基于量化评估策略护理对结肠癌手术患者术后康复的影响  

Effect of Care Based on Quantitative Assessment Strategy on Postoperative Rehabilitation of Colon Cancer Patients

作　　者：朱珠 王爱华[1] 张宜南[1] 许畅[1] Zhu Zhu;Wang Aihua;Zhang Yinan;Xu Chang(Department of Surgery,The 111st District of Jiangsu Tumor Hospital,Nanjing 210009,Jiangsu Province,China;不详)

机构地区：[1]江苏省肿瘤医院结直肠肿瘤外科111区,江苏省南京市210009

出　　处：《中国病案》2021年第1期106-109,共4页Chinese Medical Record

摘　　要：目的探讨基于量化评估策略护理表对结肠癌手术患者术后康复的影响。方法随机选取2017年1月1日-2019年10月31日于某院行结肠癌根治术的患者100例作为研究对象,采用随机数字表法分为对照组和观察组,每组各50例。对照组实施常规护理,观察组实施基于量化评估策略护理表的干预。比较2组患者术后康复指标、心理状态、生活质量。结果观察组首次排气时间(1.84±0.50)天、首次排便时间(2.30±0.54)天、首次下床时间(16.96±5.35)天及总住院时间(9.62±0.64)天均显著低于对照组(2.46±0.63)、(3.57±0.56)、(22.13±5.28)、(12.27±0.71)天(P<0.05);干预后,观察组抑郁自评量表评分(28.52±5.48)、焦虑自评量表评分(32.65±4.49)显著低于对照组(45.18±5.33)、(42.28±4.47)(P<0.05),生活质量量表评分(78.53±7.24)显著高于对照组(70.22±7.08)(P<0.05)。结论量化评估策略护理能够促进结肠癌术后患者恢复,改善负性情绪,最终改善了患者的生活质量。Objective To investigate the effect of care based on quantitative assessment strategy on postoperative rehabilitation of colon cancer patients. Methods From January 1st,2017 to October 31st,2019, 100 patients undergoing radical colon cancer surgery in one hospital were selected as the study subjects, and the random digital table method was used to divide the patients into control group and observation group,50 cases each in each group. The control group carried out routine nursing, and the observation group implemented the intervention of nursing table based on quantitative evaluation strategy. The postoperative rehabilitation index, psychological state and quality of life were compared between the two groups. Results First exhaust time(1.84±0.50) d, first defecation time(2.30±0.54) d, first bed time(16.96±5.35) d and total hospitalization time(9.62±0.64) d in the observation group were significantly lower than those in the control group(2.46±0.63,3.57±0.56,22.13±5.28,12.27±0.71) d(P<0.05). After the intervention, the SAS score(28.52±5.48), SAS score(32.65±4.49) in the observation group were significantly lower than those in the control group(45.18±5.33,42.28±4.47)(P<0.05), and the QLQ-CCC score(78.53±7.24) in the observation group was significantly higher than that in the control group(70.22±7.08)(P<0.05). Conclusions Quantitative evaluation strategy nursing could promote the recovery of patients with colon cancer after surgery, reduce stress response, improve negative emotions, and ultimately improve the quality of life of patients.

关 键 词：量化评估策略 护理表 结肠癌手术 康复 

分 类 号：R473.73[医药卫生—护理学]