时效性激励护理在根治性直肠癌造口术后护理的临床应用  

The clinical application of timeliness incentive nursing executed after rectal cancer colostomy

作　　者：曲广新[1] 郭静[2] 董颖平 贾文莉 常兴华[4] Qu Guangxin;Guo Jing;Dong Yingping;Jia Wenli;Chang Xinghua(Outpatient Department of Surgery,Xinhua Hospital Affiliated to Dalian University,Dalian 116021,China;Outpatient Department of Xinhua Hospital Affiliated to Dalian University,Dalian 116021,China;Department of Stomatology,Xinhua Hospital Affiliated to Dalian University,Dalian 116021,China;Department of Plastic Surgery,Xinhua Hospital Affiliated to Dalian University,Dalian 116021,China)

机构地区：[1]大连大学附属新华医院外科门诊,116021 [2]大连大学附属新华医院门诊部,116021 [3]大连大学附属新华医院造口门诊,116021 [4]大连大学附属新华医院整形外科,116021

出　　处：《中国实用护理杂志》2020年第8期598-603,共6页Chinese Journal of Practical Nursing

摘　　要：目的 探讨时效性激励护理在根治性直肠癌造口术后护理中的效果评价。方法 选择大连大学附属新华医院2016年2月至2019年2月收治的根治性直肠癌造口术后患者120例为研究对象,采用随机数字表法分为观察组和对照组各60例,对照组采用常规术后康复护理,观察组在对照组基础上采用时效性激励护理干预,2组均持续护理3个月,对比2组患者术后疼痛程度、首次离床时间、首次进食时间、住院时间、负性情绪、疼痛程度、依从性、自我管理能力及术后并发症情况。结果 观察组患者的术后疼痛评分、首次离床活动时间、首次进食时间及住院时间分别为(1.9±0.5)分、(14.36±2.43)h、(21.39±3.08)h、(8.78±0.82)d,对照组分别为(3.5±1.1)分、(20.02±2.97)h、(27.14±3.96)h、(11.01±1.43)d,差异有统计学意义(t值为5.369~9.539,均P<0.05)。观察组患者的焦虑、抑郁评分护理后分别为(41.4±2.3)、(39.9±2.0)分;对照组护理后分别为(47.6±3.8)、(45.9±2.2)分,2组比较差异有统计学意义(t值为3.509、3.519,P<0.05);观察组患者情绪认知管理、一般生活管理、疾病知识管理、造口护理管理分别为(23.43±2.12)、(24.04±0.96)、(23.02±3.22)、(21.43±1.75)分,对照组分别为(18.96±2.82)、(18.89±1.69)、(17.95±2.61)、(16.87±2.12)分,2组比较差异有统计学意义(t值为17.712~18.879,P<0.05);观察组患者的护理、康复治疗、复查的依从性分别为(0.79±0.19)、(0.98±0.23)、(0.87±0.35)分,对照组分别为(1.02±0.26)、(1.58±0.36)、(1.46±0.43)分,差异有统计学意义(t值为5.532、5.221、5.645,P<0.05)。观察组患者的术后并发症发生率为8.33%(5/60)、对照组为23.33%(14/60),差异有统计学意义(χ2值为5.065,P<0.05)。结论 时效性激励护理明显缩短根治性直肠癌造口术后患者首次离床活动时间、首次进食时间及住院时间,缓解其术后疼痛感及负性情绪,提高自我管理能力及依从性,降低术后�Objective To study the timeliness incentive nursing intervention applied to rectal cancer postoperative rehabilitation of colostomy.Methods A total of 120 cases of permanent rectal cancer patients who were treated with colostomy in Dalian University affiliated Xinhua Hospital during February 2016 to February 2019 were evenly divided into observation group and control group by random number table method.The control group were caught out by conventional postoperative rehabilitation nursing.The control group were caught out by the timeliness incentive nursing intervention.Two groups of patients were compared before and after continuous care for 3 months in many ways which included the pain degree,the time to get out of bed,the time of first eating,length of hospital stay,negative emotions,compliance,self-management ability and postoperative complications.Results The pain degree,the first activity time away from the bed,the first time to eat and the hospital stay were 1.9±0.5,(14.36±2.43)h,(21.39±3.08)h,(8.78±0.82)d in the observation group,and 3.5±1.1,(20.02±2.97)h,(27.14±3.96)h,(11.01±1.43)d in the control group.The difference was statistically significant(t values were 5.369-9.539,P<0.05).The negative emotions such as anxiety and depression in the observation group scored 41.4±2.3 and 39.9±2.0 after nursing.However,the control group scored 47.6±3.8 and 45.9±2.2 after nursing,respectively.The difference was statistically significant(t values were 3.509,3.519,P<0.05).The self-management abilities of patients in the observation group,including emotional cognition management,general life management,disease cognitive management and colostomy nursing management were 23.43±2.12,24.04±0.96,23.02±3.22,and 21.43±1.75,significantly higher than those in the control group(18.96±2.82,18.89±1.69,17.95±2.61,16.87±2.12).The difference was statistically significant(t values were 17.712-18.879,P<0.05).The compliance of the observation group in nursing,rehabilitation and reexamination was 0.79±0.19,0.98±0.23 and

关 键 词：时效性激励 直肠肿瘤造口术 临床应用 

分 类 号：R473[医药卫生—护理学]