个体化术前肠道准备方案对宫颈癌患者肠道清洁的影响  

Effects of individualized preoperative bowel preparation regimen on intestinal cleansing in patients with cervical cancer

作　　者：徐丽丽[1] 刘敏[2] 吕亚[1] Xu Lili;Liu Min;Lyu Ya(Department of Oncology, Wuxi Maternal and Child Care Hospital, Wuxi 214000, China;Department of Nursing, Wuxi Maternal and Child Care Hospital, Wuxi 214000, China)

机构地区：[1]江苏省无锡市妇幼保健院肿瘤科,214000 [2]江苏省无锡市妇幼保健院护理部,214000

出　　处：《中华现代护理杂志》2018年第16期1868-1871,共4页Chinese Journal of Modern Nursing

基　　金：无锡市卫生和计划生育委员会青年项目（Q201607）

摘　　要：目的 探讨个体化术前肠道准备方案对宫颈癌患者肠道清洁的影响,以期提高患者的肠道清洁度,减少药物不良反应的发生.方法 采用便利抽样法,选取2016年1月—2017年5月无锡市妇幼保健院肿瘤科收治确诊为宫颈癌的患者140例为研究对象,采用抽签法随机分成对照组和试验组,最终每组各67例完成试验.对照组采用常规术前肠道准备;试验组实行个体化肠道准备方案,包括服药前对患者的评估、不同年龄患者的活动指导、服药速度快慢的控制、不良反应的应对.比较两组患者的肠道清洁度、药物的不良反应、首次排便时间、总排便时间.采用秩和检验、χ2检验和t检验对两组数据进行分析.结果 两组肠道清洁度比较差异有统计学意义（Z=-2.732,P〈0.05）;两组患者恶心呕吐程度比较差异有统计学意义（Z=-2.065,P〈0.05）;患者腹胀程度比较,差异有统计学意义（Z=-2.526, P〈0.05）;腹痛发生率比较,差异有统计学意义（χ^2=5.835,P〈0.05）.试验组患者首次排便时间及总排便时间均低于对照组,差异有统计学意义（t值分别为-3.901、-6.689;P〈0.01）.结论 对宫颈癌患者予以个体化术前肠道准备干预,可提高患者的肠道清洁度,缩短其排便时间,减轻腹胀、腹痛等不良反应的发生.Objective To investigate the effects of individualized preoperative bowel preparation regimen on intestinal cleansing in patients with cervical cancer. Methods Totally 140 patients who were admitted and diagnosed with cervical cancer in the Department of Oncology of Wuxi Maternal and Child Care Hospital from January 2016 to May 2017 were selected by convenient sampling and randomly divided into a control group and an experimental group by drawing method. Finally, totally 67 patients in each group completed the experiment. Routine preoperative bowel preparation was adopted for patients in the control group, while individualized bowel preparation regimen was adopted for patients in the experimental group, including evaluation before medication, activity guidance for patients with different ages, control of medication speed and response to untoward effects. The intestinal cleansing, untoward effects, time of first defecation and total time of defecation were compared between the patients in the two groups. The rank-sum test, χ^2 test and t test were used to analyze the data for the patients in the two groups. Results There was statistically significant difference in the degree of intestinal cleansing between the patients in the two groups （Z=-2.732, P〈 0.05）; there was statistically significant difference in the degree of nausea and vomiting between the patients in the two groups （Z=-2.065, P〈 0.05）; there was statistically significant difference in the degree of abdominal distension between the patients in the two groups （Z=-2.526, P〈0.05）; and there was statistically significant difference in the incidence of stomachache between the patients in the two groups （χ^2=5.835, P〈 0.05）. The time of first defecation and the total time of defecation of the patients in the experimental group was shorter than that of the patients in the control group （t=-3.901,-6.689; P〈0.01）. Conclusions The individualized preoperative bowel preparation for patients with cervical cancer can improve the intes

关 键 词：宫颈肿瘤 复方聚乙二醇电解质散 肠道清洁 

分 类 号：R473.73[医药卫生—护理学]