快速康复与系统化干预对低位直肠癌保肛术患者生活质量的影响研究  

Effect research on rapid recovery and systematic intervention for anal rectal cancer surgery patients quality of life

作　　者：朱黎明[1] 贾慧敏[2] 

机构地区：[1]浙江省肿瘤医院放疗科,浙江杭州310000 [2]中国医科大学附属盛京医院外科,辽宁沈阳110004

出　　处：《中国现代医生》2013年第36期12-14,共3页China Modern Doctor

基　　金：国家自然科学基金(81170334)

摘　　要：目的探讨低位直肠癌保肛术患者实施快速康复及系统化干预后对生活质量的影响。方法对2011年1月-2012年12月来我院进行治疗的190例低位直肠癌保肛术患者的临床资料进行回顾性分析，190例患者均按照干预的措施分为对照组和研究组各95例。对照组患者的干预方法为实施常规护理。研究组的干预方法为快速康复及系统化干预。生活质量调查采用SF-36，营养风险评分使用NRS2002。结果研究组的体能、体能影响、身体疼痛、一般健康、精力、社会活动、心理健康及精神影响各维度得分与对照组比较均明显较高，拔除胃管时间、拔腹腔引流管时间、拔尿管时间、首次排气时间、首次排便时间、首次下床活动时间及住院时间均明显短于对照组，排便次数少于对照组，差异均有统计学意义（P〈0．05）；术后7d研究组患者的营养不良及有营养风险发生率与对照组比较较低，差异有统计学意义（P〈0．05）。结论低位直肠癌保肛术患者实施快速康复及系统化干预能够显著地提高生活质量，可以在临床推广。Objective To investigate the anal rectal cancer after surgery in patients with rapid recovery and systematic intervention effects on quaJity of life. Methods A total of 190 cases with low rectal cancer low anal surgery were selected from January 2011 to December 2012 in hospital for treatment, their clinical data were retrospectively analyzed, there were divided into two groups in accordance with the intervention measures, control group and research group, 95 cases in each group, control group patients with intervention methods for the implementation of routine nursing, intervention methods for rapid rehabilitation and systematic intervention group. Quality of living was surveyed by SF - 36, nutritional risk score was surveyed with NRS, 2002. Results Team＇s physical ability and fitness effect, body pain, gen- eral health, energy, social activities, mental health and mental influence each dimension score of the research group were significantly higher than the control group, pull out the tube time, abdominal cavity drainage tube pull, pull the urine tube time, exhaust time, for the first time for the first time defecation bed, the first time and hospital stay of the research group were significantly shorter than the control group, stool frequency was less than the control group, there was significant difference （P 〈 0.05）; The incidence of malnutrition and nutrition risk of the research group on the 7th day were lower than control group, with significant difference between the two groups（P 〈 0.05）. Conclusion Anal rec- tal cancer surgery in patients with rapid recovery and systematic intervention can significantly improve the quality of life, can be popularized in clinical.

关 键 词：直肠癌 快速康复 系统化干预 生活质量 

分 类 号：R735.37[医药卫生—肿瘤]