王崑,包全,等.超重对结直肠癌肝转移患者手术并发症和生存的影响[J].中华肿瘤杂志,2015,3(16):200-203.
[21]Jensen CG,Elsass P,Neustrup L,et al.What to listen for in the consultation.Breast cancer patients′own focus on talking about acceptance-based psychological coping predicts decreased psychological distress and depression[J].Patient Educ Couns,2014,97(2):165-172.
[22]刘紫菱,练贵香.人性化关怀对直肠癌病人护理满意度及生活质量的影响[J].全科护理,2014,12(9):813-815.
[2]杨永红,王万碧,王琼.临床护理路径对腹腔镜直肠癌根治术围术期并发症及生存质量的影响[J].国际护理学杂志,2014,5(12):1125-1126.
[3]O′Connor G,Coates V,O′Neill S.Randomised controlled trial of a tailored information pack for patients undergoing surgery and treatment for rectal cancer[J].Eur J Oncol Nurs,2014,18(2):183-191.
[4]樊彩芳,张清,李祖媚,等.腹腔镜下结直肠癌根治术围术期综合护理干预分析[J].中国实用医药,2016,11(20):250-251.
[5]Segelman J,Akre O,Gustafsson UO,et al.External validation of models predicting the individual risk of metachronous peritoneal carcinomatosis from colon and rectal cancer[J].Colorectal Dis,2015,20(10):112-114.
[6]苏连菊.综合护理干预在Dixon术治疗低位直肠癌患者围术期护理中的应用效果[J].国际护理学杂志,2016,35(8):1053-1055.
[7]Sakuramoto S,Yamashita K,Kikuchi S,et al.Laparoscopy versus open distal gastrectomy by expert surgeons for early gastric cancer in Japanese patients:short-term clinical outcomes of a randomized clinical trial[J].Surg Endosc,2013,27(5):1695-1705.
[8]Matshela RF,Maree JE,van Belkum C.Prevention and detection of prostate cancer:a pilot intervention in a resource--poor South African community[J].Cancer Nurs,2014,37(3):189-197.
[9]Morielli AR,Usmani N,BouléNG,et al.A phaseⅠstudy examining the feasibility and safety of an aerobic exercise intervention in patients with rectal cancer during and after neoadjuvant chemoradiotherapy[J].Oncol Nurs Forum,2016,43(3):352-362.
[10]Imperatori A,Rotolo N,Dominioni L,et al.Durable recurrence-free survival after pneumonectomy for late lung metastasis from rectal cancer:case report with genetic and epigenetic analyses[J].BMC Cancer,2015,1(15):567-568.
[11]陈忠华,陈建英,陈俊霞,等.临床护理路径在直肠癌切除术患者中的应用[J].齐齐哈尔医学院学报,2015,14(8):2166-2168.
[12]So WK,Choi KC,Chen JM,et al.Quality of life in head and neck cancer survivors at 1 year after treatment:the mediating role of unmet supportive care needs[J].Support Care Cancer,2014,22(11):2917-2926.
[13]王希娥.高龄直肠癌患者术后切口感染相关因素分析及护理干预效果[J].国际护理学杂志,2016,35(15):2121-2125.
[14]Herrinton LJ,Altschuler A,Mc Mullen CK,et al.Conversations for providers caring for patients with rectal cancer:Comparison of long-term patient-centered outcomes for patients with low rectal cancer facing ostomy or sphincter-sparing surgery[J].CA Cancer J Clin,2016,66(5):387-397.
[15]Lin YH,Yang HY,Hung SL,et al.Effects of pelvic floor muscle exercise on faecal incontinence in rectal cancer patients after stoma closure[J].Eur J Cancer Care(Engl),2016,25(3):449-457.
[16]崔淑英.腹腔镜下直肠癌根治术的围术期护理体会[J].中国肿瘤外科杂志,2014,21(4):267-268.
[17]Selman L,Young T,Vermandere M,et al.Research priorities in spiritual care:an international survey of palliative care researchers and clinicians[J].J Pain Symptom Manage,2014,48(4):518-531.
[18]Hsu MC,Tu CH.Improving quality-of-life outcomes for patients with cancer through mediating effects of depressive symptoms and functional status:a three-path mediation model[J].J Clin Nurs,2014,23(17-18):2461-2472.
[19]Xie F,Hopkins R,Burke N,et al.Patient management,and time and health care resource utilization associated with the use of intravenous bisphosphonates for patients with metastatic bone disease:a Delphi study[J].Hosp Pract,2012,40(2):131-137.
[20]王宏伟,王崑,包全,等.超重对结直肠癌肝转移患者手术并发症和生存的影响[J].中华肿瘤杂志,2015,3(16):200-203.
[21]Jensen CG,Elsass P,Neustrup L,et al.What to listen for in the consultation.Breast cancer patients′own focus on talking about acceptance-based psychological coping predicts decreased psychological distress and depression[J].Patient Educ Couns,2014,97(2):165-172.
[22]刘紫菱,练贵香.人性化关怀对直肠癌病人护理满意度及生活质量的影响[J].全科护理,2014,12(9):813-815.