摘要
目的:探讨基于造口定位的腹部功能锻炼对肠造口病人并发症及生活质量的影响。方法:选取接受肠造口治疗的93例病人为研究对象,依据随机数字表法将其分成观察组48例和对照组各45例。对照组病人术前行造口定位且术后予以常规护理,观察组病人在对照组基础上指导病人进行腹部功能锻炼。比较2组病人围手术期一般情况、护理满意程度、术后3个月并发症、造口功能评分(DET评分)及生活质量情况。结果:观察组并发症发生率及DET评分显著低于对照组(P<0.01)。观察组病人生活质量明显高于对照组病人(P<0.05~P<0.01)。观察组对本次护理满意度高于对照组(P<0.01)。2组病人术后住院时间差异无统计学意义(P>0.05),但观察组术后首次通气时间明显短于对照组(P<0.01)。结论:术后腹部功能锻炼不仅能明显减少肠造口术后并发症的发生,提高病人生活质量,还有效缩短病人术后通气时间,提高病人对护理工作的满意度。
Objective:To investigate the effects of abdominal functional exercise based on stomatostomy location on the complications of enterostomy and quality of life of patients.Methods:Ninety-three patients treated with enterostomy were divided into the observation group(48 cases)and control group(45 cases)according to random number table method.The control group was treated with preoperative stomatostomy location and postoperative routine nursing,and the observation group was additionally treated with postoperative abdominal function exercise on the basis of routine nursing.The general condition,nursing satisfaction,postoperative complications,stoma function score(DET score)and quality of life were compared between two groups.Results:The incidence rate of postoperative complications and DET score in observation group were significantly lower than those in control group(P<0.01).The life quality and nursing satisfaction in observation group were significantly better than those in control group(P<0.05 to P<0.01).There was no statistical significance in postoperative hospital stay between two groups(P>0.05),but the first postoperative anal exhaust time in observation group was significantly shorter than that in control group(P<0.01).Conclusions:The postoperative abdominal functional exercise can not only significantly reduce the incidence of complications after enterostomy and improve the quality of life of patients,but also effectively shorten the anal exhaust time and improve the satisfaction of patients for nursing work.
作者
江怀宁
陈莉
方磊
江霞林
许力
JIANG Huai-ning;CHEN Li;FANG Lei;JIANG Xia-lin;XU Li(Department of Gastrointestinal Surgery,The First People′s Hospital of Anqing,Anqing Anhui 246003;Department of Gastrointestinal Surgery,Yijishan Hospital,Wannan Medical College,Wuhu Anhui 241000,China)
出处
《蚌埠医学院学报》
CAS
2020年第8期1110-1113,共4页
Journal of Bengbu Medical College
基金
安徽省高校自然科学研究项目(KJ2016A733)。
关键词
结肠造口
造口定位
功能锻炼
生活质量
colostomy
stomatostomy location
functional exercise
quality of life
作者简介
江怀宁(1971-),女,主管护师。
