摘要
目的:探究延续性护理对大肠癌术后患者下肢深静脉血栓形成的影响。方法:选取2019年7月-2020年1月于本院进行手术治疗的86例大肠癌患者,采用随机数字表法将其分为对照组与观察组,每组43例。对照组给予常规护理干预,观察组给予延续性护理干预,两组均干预20 d。比较两组干预前后休斯顿疼痛情况调查评分、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)及干预后下肢深静脉血栓、肠梗阻及便秘发生率。结果:干预后,观察组疼痛的期望值、对控制或减轻疼痛方法的满意度、对疼痛控制的教育满意度评分均高于对照组,而疼痛经历、疼痛对情绪的影响、疼痛对日常的影响评分均低于对照组(P<0.05)。干预后,两组PSQI评分均低于干预前,且观察组低于对照组(P<0.05)。干预后,两组PT、APTT均高于干预前,且观察组均高于对照组(P<0.05)。干预后,观察组下肢深静脉血栓、肠梗阻及便秘发生率均明显低于对照组(P<0.05)。结论:延续性护理可有效缓解大肠癌术后患者疼痛,提高睡眠质量,抑制血小板聚集,延缓血栓形成速度,降低下肢深静脉血栓发生率。
Objective:To explore the effect of continuous nursing on lower extremity deep vein thrombosis in patients with colorectal cancer after operation.Method:A total of 86 patients with colorectal cancer underwent surgical treatment in our hospital from July 2019 to January 2020 were selected.They were divided into control group and observation group according to the random number table method,43 patients in each group.The control group was given routine nursing intervention,and the observation group was given continuous nursing intervention,two groups were given intervention for 20 d.The Houston pain survey score,Pittsburgh sleep quality index(PSQI)score,prothrombin time(PT),activated partial thromboplastin time(APTT),the incidence of lower extremity deep vein thrombosis,intestinal obstruction and constipation after intervention were compared between two groups before and after intervention.Result:After intervention,the PAIN expectations,satisfaction with methods for pain control or relief,and educational satisfaction for pain control scores in the observation group were higher than those in the control group,while the score of pain experience,influence of pain on mood and influence of pain on daily life were lower than those in the control group(P<0.05).After intervention,PSQI scores in two groups were lower than those of before intervention,and the observation group were lower than those of the control group(P<0.05).After intervention,PT and APTT in two groups were higher than those of before intervention,and the observation group were higher than those of the control group(P<0.05).After intervention,the incidence of lower extremity deep vein thrombosis,intestinal obstruction and constipation in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:Continuous nursing can effectively relieve pain in patients with colorectal cancer after operation,improve sleep quality,inhibit platelet aggregation,delay thrombosis,reduce the incidence of postoperative complications of deep vein thrombosis.
作者
张慧慧
孙东雪
梁婷
ZHANG Huihui;SUN Dongxue;LIANG Ting(The Third Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110000,China;不详)
出处
《中国医学创新》
CAS
2021年第6期108-112,共5页
Medical Innovation of China
关键词
延续性护理
下肢深静脉血栓
大肠癌
Continuous nursing
Lower extremity deep vein thrombosis
Colorectal cancer
作者简介
通信作者:张慧慧。
