人文关怀护理对直肠癌结肠造瘘口患者围手术期自我护理能力的影响  

Influence of Humanistic Care Nursing on Perioperative Self-care Ability of Patients with Rectal Cancer and Colostomy

作　　者：陈威 CHEN Wei(Xinmin Hospital,Shenyang 110300,China)

机构地区：[1]新民市医院,辽宁沈阳110300

出　　处：《中国医药指南》2020年第26期162-163,共2页Guide of China Medicine

摘　　要：目的探讨人文关怀护理对直肠癌结肠造瘘口患者围手术期自我护理能力的影响。方法选取2018年2月至2019年2月新民市医院收治的66例直肠癌结肠造瘘口患者为研究对象,按照围手术期是否行人文关怀护理将其分为对照组(33例,行常规护理)和试验组(33例,行人文关怀护理),比较两组患者预后。结果护理干预72 h后,试验组患者的SF-36简明健康状况量表(SF-36)评分及自我护理能力测定量表(ESCA)评分均高于对照组,差异均有统计学意义(P <0.05)。护理干预72 h后,试验组患者的IgG、CD_3^+、CD_4^+、CD_4^+/CD_8^+水平均高于对照组,差异均有统计学意义(P <0.05);试验组患者的血浆白蛋白、血红蛋白、转铁蛋白水平均高于对照组,差异均有统计学意义(P <0.05)。结论在直肠癌结肠造瘘口患者的围手术期实施人文关怀护理干预的效果明显优于常规护理干预效果,可有效改善患者的免疫功能及营养状况,并提升患者的自我护理能力。Objective To observe the infl uence of humanistic care on perioperative self-care ability of patients with rectal cancer undergoing colostomy.Methods From February 2018 to February 2019,66 cases of rectal cancer with colostomy were treated in our hospital.All patients were divided into control group(33 cases with routine care)and experimental group(33 cases with humanistic care)according to whether or not humanistic care was given during perioperative period.The prognosis of the two groups was compared.Results After 72 hours of nursing intervention,the 36-item Short-form Health Survey(SF-36)and Exercise of Self-care Agency scale(ESCA)in the experimental group were better than those in the control group(P<0.05).Relevant immune function and nutritional parameters of the experimental group were better than those of the control group one week after admission(P<0.05).Conclusion The eff ect of humanistic care in perioperative period of rectal cancer patients with colostomy is better than that of routine nursing intervention.

关 键 词：直肠癌 肠瘘口 人文关怀护理 围手术期 自我护理能力 

分 类 号：R473.73[医药卫生—护理学] R735.37[医药卫生—临床医学]