综合性护理干预对结肠癌患者术后胃肠功能与预后的影响  

Effect of comprehensive nursing intervention on postoperative gastrointestinal function and prognosis in patients with colon cancer

作　　者：马克勤[1] 傅晓禹[1] MAKe - qin, FU Xiao - yu

机构地区：[1]无锡市第二人民医院,无锡市214000

出　　处：《护理实践与研究》2018年第19期114-116,共3页Nursing Practice and Research

摘　　要：目的探讨综合性护理干预对行结肠癌患者术后胃肠功能及预后的影响。方法选取我院2016年1月至2018年1月收治的110例结肠癌患者为研究对象,随机将其分为对照组54例与观察组56例,对照组给予常规术后护理,观察组在对照组基础上给予综合护理干预,比较两组患者胃肠道功能、生活质量评分、疼痛程度。结果观察组患者术后肠鸣音恢复时间、术后排气时间、术后进食时间显著早于对照组(P <0. 05),留置胃管时间短于对照组(P <0. 05);护理前,两组患者健康测量量表(SF-36)量表中生理功能(PF),生理职能(RP),总体健康(GH),活力(VT),社会功能(SF),情感职能(RE),精神健康(MH)评分比较差异无统计学意义(P> 0. 05),护理后,两组患者SF-36各项评分较治疗前高,观察组患者PF、RP、GH、VT、SF、RE、MH评分高于对照组(P <0. 05)。护理前两组患者疼痛程度比较差异无统计学意义(P> 0. 05);护理后观察组疼痛程度轻于对照组(P <0. 05)。结论术后应用综合护理干预能显著缩短结肠癌患者胃肠道功能恢复时间,提高生活质量,缓解疼痛程度,值得临床推广应用。Objective To investigate the effect of comprehensive nursing intervention on postoperative gastrointestinal function and prognosis in patients with colon cancer. Methods To compared the status of gastrointestinal function, quality of life scores and pain level, 110 cases of colon cancer patients, who treated in our hospital from January 2016 to January 2018, were observed and randomly divided into control group with 54 cases and study group with 56 cases. The control group adopted the routine postoperative nursing, while the study group adopted the comprehensive nursing intervention on the basis of the control group. Results The restarting time of postoperative borborygmus, postoperative exhausting time, and postoperative feeding time in the study group were significantly earlier than those in the control group （P 〈 0.05 ）, and the time of indwelling gastric tube was shorter than that of the control group （ P 〈 0.05 ）. Before nursing, the difference of physiological function （ PF ）, role physiological （ RP）, general health （ GH ）, vitality （ VT）, social function （ SF）, role emotional （ RE ） and MH （ mental health） scores with the short form 36 health survey （ SF - 36 ） between the two groups had no statistical significance（P 〉 0.05）. Alter nursing, the scores of the SF - 36 in the two groups were higher than those before the treatment, and the PF, RP, GH,VT, SF, RE and MH scores of the study group were higher than those of the control group （ P 〈 0.05 ）. Before the nursing, the difference of the pain levels between the two groups had no statistical significance（P 〉 0.05）. Alter the nursing, the pain level in the study group was lighter than that in the control group（P 〈 0.05 ）. Conclusion Postoperative comprehensive nursing intervention could significantly shorten the restarting time of gastrointestinal function, improve the quality of life and relieve pain suffering in patients with colon cancer, which was worthy of clinical promotion and appl

关 键 词：综合性护理干预 结肠癌 术后 胃肠功能 

分 类 号：R473.73[医药卫生—护理学]