老年直肠癌根治术后肺部感染的危险因素分析  

Risk factors of pulmonary infections in the elderly rectal cancer patients

作　　者：夏肖枫[1] 

机构地区：[1]杭州市第一人民医院吴山院区肿瘤科,浙江杭州310002

出　　处：《中华医院感染学杂志》2013年第12期2889-2890,2895,共3页Chinese Journal of Nosocomiology

摘　　要：目的分析老年直肠癌经腹会阴直肠癌根治术(Mile′s)术后肺部感染的预防及康复护理方法,以提高直肠癌患者术后的生存质量。方法将行Mile′s术的老年直肠癌患者86例随机分为干预组和对照组,每组各43例,对照组采用常规护理,干预组同时给予术前禁烟、控制呼吸道感染及深呼吸训练,术后加强心肺功能监护和呼吸道护理、药物促进排痰、营养支持及早期下床活动等康复护理,比较两组患者肺部感染率、低氧血症发生率、平均住院时间及患者对护理服务的满意度。结果干预组肺部感染率为4.7%,显著低于对照组20.9%(P<0.05);干预组平均住院时间(28.54±2.82)d,明显低于对照组的(35.48±3.39)d,低氧血症发生率明显降低(P<0.05);干预组护理服务满意率为90.7%,显著高于对照组的72.9%,差异有统计学意义(P<0.05)。结论针对性的康复护理可有效降低老年直肠癌Mile's术后肺部感染的发生率,提高患者及家属满意度,改善护患关系。OBJECTIVE To explore prevention and rehabilitation nursing on the pulmonary infections after Mile＇s surgery in the elderly rectal cancer patients, in order to improve the postoperative survival quality of the colorectal cancer patients. METHODS A total of 86 cases of elderly rectal cancer patients after Mile＇s surgery in the hospital were randomly divided into two groups. The control group （n= 43） was given normal nursing care, and the intervention group （n=43） was given comprehensive rehabilitation nursing including smoking cessation, control- ling respiratory tract infection and deep breath training before surgery, and strengthening the monitoring of the cardiopulmonary function and respiratory tract care, drugs to promote expectoration, nutritional support, and early ambulation after surgery. The incidence of pulmonary infection and hypoxemia, average hospital stay, and degree of satisfaction were compared and analyzed. RESULTS There was significant difference in the incidence of pulmonary infection between the intervention group （4. 7%） and the control group （20. 9%） （P〈0.05）; the average hospital stay of the intervention group was（28.54±2.82）d , significantly shorter than（35.48±3.39）d of the control, and the incidence of hypoxemia was decreased significantly （P〈0. 05）. The rate of satisfaction of nursing was 90.7% in the intervention group , significantly higher than 72.9% of the control group, the differ- ence was statistically significant （P〈0.05）. CONCLUSION Specific rehabilitation nursing for elderly rectal cancer patients after Mile^s surgery can effectively reduce the incidence of pulmonary infections, improve the degree of satisfaction, and ameliorate the relationship between nurses and patients.

关 键 词：直肠癌 老年 经腹会阴直肠癌根治术 肺部感染 康复护理 

分 类 号：R619.3[医药卫生—外科学]