按需护理在老年直肠癌Mile氏术中的应用  

Application of the need-based nursing approach in elderly rectal cancer patients after Mile surgery

作　　者：丁杨青 吕杰 白琳 丁俊青[2] Ding Yangqing;Lyu Jie;Bai Lin;Ding Junqing(the Second Ward of Colon-rectum-anus Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Neurology Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院结直肠肛门外科二病区,郑州450000 [2]郑州大学第一附属医院神经内科,郑州450000

出　　处：《中华现代护理杂志》2019年第10期1305-1308,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨按需护理在老年直肠癌根治术中的应用效果。方法采用便利抽样法,选取2017年2月1日—2018年5月3日在郑州大学第一附属医院结直肠肛门外科接受治疗的老年直肠癌根治术患者80例为研究对象,采用随机数字表法将其随机分为对照组(n=40)和观察组(n=40)。对照组进行常规护理,观察组在常规护理的基础上进行按需护理。观察两组患者术后恢复情况,疼痛、焦虑以及抑郁评分,生活质量评分以及干预后满意度。结果观察组患者的首次排气时间、术后下床时间、术后拆线时间以及住院时间均短于对照组,差异具有统计学意义(P<0.05)。两组患者干预后疼痛、焦虑、抑郁评分差异有统计学意义(P<0.01)。干预后观察组生活质量中的躯体疼痛、活力、社会功能、情感职能、精神健康以及总体健康状态评分均优于对照组,差异有统计学意义(P<0.05)。干预后观察组患者满意度高于对照组,差异有统计学意义(P<0.05)。结论按需护理能够改善老年直肠癌患者术后恢复情况,减少疼痛、焦虑、抑郁情况,减少不良事件发生率,改善患者生活质量,提高患者护理满意度,值得推广应用。Objective To explore the effects of need-based nursing practice in elderly patients with radical resection surgery for rectal cancer.MethodsFrom 1 February 2017 to 3 May 2018,we selected 80 elderly patients with radical resection for rectal cancer in colon-rectum-anus surgery at the First Affiliated Hospital of Zhengzhou University as subjects by convenience sampling.All of the patients were randomly divided into control group(n=40)and observation group(n=40)with the method of random number table.Control group carried out routine nursing care.Apart from the routine nursing,observation group provided need-based nursing care.We compared the post-operative recovery,scores of pain,anxiety,depression and quality of life as well as satisfaction after intervention among patients between the two groups.ResultsThe time for the first exhaust,ambulation and the removal of sutures as well as hospital stay in the observation group were shorter than those in the control group with statistical differences(P<0.05).There were statistical differences in the scores of pain,anxiety and depression of patients after surgery between the two groups(P<0.01).After intervention,the scores of pain,vitality,social functioning,emotional function,mental health and general health of quality of life in observation group were higher than those of control group with statistical differences(P<0.05).After intervention,the patient satisfaction of observation group was higher than that of control group with statistical difference(P<0.05).ConclusionsNeed-based nursing approach can improve the postoperative recovery of elderly rectal cancer patients,alleviate pain,anxiety and depression,reduce the incidence of adverse events,improve the quality of life and satisfaction of patients,hence is worthy of being widely used in clinical practice.

关 键 词：老年人 直肠肿瘤 按需护理 直肠癌根治术 

分 类 号：R473.73[医药卫生—护理学]