Miles术后结肠造口并发感染患者的强化护理干预效果  

Intensive intervention in patients with colostomy after Miles and effect of enhanced nursing interventions

作　　者：程敏静[1] 陈强[1] 王倬[1] 刘青 王安娜[1] CHENG Min-jing;CHEN Qiang;WANG Zhuo;LIU Qing;WANG An-na(Third Hospital of Hebei Medical University,Shijiazhuang,Heibei 050051,China)

机构地区：[1]河北医科大学第三医院肛肠科

出　　处：《中华医院感染学杂志》2019年第23期3666-3670,共5页Chinese Journal of Nosocomiology

基　　金：河北省医学科学研究重点基金资助项目(20170677)

摘　　要：目的探讨腹会阴联合直肠癌根治术(Miles’operation)后结肠造口患者并发感染的生活质量及强化干预的临床效果。方法选取2016年1月-2018年1月河北医科大学第三医院肛肠科接收的行Miles术后结肠造口并发感染的患者80例为研究对象,按照随机数表法,将其分为对照组与试验组。对照组给予常规护理指导,试验组给予强化护理指导。护理一个月后,比较分析患者对护理的满意程度,对患者护理前后血清降钙素原(Procalcitonin,PCT)、C-反应蛋白(C-reactive protein,CRP)表达水平以及情绪状态进行评估分析,对患者护理后生活质量、自护能力以及并发症发生情况进行比较分析。结果护理后,试验组患者对护理的满意程度为97.50%,高于对照组的82.50%,差异有统计学意义(χ~2=5.000,P=0.025);两组患者的PCT及CRP均较护理前降低,且试验组低于对照组,差异具有统计学意义(P<0.05);焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)评分均较护理前降低,且试验组低于对照组,差异具有统计学意义(P<0.05);试验组患者的各项生活质量评分均高于对照组,试验组患者的各项自护能力指标均高于对照组,差异均具有统计学意义(P<0.05);试验组患者并发症总发生率为10.00%,低于对照组的27.50%,差异有统计学意义(P=0.045)。结论对Miles术后结肠造口并发感染的患者行强化干预措施能够有效提高患者的生活质量、自护能力,有效改善患者感染情况,提高患者对护理的满意程度,还能有效缓解患者不良心理,降低并发症发生率。OBJECTIVE To explore the quality of life of patients with colostomy complicated with infection after Miles’operation.METHODS Totally 80 patients with colostomy infection after MILES from Jan.2016 to Jan.2018 were selected and divided into two groups according to the random number table method.The control group was given routine nursing intervention,while the observation group was given intensive intervention guidance.After one month of nursing,the patients’satisfaction with nursing was compared and analyzed.The levels of serum procalcitonin(PCT),C-reactive protein(CRP)and emotional state were evaluated and analyzed before and after nursing.The quality of life,self-care ability and complications were compared and analyzed.RESULTS After nursing,the degree of satisfaction with nursing in the observation group(97.50%)was significantly higher than that in the control group(82.50%)(χ~2=5.000,P=0.025).The PCT and CRP levels of the two groups were significantly lower than those before nursing,and the levels in the observation group were significantly lower than those in the control group(P<0.05).The scores of Self-rating anxiety scale(SAS)and Self-rating depression scale(SDS)were lower than those before treatment,and the scores in the observation group were significantly lower than those in the control group(P<0.05).The quality of life scores of patients in the observation group were higher than those in the control group,and the indexes of self-care ability of patients in the observation group were higher than those in the control group(P<0.05).The total incidence of complications in the observation group(10.00%)was significantly lower than that in the control group(27.50%)(P=0.045).CONCLUSION Intensive interventions for patients with colostomy infection after MILES can effectively improve the quality of life and self-care ability of patients,effectively improve the infection of patients,improve the patients’satisfaction with nursing,effectively alleviate the patients’bad psychology,and reduce the incidence of

关 键 词：强化干预 MILES术 结肠造口并发感染 生活质量 

分 类 号：R473.73[医药卫生—护理学]