延续护理对直肠癌造口患者心理状态及自我护理能力的影响  

Effect of extended care on stoma mental state and ability of self-care of colorectal cancer patients

作　　者：郑敏华[1] 郭云萍[1] 应莲琴[1] 陈林红[1] 许剑民[2] 

机构地区：[1]浙江省台州医院普外科,浙江台州317000 [2]复旦大学附属中山医院普外科,上海200032

出　　处：《中国现代医生》2014年第14期102-105,共4页China Modern Doctor

基　　金：国家自然科学基金(30973416)

摘　　要：目的评价延续护理对直肠癌造口患者心理状态及自我护理能力的影响。方法观察组56例Miles术患者,对照组30例Miles术患者,分别给予延续护理和常规护理,出院3个月对比两组患者抑郁、焦虑、自我护理能力、生活质量及并发症发生率。结果出院后3个月观察组的SDS评分和抑郁程度均显著低于对照组(P<0.05),观察组的SAS评分显著低于对照组(P<0.05),中度及轻度抑郁率均显著低于对照组(P<0.05),观察组的ESCA量表总分、技能、责任感、自我概念及健康知识评分均显著高于对照组(P<0.05),观察组的SF-36量表生理职能、社会功能、情感功能、精神健康、精力、整体健康评分均显著高于对照组(P<0.05),观察组的造口并发症发生率显著低于对照组(P<0.05)。结论延续护理有效改善直肠癌造口患者的心理状态,提高其造口自我护理能力,从而改善生活质量,降低造口并发症发生率。Objective To evaluate the continuation of care for colorectal cancer patients with stoma mental state and a-bility of self-care. Methods Fifty-six cases Miles patients in the observation group and 30 patients Miles patients in the control group were treated with extended care and routine care respectively, the depression, anxiety, self-care, quality of life and the incidence of complications of patients in two groups were compared after discharging for three months. Results After discharging for three months, the SDS scores and depression levels in the observation group were significantly lower than the control group（P〈0.05）, SAS score the of observation group were significantly lower than the control group（P〈0.05）, moderate and mild depression were significantly lower in the control group （P 〈0.05）, ESCA to-tal score, skill, responsibility, self-concept and health knowledge scores of the observation group were significantly higher （P 〈0.05）, SF-36 physical function scale, social function, emotional function, mental health, energy and overall health scores of the observation group were significantly higher （P 〈0.05）, stoma complications in the observation group was significantly lower than the control group（P〈0.05）. Conclusion Extended care effectively improve colorectal cancer ostomy patients mental state, improve their self-care ability stoma, thereby improving the quality of life and reduce the incidence of stoma complications.

关 键 词：延续护理 直肠癌 肠造口术 心理状态 自我护理 

分 类 号：R473.73[医药卫生—护理学]