延续性功能锻炼联合心理护理干预在结肠癌根治术中的应用效果
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摘要
目的研究延续性功能锻炼联合心理护理干预在结肠癌根治术中的应用效果,并观察对患者术后并发症的影响。方法选择2015年6月至2017年6月我院收治的126例结肠癌患者作为研究对象,患者均接受结肠癌根治术治疗,按照随机排列表法将其分为对照组和研究组,各63例。对照组患者采用延续性功能锻炼联合常规护理,研究组患者采用延续性功能锻炼联合心理护理干预。比较两组护理前、后心理状况、生活质量、并发症发生情况及护理满意度。结果护理后,两组SAS、SDS评分均显著降低,且研究组低于对照组(P<0.05)。护理后,两组PF、RP、BP、CH、VT、SF、RE及MH评分均显著升高,且研究组高于对照组(P<0.05)。研究组的并发症总发生率显著低于对照组(P<0.05)。研究组患者的护理满意度显著高于对照组(P<0.05)。结论延续性功能锻炼联合心理护理干预可有效提高结肠癌根治术患者的治疗效果及生活质量,改善其心理情绪,降低并发症发生率,更符合患者需求,值得临床应用及推广。
Objective To study the effect of continuous functional exercise combined with psychological nursing intervention in radical resection of colon cancer, and to observe the effect on postoperative complications. Methods A total of 126 patients with colon cancer admitted in our hospital from June 2015 to June 2017 were selected as study objects. All patients received radical resection of colon cancer, and they were divided into two groups according to random arrangement table, with 63 cases in each group. The patients in the control group were given continuous functional exercise combined with routine nursing, while the patients in the study group were given continuous functional exercise combined with psychological nursing intervention. The psychological status, quality of life before and after nursing, occurrence of complications and nursing satisfaction of the two groups were compared. Results After nursing, the scores of SAS and SDS in both groups decreased significantly, and those in the study group were lower than the control group(P <0.05). After nursing, the scores of PF, RP, BP, CH, VT, SF, RE and MH in the two groups increased significantly, and those in the study group were significantly higher than the control group(P<0.05). The total incidence of complications in the study group was significantly lower than that in the control group(P <0.05). The nursing satisfaction of the study group was significantly higher than that of the control group(P<0.05). Conclusion The continuous functional exercise combined with psychological nursing intervention can effectively improve the curative effect and quality of life of patients with radical resection of colon cancer, improve their psychological mood, reduce the incidence of complications, which is more in line with the needs of patients and worthy of clinical application and promotion.
Objective To study the effect of continuous functional exercise combined with psychological nursing intervention in radical resection of colon cancer, and to observe the effect on postoperative complications. Methods A total of 126 patients with colon cancer admitted in our hospital from June 2015 to June 2017 were selected as study objects. All patients received radical resection of colon cancer, and they were divided into two groups according to random arrangement table, with 63 cases in each group. The patients in the control group were given continuous functional exercise combined with routine nursing, while the patients in the study group were given continuous functional exercise combined with psychological nursing intervention. The psychological status, quality of life before and after nursing, occurrence of complications and nursing satisfaction of the two groups were compared. Results After nursing, the scores of SAS and SDS in both groups decreased significantly, and those in the study group were lower than the control group(P <0.05). After nursing, the scores of PF, RP, BP, CH, VT, SF, RE and MH in the two groups increased significantly, and those in the study group were significantly higher than the control group(P<0.05). The total incidence of complications in the study group was significantly lower than that in the control group(P <0.05). The nursing satisfaction of the study group was significantly higher than that of the control group(P<0.05). Conclusion The continuous functional exercise combined with psychological nursing intervention can effectively improve the curative effect and quality of life of patients with radical resection of colon cancer, improve their psychological mood, reduce the incidence of complications, which is more in line with the needs of patients and worthy of clinical application and promotion.
引文
[1]王旭丹,李彩丽.延续性功能锻炼联合心理护理干预对结肠癌根治术后病情的影响[J].现代消化及介入诊疗,2016,21(6):904-906.
[2]童莉,焦永倩,王艳静,等.思维导图在腹腔镜结肠癌根治术术后并发症护理中的应用[J].河北医药,2014,36(18):2877-2879.
[3]许慧.经腹腔镜结肠癌根治术联合肝转移灶术中射频消融治疗的围手术期护理[J].护士进修杂志,2017,32(15):1402-1405.
[4]解金凤.快速康复外科理念在结肠癌根治术患者围手术期护理中的应用[J].护理实践与研究,2014,11(10):153-155.
[5]易秋岑,周骏,黄海英,等.舒适护理模式在结肠癌根治术患者中的应用价值[J].局解手术学杂志,2013,22(5):552-553.
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[7]马晴.43例结肠癌根治术的护理观察[J].中国卫生标准管理,2016,7(6):237-239.
[8]汤妹娥,杨润琴,李丽,等.舒适护理对结肠癌术后化疗患者康复效果及癌因性疲乏的影响研究[J].河北医学,2016,22(2):314-317.
[9]王芳.围术期护理对结肠癌根治术患者术后胃肠功能恢复的影响[J].实用临床护理学电子杂志,2017,2(36):4-5.
[10]蔡桃秀,许淑镇,丁志杰,等.经肛门自然腔道取标本的腹腔镜左结肠癌根治术围术期舒适护理[J].国际护理学杂志,2016,35(22):3049-3052.
[11]张颖.腹腔镜结肠癌根治术围手术期护理体会[J].中国伤残医学,2013,21(9):329-330.
[12]SIM JH,JUNG EJ,RYU CG,et al.Short-term outcomes of hand-assisted laparoscopic surgery vs.open surgery on right colon cancer:a case-controlled study[J].Ann Coloproctol,2013,29(2):72-76.
[13]杨多.结肠癌根治术后病人拔除尿管最佳时机探讨[J].护理研究,2014,28(23):2883-2884.
[14]郭朝霞.腹腔镜下37例结肠癌根治术的护理体会[J].河南科技大学学报:医学版,2014,32(2):158-159.
[2]童莉,焦永倩,王艳静,等.思维导图在腹腔镜结肠癌根治术术后并发症护理中的应用[J].河北医药,2014,36(18):2877-2879.
[3]许慧.经腹腔镜结肠癌根治术联合肝转移灶术中射频消融治疗的围手术期护理[J].护士进修杂志,2017,32(15):1402-1405.
[4]解金凤.快速康复外科理念在结肠癌根治术患者围手术期护理中的应用[J].护理实践与研究,2014,11(10):153-155.
[5]易秋岑,周骏,黄海英,等.舒适护理模式在结肠癌根治术患者中的应用价值[J].局解手术学杂志,2013,22(5):552-553.
[6]米卫华.循证护理对开腹结肠癌根治术患者术前心理的影响[J].中国医药科学,2014,4(3):143-145.
[7]马晴.43例结肠癌根治术的护理观察[J].中国卫生标准管理,2016,7(6):237-239.
[8]汤妹娥,杨润琴,李丽,等.舒适护理对结肠癌术后化疗患者康复效果及癌因性疲乏的影响研究[J].河北医学,2016,22(2):314-317.
[9]王芳.围术期护理对结肠癌根治术患者术后胃肠功能恢复的影响[J].实用临床护理学电子杂志,2017,2(36):4-5.
[10]蔡桃秀,许淑镇,丁志杰,等.经肛门自然腔道取标本的腹腔镜左结肠癌根治术围术期舒适护理[J].国际护理学杂志,2016,35(22):3049-3052.
[11]张颖.腹腔镜结肠癌根治术围手术期护理体会[J].中国伤残医学,2013,21(9):329-330.
[12]SIM JH,JUNG EJ,RYU CG,et al.Short-term outcomes of hand-assisted laparoscopic surgery vs.open surgery on right colon cancer:a case-controlled study[J].Ann Coloproctol,2013,29(2):72-76.
[13]杨多.结肠癌根治术后病人拔除尿管最佳时机探讨[J].护理研究,2014,28(23):2883-2884.
[14]郭朝霞.腹腔镜下37例结肠癌根治术的护理体会[J].河南科技大学学报:医学版,2014,32(2):158-159.