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目的探讨造口专项护理对直肠癌患者造口术后生活质量的影响。方法选取2015年6月至2016年3月间中国医科大学附属盛京医院收治的行造口专项护理的42例直肠癌造口术患者为观察组,选取同期行常规护理的40例直肠癌造口术患者为对照组,比较两组患者造口护理情况、造口适应性、并发症及生活质量。结果观察组患者造口适应性中生理功能、心理状态和社会交往评分分别为(60.21±10.25)分、(64.25±12.33)分和(48.36±11.23)分,分别高于对照组患者的(48.29±10.58)分、(50.47±11.47)分和(32.12±5.79)分,差异均有统计学意义(均P<0.05)。观察组患者造口护理达标率和相关知识掌握率分别为88.1%和90.5%,均高于对照组的70.0%和75.0%,差异均有统计学意义(均P<0.05)。护理后,观察组患者造口相关并发症发生率为7.1%,低于对照组的22.5%,生活质量为(87.25±10.23)分,高于对照组的(83.25±11.05)分,差异均有统计学意义(均P<0.05)。结论造口专项护理能提高直肠癌患者造口术后自我护理和造口适应性,减少并发症,改善患者术后生活质量。
Objective To investigate the effect of stoma special nursing on quality of life after ostomy in patients with rectal cancer. Methods Forty-two patients with colorectal cancer ostomy treated with special care of stoma from Shengjing Hospital affiliated to China Medical University from June 2015 to March 2016 were selected as the observation group and 40 cases of rectal cancer Oral surgery patients as control group, compared two groups of patients ostomy care, ostomy adaptability, complications and quality of life. Results The scores of physiological function, psychological status and social interaction in the patients with observation group were (60.21 ± 10.25), (64.25 ± 12.33) and (48.36 ± 11.23) points higher than those in the control group (48.29 ± 10.58), (50.47 ± 11.47) and (32.12 ± 5.79) points, respectively, with significant difference (all P <0.05). The obstetric care compliance rate and related knowledge mastery rate in the observation group were 88.1% and 90.5%, respectively, which were significantly higher than those in the control group (70.0% and 75.0%, both P <0.05). After nursing, the incidence of ostomy-related complications in observation group was 7.1%, lower than 22.5% in control group, and the quality of life was (87.25 ± 10.23) points higher than that in control group (83.25 ± 11.05) Statistical significance (all P <0.05). Conclusion Special stoma nursing can improve self-care and stoma adaptability, reduce complications and improve postoperative quality of life in patients with rectal cancer.