摘要
目的:分析造瘘口扩张训练联合共情干预应用于直肠癌造瘘术后患者的临床护理效果。方法:选取2019年1月-2021年1月莆田学院附属医院收治的68例直肠癌造瘘术后患者,将其随机分为观察组34例和对照组34例。对照组给予造瘘口常规护理,观察组在对照组的基础上进行造瘘口扩张训练结合共情干预,对比心理状况、自我护理能力与自我效能、生活质量及并发症发生率。结果:护理前两组患者心理状况比较差异无统计学意义(P>0.05);护理后观察组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分明显低于对照组(P<0.05)。护理前两组患者自我护理能力与自我效能比较,差异无统计学意义(P>0.05);护理后观察组造口自我护理量表(SSCS)与造口自我效能问卷(SSES)评分明显高于对照组(P<0.05)。观察组护理后生活质量评分高于对照组(P<0.05)。观察组总发症发生率为8.82%,显著低于对照组的29.41%(P<0.05)。结论:造瘘口扩张训练结合共情干预可以改善直肠癌术后造瘘患者的心理状态和生活质量,提升患者的自我护理能力与自我效能,减少并发症发生,值得临床推广。
Objective:To analyze the clinical nursing effect of fistula expansion training combined with empathy intervention in patients with rectal cancer postoperative fistula.Method:From January 2019 to January 2021,68 patients with rectal cancer postoperative fistula in Affiliated Hospital of Putian University were selected,and they were randomly divided into observation group of 34 cases and control group of 34 cases.The control group was given routine nursing for the stoma,and the observation group was given fistula expansion training combined with empathy intervention on the basis of the control group,and the psychological status,self-care ability and self-efficacy,quality of life and the incidence of complications were compared.Result:There were no statistically significant differences in the psychological status of the two groups before nursing (P>0.05);after nursing,the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of the observation group were significantly lower than those of the control group (P<0.05).There were no statistically significant differences in self-care ability and self-efficacy between the two groups before nursing (P>0.05);after nursing,the stoma self-care scale (SSCS) and stoma self-efficacy scale (SSES) scores of the observation group were significantly higher than those of the control group (P<0.05).The quality of life scores after nursing in the observation group were higher than those in the control group (P<0.05).The total incidence of complications in the observation group was 8.82%,which was significantly lower than 29.41% in the control group (P<0.05).Conclusion:Fistula expansion training combined with empathy intervention can improve the psychological state and quality of life of patients with rectal cancer postoperative fistula,improve the self-care ability and self-efficacy of patients,and reduce the occurrence of complications,which is worthy of clinical promotion.
作者
杨世萍
林培洪
陈潇荔
YANG Shiping;LIN Peihong;CHEN Xiaoli(Affiliated Hospital of Putian University,Putian 351100,China;不详)
出处
《中外医学研究》
2022年第25期107-111,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
造瘘口扩张训练
共情干预
直肠癌造瘘术后
心理状况
Fistula dilatation training
Empathy intervention
Rectal cancer postoperative fistula surgery
Psychological status
