直肠癌患者术后应用医院-家庭延续性护理干预的效果
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摘要
为观察医院-家庭延续性护理干预在直肠癌术后患者中的应用效果及对患者生活质量和肠道功能恢复的影响,本研究选取2017年1月至2017年10月在我院接受手术治疗的80例直肠癌患者为研究对象,并根据随机数字表法将其分为对照组和观察组,两组患者均接受常规护理,观察组在此基础上给予医院-家庭延续性护理干预。观察两组患者干预前后不良情绪、肠道功能恢复、并发症发生率和生活质量的差异。结果表明:两组患者干预前不良情绪得分无差别,干预后,观察组患者紧张-焦虑、抑郁-沮丧和疲乏-迟钝等得分低于对照组,精力-活力得分高于对照组;观察组患者术后肠鸣音恢复和首次肛门排气时间均低于对照组(t=5.018, 5.368, p<0.001);观察组患者吻合口瘘、切口感染和腹泻发生率低于对照组(χ~2=5.000, p=0.025);两组患者干预前生活质量得分无差别,干预后,观察组患者生活质量高于对照组。本研究初步结论表明医院-家庭延续性护理干预在直肠癌术后患者中的应用效果较好,可促进患者术后肠道功能恢复,改善患者不良情绪,提高其生活质量。
In order to observe the effect of hospital-family continuity nursing intervention on rectal cancer patients after operation, and the influence on the life quality and intestinal function recovery of patients. 80 patients with rectal cancer who received surgical treatment in our hospital from January 2017 to October 2017 were selected as the subjects in this research. According to the random number table method, they were divided into the control group and the observation group. The two groups were all received routine nursing, and the observation group was given hospital-family continuity intervention on the basis of this. The differences of bad mood, recovery of intestinal function, incidence of complications and quality of life were observed before and after intervention in the two groups. The results exhibited that there was no difference in the scores of bad emotions between the two groups before intervention. After intervention, the scores of tension-anxiety, depression-frustration and fatigueinertia in the observation group were lower than those in the control group, and the scores of energy-vigor were higher than those in the control group. Observation group of patients with postoperative bowel sound recovery and anal exhaust time were lower than the control group(t=5.018, 5.368, p<0.001); the observation group of patients with anastomotic fistula, incision infection and the incidence of diarrhea was lower than that of control group(χ~2=5.000,p=0.025); there was no difference in quality of life between the two groups before intervention, and the quality of life of the patients in the observation group was higher than that of the control group. The preliminary conclusions of this study indicate that the effect of hospital-family continuity nursing intervention shall be better in patients with rectal cancer after operation, which can promote intestinal function recovery, improve patients' bad mood and improve their quality of life after operation.
In order to observe the effect of hospital-family continuity nursing intervention on rectal cancer patients after operation, and the influence on the life quality and intestinal function recovery of patients. 80 patients with rectal cancer who received surgical treatment in our hospital from January 2017 to October 2017 were selected as the subjects in this research. According to the random number table method, they were divided into the control group and the observation group. The two groups were all received routine nursing, and the observation group was given hospital-family continuity intervention on the basis of this. The differences of bad mood, recovery of intestinal function, incidence of complications and quality of life were observed before and after intervention in the two groups. The results exhibited that there was no difference in the scores of bad emotions between the two groups before intervention. After intervention, the scores of tension-anxiety, depression-frustration and fatigueinertia in the observation group were lower than those in the control group, and the scores of energy-vigor were higher than those in the control group. Observation group of patients with postoperative bowel sound recovery and anal exhaust time were lower than the control group(t=5.018, 5.368, p<0.001); the observation group of patients with anastomotic fistula, incision infection and the incidence of diarrhea was lower than that of control group(χ~2=5.000,p=0.025); there was no difference in quality of life between the two groups before intervention, and the quality of life of the patients in the observation group was higher than that of the control group. The preliminary conclusions of this study indicate that the effect of hospital-family continuity nursing intervention shall be better in patients with rectal cancer after operation, which can promote intestinal function recovery, improve patients' bad mood and improve their quality of life after operation.
引文
Lin Y.H.,Chen H.P.,and Liu K.W.,2015,Fecal incontinence and quality of life in adults with rectal cancer after lower anterior resection,J.Wound Ostomy Continence Nurs.,42(4):395-400
Zeng H.H.,and Fu W.,2016,Current situation and research progress of laparoscopic surgery for rectal cancer in foreign countries,Zhongguo Weichuang Waike Zazhi(Chinese Journal of Minimally Invasive Surgery),16(7):650-655(曾焕虹,付卫,2016,国外腹腔镜手术治疗直肠癌的现状及研究进展,中国微创外科杂志,16(7):650-655)
Zhang J.E.,Lv L.,Huang M.R.,Luo B.J.,Zheng M.C.,and Li Q.,2017,Effect of comprehensive continuous nursing on patients with early rectal cancer colostomy after discharge,Zhongguo Huli Guanli(Chinese Nursing Management),17(4):453-457(张俊娥,吕琳,黄漫容,罗宝嘉,郑美春,李琼,2017,综合延续护理对出院早期直肠癌结肠造口患者的效果研究,中国护理管理,17(4):453-457)
Zhang M.X.,Xu Z.,Zhou P.,and Wu Y.Y.,2017,Risk factors for surgical site infection in patients with colorectal cancer,Zhongguo Ganran Kongzhi Zazhi(Chinese Journal of Infection Control),16(8):745-748(张明霞,许铮,周萍,吴永友,2017,结肠与直肠癌患者手术部位感染的危险因素,中国感染控制杂志,16(8):745-748)
Zhang Y.N.,Zhang F.,and Zhao H.,2016,Application of continuous nursing mode in postoperative patients with rectal cancer,Shiyong Linchuang Yiyao Zazhi(Journal of Clinical Medicine in Practice),20(8):98-100(张亚宁,张芳,赵华,2016,延续护理模式在直肠癌患者术后的应用,实用临床医药杂志,20(8):98-100)
Zheng W.,and Nie H.X.,2016,Characteristics and nursing countermeasures of ureteral injury in laparoscopic rectal cancer surgery,Zhonghua Xiandai Huli Zazhi(Chinese Modern Nursing Records),22(7):1001-1003(郑薇,聂红霞,2016,腹腔镜直肠癌手术输尿管损伤的特点和护理对策,中华现代护理杂志,22(7):1001-1003)
Zeng H.H.,and Fu W.,2016,Current situation and research progress of laparoscopic surgery for rectal cancer in foreign countries,Zhongguo Weichuang Waike Zazhi(Chinese Journal of Minimally Invasive Surgery),16(7):650-655(曾焕虹,付卫,2016,国外腹腔镜手术治疗直肠癌的现状及研究进展,中国微创外科杂志,16(7):650-655)
Zhang J.E.,Lv L.,Huang M.R.,Luo B.J.,Zheng M.C.,and Li Q.,2017,Effect of comprehensive continuous nursing on patients with early rectal cancer colostomy after discharge,Zhongguo Huli Guanli(Chinese Nursing Management),17(4):453-457(张俊娥,吕琳,黄漫容,罗宝嘉,郑美春,李琼,2017,综合延续护理对出院早期直肠癌结肠造口患者的效果研究,中国护理管理,17(4):453-457)
Zhang M.X.,Xu Z.,Zhou P.,and Wu Y.Y.,2017,Risk factors for surgical site infection in patients with colorectal cancer,Zhongguo Ganran Kongzhi Zazhi(Chinese Journal of Infection Control),16(8):745-748(张明霞,许铮,周萍,吴永友,2017,结肠与直肠癌患者手术部位感染的危险因素,中国感染控制杂志,16(8):745-748)
Zhang Y.N.,Zhang F.,and Zhao H.,2016,Application of continuous nursing mode in postoperative patients with rectal cancer,Shiyong Linchuang Yiyao Zazhi(Journal of Clinical Medicine in Practice),20(8):98-100(张亚宁,张芳,赵华,2016,延续护理模式在直肠癌患者术后的应用,实用临床医药杂志,20(8):98-100)
Zheng W.,and Nie H.X.,2016,Characteristics and nursing countermeasures of ureteral injury in laparoscopic rectal cancer surgery,Zhonghua Xiandai Huli Zazhi(Chinese Modern Nursing Records),22(7):1001-1003(郑薇,聂红霞,2016,腹腔镜直肠癌手术输尿管损伤的特点和护理对策,中华现代护理杂志,22(7):1001-1003)