摘要
目的延续性护理对直肠癌Miles术后结肠造口患者的干预效果。方法选择本院2014年9月至2015年9月所收治的80例行Miles术的直肠癌患者为研究对象,随机分为观察组和对照组,每组各40例。对照组采取常规护理路径,观察组在此基础上实施延续性护理。比较两组自我护理能力、生活质量以及术后并发症的发生情况。结果术前,两组自我护理能力及生活质量评分差异均无统计学意义(均P>0.05)。术后6个月,观察组自我护理能力量表中的各项评分及总分均显著高于对照组,差异均有统计学意义(均P<0.05);观察组SF-36量表各项指标的评分及总分均显著高于对照组,差异均有统计学意义(均P<0.05)。观察组并发症发生率为10.0%,显著低于对照组的32.5%,差异有统计学意义(P<0.05)。结论采用延续性护理的模式能够明显提高患者的自我护理能力,提高术后患者的生活质量,并有助于减少并发症,具有较好的临床应用价值。
Objective To study the effect of continuous nursing on the patients with colostomy after Miles surgery. Methods A total of 80 patients with rectal cancer who received Miles surgery in our hospital from September 2014 to September 2015 were recruited and randomly assigned to the treatment group and the control group,with 40 cases in each group. The control group received routine nursing,and the treatment group received additional continuous nursing. Self-care ability,quality of life and the incidence of postoperative complications were compared between the two groups. Results Before surgery,there was no significant difference in self-care ability and quality of life score between the two groups（P 〉0.05）. 6 months after surgery,scores of sub-dimensions and total score of self-care ability in the treatment group were significantly higher than those in the control group（P〈 0.05）. Total score of SF-36 in the treatment group were significantly higher than in the control group（P〈 0.05）. The incidence in complications in the treatment group was 10%,which was significantly lower than that in the control group（32.5%）（P〈 0.05）. Conclusion The mode of continuous nursing can significantly improve the self-care ability and quality of life in patients after operation,and helps to reduce complications.It has a potential for clinical application.
出处
《结直肠肛门外科》
2017年第6期799-801,共3页
Journal of Colorectal & Anal Surgery
关键词
延续性护理
直肠癌
自我护理能力
生活质量
continuing nursing care, rectal cancer, self-care ability, quality of life
