预见性护理在低位直肠癌根治术后结肠造瘘口护理中的应用  

Application of Predictive Nursing in Colostomy Fistula Nursing after Radical Resection of Low Rectal Cancer

作　　者：曲岩[1] 刘春娥[1] QU Yan;LIU Chun'e(Affiliated Xinhua Hospital of Dalian University,Dalian 116021,China)

机构地区：[1]大连大学附属新华医院,辽宁大连116021

出　　处：《中国医药指南》2020年第23期199-200,共2页Guide of China Medicine

摘　　要：目的分析预见性护理在低位直肠癌根治术后结肠造瘘口护理中的应用效果。方法选择2018年1月至2019年12月我院收治的行低位直肠癌根治术患者84例,按照交替分组法分成甲组和乙组,各42例,分别开展常规护理和预见性护理。对比两组患者的术后造瘘口并发症及生存质量。结果与甲组(19.05%)相比,乙组(4.76%)造瘘口并发症发生率低,差异有统计学意义(χ^2=4.086,P=0.043)。与甲组相比,乙组身体、角色、认知、情绪、社会功能及总体健康评分均高,差异有统计学意义(P<0.05)。结论预见性护理在低位直肠癌根治术后结肠造瘘口护理中效果明确,可有效降低并发症发生率,提高患者生活质量。Objective To analyze the application effect of predictive nursing in colostomy fistula nursing of patients undergoing radical resection of low rectal cancer.Methods Eighty-four patients admitted to our hospital for radical resection of low rectal cancer from January 2018 to December 2019 were selected and divided into A group and B Group according to alternate grouping method,with 42 patients in each group,for routine and predictive nursing respectively.Postoperative fistula complications and quality of life were compared between the two groups.Results Compared with A group(19.05%),B group(4.76%)had a lower incidence of complications,and the difference was statistically significant(χ^2=4.086,P=0.043).Compared with A group,B group had higher scores in body,role,cognition,emotion,social function and overall health,with statistically significant differences(P<0.05).Conclusion Predictive nursing has a clear effect in colostomy fistula nursing after radical resection of low rectal cancer,which can effectively reduce the incidence of complications and improve the quality of life of patients.

关 键 词：低位直肠癌根治术 结肠造瘘口护理 预见性护理 

分 类 号：R473.6[医药卫生—护理学]