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1例直肠癌患者行Hartmann术后肠造口皮肤黏膜分离的护理

Nursing management of a rectal cancer patient with skin mucous membrane separation after Hartmann’s procedure
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摘要 目前手术切除是治疗结直肠癌的主要方法,同时辅以放疗化疗等综合治疗方法。直肠癌根治术分为3种:Miles术、Dixon术、Hartmann术。本文总结1例直肠癌患者行Hartmann术后肠造口皮肤黏膜分离的护理体会。肠造口治疗师通过皮肤护理、敷料选择、患者及其家属居家护理以及心理护理,解决患者肠造口并发症,促进患者康复,提高生活质量。 Currently,surgery,usually supplemented with other adjunctive therapies,is the only potentially curative treatment modality for rectal cancer.There are tree common types of radi⁃cal resection of rectal carcinoma:abdominoperineal resection(Miles procedure),low anterior re⁃section(Dixon procedure)and Hartmann’s procedure.This paper summarized the nursing man⁃agement of a rectal cancer patient with skin mucous membrane separation after Hartmann’s proce⁃dure.The enterostomal therapist carried out skin care,dressing management,home-based care and psychological care,in order to treat complications of enterostomy and improve the rehabilita⁃tion of the patient.
作者 张淑丽 齐碧蓉 颜美琼 王宝莲 王燕 汤丰榕 ZHANG Shuli;QI Birong;YAN Meiqiong;WANG Baolian;WANG Yan;TANG Fengrong(Department of Surgery,Xiamen Branch of Zhongshan Hospital Affiliated to Fudan University,Xiamen,Fujian,361010;Department of Nursing,Zhongshan Hospital Affiliated to Fudan University,Shanghai,200032;Department of Nurisng,Xiamen Branch of Zhongshan Hospital Affiliated to Fudan University,Xiamen,Fujian,361010;Department of Otolaryngology,Xiamen Branch of Zhongshan Hospital Affiliated to Fudan University,Xiamen,Fujian,361010)
出处 《中西医结合护理》 2021年第4期71-74,共4页 Chinese Journal of Integrative Nursing
关键词 直肠癌 HARTMANN手术 肠造口皮肤黏膜分离 心理护理 rectal cancer Hartmann’s procedure skin mucous membrane separation psychological care
作者简介 通信作者:汤丰榕,E-mail:tangfengrong@zsxmhospital.com。
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