FTS干预联合开塞露灌肠在老年结肠癌术后便秘患者中的应用  

Application of FTS intervention combined with Kaisailu enema in elderly patients with constipation after colon cancer surgery

作　　者：王淳 Wang Chun(Mianyang Central Hospital,School of Medicine,University of Electronic Science and Technology of China,Mianyang,Sichuan 621000,China)

机构地区：[1]电子科技大学医学院附属绵阳医院·绵阳市中心医院,四川绵阳621000

出　　处：《首都食品与医药》2023年第21期120-123,共4页Capital Food Medicine

摘　　要：目的观察快速康复外科(FTS)干预联合开塞露灌肠在老年结肠癌术后便秘患者中的应用效果.方法选取2018年8月-2021年7月绵阳市中心医院收治的120例老年结肠癌术后便秘患者作为研究对象,按照入院时间分为两组,每组各60例.对照组进行开塞露灌肠及常规护理,联合组进行开塞露灌肠联合FTS干预.比较两组排便时间、排便费力程度、便秘症状、干预前后抑郁自评量表(SDS)及焦虑自评量表(SAS)评分、护理满意度.结果联合组排便时间较对照组短,排便费力程度、便秘症状评分较对照组低,差异有统计学意义(P<0.05);干预后两组SDS评分、SAS评分较干预前低,联合组较对照组低,差异有统计学意义(P<0.05);联合组护理满意度(95.00%)较对照组(81.67%)高,差异有统计学意义(P<0.05).结论FTS干预联合开塞露灌肠应用于老年结肠癌术后便秘患者,可缩短患者排便时间,改善便秘情况,疏导负性情绪,提高护理满意度.Objective To observe the effect of fast recovery surgery(FTS)intervention combined with Kaisailu enema in elderly patients with constipation after colon cancer surgery.Methods From August 2018 to July 2021,120 elderly patients with postoperative constipation of colon cancer in our hospital were selected and grouped according to the time of admission,60 cases in each.The control group received Kaisailu enema and routine nursing,while the combination group received Kaisailu enema combined with FTS intervention.The defecation time,defecation effort,constipation symptoms,Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS)score and nursing satisfaction before and after the intervention were compared between the two groups.Results The defecation time of the combined group was shorter than that of the control group,and the degree of defecation effort and constipation symptom scores were lower than those of the control group,and the difference was statistically significant(P<0.05).After intervention,the SDS and SAS of the two groups were lower than before intervention,and the combined group was lower than the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the combined group was 95.00%higher than that of the control group,which was 81.67%,and the difference was statistically significant(P<0.05).Conclusion FTS intervention combined with Kaisailu enema in elderly patients with constipation after colon cancer surgery can shorten the defecation time,improve constipation,relieve negative emotions,and improve nursing satisfaction.

关 键 词：快速康复外科 开塞露灌肠 结肠癌 便秘 

分 类 号：R473.73[医药卫生—护理学]