1例直肠癌患者行Hartmann术后肠造口皮肤黏膜分离的护理  

Nursing management of a rectal cancer patient with skin mucous membrane separation after Hartmann’s procedure

作　　者：张淑丽 齐碧蓉 颜美琼 王宝莲 王燕 汤丰榕 ZHANG Shuli;QI Birong;YAN Meiqiong;WANG Baolian;WANG Yan;TANG Fengrong(Department of Surgery,Xiamen Branch of Zhongshan Hospital Affiliated to Fudan University,Xiamen,Fujian,361010;Department of Nursing,Zhongshan Hospital Affiliated to Fudan University,Shanghai,200032;Department of Nurisng,Xiamen Branch of Zhongshan Hospital Affiliated to Fudan University,Xiamen,Fujian,361010;Department of Otolaryngology,Xiamen Branch of Zhongshan Hospital Affiliated to Fudan University,Xiamen,Fujian,361010)

机构地区：[1]复旦大学附属中山医院厦门医院普外,福建厦门361010 [2]复旦大学附属中山医院护理部,上海200032 [3]复旦大学附属中山医院厦门医院护理部,福建厦门361010 [4]复旦大学附属中山医院厦门医院耳鼻喉科,福建厦门361010

出　　处：《中西医结合护理》2021年第4期71-74,共4页Chinese Journal of Integrative Nursing

摘　　要：目前手术切除是治疗结直肠癌的主要方法,同时辅以放疗化疗等综合治疗方法。直肠癌根治术分为3种:Miles术、Dixon术、Hartmann术。本文总结1例直肠癌患者行Hartmann术后肠造口皮肤黏膜分离的护理体会。肠造口治疗师通过皮肤护理、敷料选择、患者及其家属居家护理以及心理护理,解决患者肠造口并发症,促进患者康复,提高生活质量。Currently,surgery,usually supplemented with other adjunctive therapies,is the only potentially curative treatment modality for rectal cancer.There are tree common types of radi⁃cal resection of rectal carcinoma:abdominoperineal resection(Miles procedure),low anterior re⁃section(Dixon procedure)and Hartmann’s procedure.This paper summarized the nursing man⁃agement of a rectal cancer patient with skin mucous membrane separation after Hartmann’s proce⁃dure.The enterostomal therapist carried out skin care,dressing management,home-based care and psychological care,in order to treat complications of enterostomy and improve the rehabilita⁃tion of the patient.

关 键 词：直肠癌 HARTMANN手术 肠造口皮肤黏膜分离 心理护理 

分 类 号：R473.6[医药卫生—护理学]