移动终端联合中医护理在结直肠癌患者出院后的护理观察  

Nursing Observation on Mobile Terminal Combined with Chinese Medicine Nursing for Discharged Patients with Colorectal Cancer

作　　者：杜晓燕[1] 邵惠弟[1] 章新花[1] DU Xiaoyan;SHAO Huidi;ZHANG Xinhua

机构地区：[1]绍兴第二医院外科,浙江绍兴312000

出　　处：《新中医》2018年第11期220-222,共3页New Chinese Medicine

摘　　要：目的:观察移动终端联合中医护理对结直肠癌患者出院后病情恢复的影响。方法:将采用肠造口术治疗的结直肠癌患者66例随机分为2组各33例;实验组出院后进行移动终端联合中医护理,对照组出院后进行常规护理;观察分析2组患者自我护理能力、护理问题改善及生活质量改善情况。结果:自我护理能力量表(ESCA)评分:实验组患者的ESCA总分、自我护理技能、责任感、概念、健康认知等评分显著高于对照组(P <0.05)。护理问题认知(K)、行为(B)、状况(S)方面:护理干预后,2组患者疼痛、性功能、休息状态和精神健康等的K、B、S评分均较出院时明显升高(P <0.05),且实验组患者上述各项K、B、S评分均高于对照组(P <0.05)。WHO生存质量中文简易版量表(WHOQOL-BREF)评分:实验组患者的心理、生理、社会关系、环境等生存质量评分均显著高于对照组(P <0.05)。结论:移动终端联合中医护理在结直肠癌患者出院后的应用,可显著改善患者对待出院后护理问题的态度、认知,纠正其不良护理行为,有效帮助患者病情恢复。Objective.. To observe the effect of mobile terminal combined with Chinese medicine nursing on recovery of discharged patients with colorectal cancer. Methods： Divided 66 cases of patients with colorectal cancer who were treated with enterostomy into two groups randomly, 33 cases in each group. After being discharged, patients in the experiment group received mobile terminal combined with Chinese medicine nursing, while those in the control group received routine nursing. Observed and analyzed the self-care nursing ability, the improvement of nursing problems and the improvement of the quality of life. Results： Scores of exercise of self-care agency scale（ESCA） including the total score of ESCA and scores of self-care nursing ability, responsibility, concept and health cognition in the experiment group were significantly higher than those in the control group（P 〈 0.05）. In terms of nursing proln terms of nursing problems including knowledge（K）, behavior（B） and status（S）, after nursing intervention, the scores of pain, sexual function, rest and mental health in the two groups were significantly improved when compared with those before being discharged（P 〈 0.05）, and the above scores in the experiment group were higher than those in the control group（P 〈 0.05）.Scores of World Health Organization Quality Of Life measuring scale summary table-BREF（WHOQOL-BREF） including scores of psychology, physiology, social relations and environment in the experiment group were significantly higher than those in the control group（P 〈 0.05）. Conclusion. The application of mobile terminal combined with Chinese medicine nursing can effectively improve the attitude and knowledge of nursing problems of discharged patients with colorectal cancer, correct bad nursing behaviors and effectively benefit the recovery of patients.

关 键 词：结直肠癌 院外护理 中医护理 移动终端 

分 类 号：R735.3[医药卫生—肿瘤]