造口循证护理对直肠癌Miles术患者造口性皮炎及生活质量的影响
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摘要
目的:探讨造口循证护理对直肠癌Miles术患者造口性皮炎及生活质量的影响。方法:选取50例采用造口循证护理的直肠癌Miles术患者为观察组,40例同期收治的采用常规护理的直肠癌Miles术患者为对照组。比较两组造口适应情况、造口性皮炎情况以及生活质量。结果:观察组术后3个月在身体素质、心理素质、社会交往等方面的造口适应能力评分均高于对照组,差异有统计学意义(P<0.05);观察组术后3个月的造口性皮炎的发生率低于对照组,严重程度轻于对照组,差异有统计学意义(P<0.05);观察组术后3个月的生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论:造口循证护理能够提高直肠癌Miles术患者造口的适应性,减少造口性皮炎的发生,改善生活质量。
Objective:To investigate the influence of stoma evidence-based nursing on stoma dermatitis and quality of life in patients with rectal cancer patients with Miles.Methods:50 cases of rectal cancer patients with Miles by stoma evidence-based nursing selected as the observation group.40 cases of rectal cancer patients with Miles by routine nursing were selected as the control group.The stoma adaptation,stoma dermatitis and quality of life were compared between the two groups.Results:3 months after the operation,the scores of physical fitness,psychological quality and social intercourse in the observation group were higher than those in the control group,the differences were statistically significant(P < 0.05).3 months after the operation,the incidence of stoma dermatitis in the observation group was lower than that in the control group,the severity was less than that in the control group,the difference was statistically significant(P < 0.05).The quality of life score after 3 months in the observation group was higher than that in the control group,the difference was statistically significant(P < 0.05).Conclusions:Stoma evidence-based nursing can improve the stoma adaptability of rectal cancer patients with Miles,reduce the occurrence of stoma dermatitis and improve the quality of life.
Objective:To investigate the influence of stoma evidence-based nursing on stoma dermatitis and quality of life in patients with rectal cancer patients with Miles.Methods:50 cases of rectal cancer patients with Miles by stoma evidence-based nursing selected as the observation group.40 cases of rectal cancer patients with Miles by routine nursing were selected as the control group.The stoma adaptation,stoma dermatitis and quality of life were compared between the two groups.Results:3 months after the operation,the scores of physical fitness,psychological quality and social intercourse in the observation group were higher than those in the control group,the differences were statistically significant(P < 0.05).3 months after the operation,the incidence of stoma dermatitis in the observation group was lower than that in the control group,the severity was less than that in the control group,the difference was statistically significant(P < 0.05).The quality of life score after 3 months in the observation group was higher than that in the control group,the difference was statistically significant(P < 0.05).Conclusions:Stoma evidence-based nursing can improve the stoma adaptability of rectal cancer patients with Miles,reduce the occurrence of stoma dermatitis and improve the quality of life.
引文
[1]王梅丽.综合护理对直肠癌术后造口患者疾病影响程度和自我概念的影响[J].齐鲁护理杂志,2014,20(10):22-24.
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[10]付新爱.综合护理干预对直肠癌Miles术后患者造口自主护理能力及生活质量的影响[J].齐鲁护理杂志,2015,21(18):26-28.
[11]黎秋霞,黄萍,左红群.水胶体敷料联合复方角菜酸酯乳膏对直肠癌造口术后周围性皮炎的护理观察[J].广西医科大学学报,2015,32(2):344-345.
[12]吴苏丹,秦晓华.应用水胶体敷料预防造口周围皮炎的效果观察[J].湖北中医杂志,2015,37(6):42-43.
[13]杨秀秀.西安市直肠癌永久性结肠造口患者生活质量研究[D].西安:第四军医大学,2012.
[2]郑敏华,郭云萍,应莲琴,等.延续护理对直肠癌造口患者心理状态及自我护理能力的影响[J].中国现代医生,2014,52(14):102-105.
[3]郑丹,潘红宁,王东平.液体敷料、造口粉用于失禁性皮炎的观察及护理[J].护士进修杂志,2014,29(18):1706-1709.
[4]博洛格尼(Bolognia J.L.).皮肤病学[M].北京大学医学出版社,2011:241-244.
[5]郭泽霞,符岸秋,文娇,等.全程连续性护理对女性直肠癌Miles术后肠造口病人生活质量的影响[J].护理研究,2016,30(3):1091-1093.
[6]童莉,刘新红.护理干预模式对直肠癌Miles术后患者造口自我护理能力及心理健康的影响[J].中国肿瘤临床与康复,2015,22(76):881-884.
[7]黄玉兰,曾贞,韦珊.系统性护理对直肠癌Miles术后肠造口患者自我护理能力及生活质量的影响[J].中国医药导报,2017,14(4):162-165.
[8]黄亮琴.循证护理在宜肠癌Miles术后结肠造口并发症中的应用[J].当代护士,2012(7):62-64.
[9]邰安婷,包满珍.循证护理在防治结肠造口并发症中的应用[J].护理实践与研究,2013,10(15):48-49.
[10]付新爱.综合护理干预对直肠癌Miles术后患者造口自主护理能力及生活质量的影响[J].齐鲁护理杂志,2015,21(18):26-28.
[11]黎秋霞,黄萍,左红群.水胶体敷料联合复方角菜酸酯乳膏对直肠癌造口术后周围性皮炎的护理观察[J].广西医科大学学报,2015,32(2):344-345.
[12]吴苏丹,秦晓华.应用水胶体敷料预防造口周围皮炎的效果观察[J].湖北中医杂志,2015,37(6):42-43.
[13]杨秀秀.西安市直肠癌永久性结肠造口患者生活质量研究[D].西安:第四军医大学,2012.