系统性护理对直肠癌Miles术后肠造口患者自我护理能力及生活质量的影响  

The effect of systematic nursing on self nursing ability of patients with rectal cancer Miles enterostomy and quality of life

作　　者：黄玉兰[1] 曾贞[1] 韦珊[1] 

机构地区：[1]四川省内江市第二人民医院胃肠肛肠外科,四川内江641100

出　　处：《中国医药导报》2017年第4期162-165,共4页China Medical Herald

摘　　要：目的探讨系统性护理对直肠癌Miles术后肠造口患者自我护理能力及生活质量的影响。方法选取四川省内江市第二人民医院2014年1月~2016年5月收治的116例行直肠癌Miles术后肠造口患者作为研究对象,根据其入院顺序分成两组,其中奇数为观察组,偶数为对照组,每组58例。观察组给予系统性护理干预,对照组给予常规护理干预,比较两组干预后自我护理能力、生活质量及术后并发症发生情况。结果观察组术后4个月自我护理技能、自我护理责任感、自我概念、健康知识水平各维度评分及ESCA总分均明显高于对照组,差异有高度统计学意义(P<0.01);观察组术后4个月认知功能、情绪功能、躯体功能、角色功能、社会功能评分均显著高于对照组,差异有高度统计学意义(P<0.01);观察组造口水肿、造口周围皮炎、造口脱垂、造口狭窄发生率均低于对照组,差异有统计学意义(P<0.05)。结论对直肠癌Miles术后肠造口患者行系统性护理干预可有效提高患者的自我护理能力,降低术后并发症发生率,提高患者的生活质量。Objective To investigate the effect of systematic nursing on self nursing ability of patients with rectal cancer Miles enterostomy and quality of life. Methods 116 cases of rectal cancer Miles enterostomy patients treated in the Second People＇s Hospital in Neijiang of Sichuan from January 2015 to May 2016 were selected as the research object, according to the order ofadmission and were divided into two groups, the odd number is the observation group, the even number is the control group, with 58 cases in each. The observation group was given systematic nursing intervention, while the control group was given routine nursing intervention. Then the self-care ability, quality of life and the occurrence of postoperative complications of the two groups were compared. Results The self-care skills, self-care responsibility, self-concept, health knowledge level of each dimension score and ESCA score in the 4 months after the operation of the observation group were significantly higher than those of the control group （P 〈 0.01）; the cognitive function, emotional function, physical function, role function and social function score of the observation group were significantly higher than those of the control group （P 〈 0.01）; the incidence of stoma edema, peripheral dermatitis, stoma prolapse and stoma stenosis in the observation group were lower than those in the control group （P 〈 0.05）. Conclusion Systemic nursing intervention can effectively improve the self-care ability of patients, reduce the incidence of postoperative complications, and improve the quality of life of patients for rectal cancer Miles enterostomy patients.

关 键 词：系统性护理 直肠癌 结肠造口术 自我护理能力 生活质量 

分 类 号：R473.7[医药卫生—护理学]