个性化干预对高龄直肠癌Miles术后结肠造口患者的效果分析  

Effect of personalized intervention on elderly patients with colostomy after Miles operation for rectal carcinoma

作　　者：张菊[1] 刘春蓉[1] 税方 何谦[1] 肖燕玲[1] Ju Zhang;Chun-rong Liu;Fang Shui;Qian He;Yan-ling Xiao(Wound Stoma Clinic, Central Hospital, Suining, Sichuan 629000, China)

机构地区：[1]四川省遂宁市中心医院伤口造口门诊,四川遂宁629000

出　　处：《中国内镜杂志》2017年第7期54-59,共6页China Journal of Endoscopy

摘　　要：目的研究个性化干预对高龄直肠癌腹会阴联合直肠癌根治术(Miles术)后结肠造口患者的临床效果。方法研究对象选取该院2014年6月-2016年1月收治的行直肠癌Miles术后结肠造口的高龄患者114例,采用随机数字法将其分为对照组和观察组,每组各57例,对照组患者给予常规干预,观察组患者则联合个性化干预,比较两组患者的各种并发症发生率、干预满意度及生存质量评分。同时比较两组患者干预前自护能力评分。结果观察组的总并发症发生率(5.25%)明显低于对照组(22.80%)(χ~2=8.36,P=0.000),观察组的总干预满意度(91.23%)明显高于对照组(75.44%)(χ~2=6.60,P=0.010),干预后,观察组的自护能力评分和生存质量评分明显高于对照组(P<0.01)。结论采用个性化干预可减少高龄直肠癌Miles术后结肠造口患者各种并发症发生,对患者的生存质量及自护能力均有明显提高,且可有效缓解负面情况,提高患者对干预的满意度,具有较高的开展价值,值得在临床推广。Objective To study the clinical effect of personalized intervention on elderly patients with colostomy after Miles operation for rectal carcinoma.Methods114cases elderly patients with colonic stoma after Miles operation for rectal cancer from June2014to January2016were divided into control group and observation group by random number method,57cases in each.The control group were treated with routine intervention,while patients in observation group was treated with personalized intervention.the self-care ability score before intervention,the incidence of complications,intervention satisfaction and life quality score were compared between the two groups at the same time.Results The total complication rate in the observation group was significantly lower than that in control group(5.25%vs22.80%)(χ2=8.36,P=0.000);the intervention satisfaction of the observation group was significantly higher than that in control group(91.23%vs75.44%)(χ2=6.60,P=0.010).After intervention,the self-care ability score and life quality score of observation group were significantly higher than that in control group(P<0.01).Conclusion The personalized intervention can reduce the complications,significantly improve the patients’life quality score and self-care ability,and effectively alleviate the negative situation,improve the patients intervention satisfaction,with a higher development value,it is worth of clinical promoting.

关 键 词：个性化干预 直肠癌MILES术 结肠造口 高龄患者 临床效果 

分 类 号：R735.37[医药卫生—肿瘤]