基于时机理论的直肠癌患者低位前切除综合征预防干预效果研究  

Preventive effects of Low Anterior Resection Syndrome in rectal cancer patients based on the theory of Timing It Right

作　　者：孙佳男 胡海燕[1] 殷欣[2] 汪彦君 王美玲 张晴 王权[1] 李虹彦[3] SUN Jianan;HU Haiyan;YIN Xin;WANG Yanjun;WANG Meiling;ZHANG Qing;WANG Quan;LI Hongyan(Department of Gastrocolorectal Surgery,General Surgery Center,The First Hospital of Jilin University,Changchun,130021,China)

机构地区：[1]吉林大学第一医院普外中心胃结直肠外科,长春市130021 [2]吉林大学第一医院护理部,长春市130021 [3]吉林大学第一医院院长办公室,长春市130021

出　　处：《中国护理管理》2023年第12期1761-1767,共7页Chinese Nursing Management

基　　金：吉林省医疗卫生人才专项(JLSWSRCZX2021-106)。

摘　　要：目的:评价以时机理论为框架的预防干预对降低直肠癌患者术后低位前切除综合征的发生率及严重程度的效果,为改善低位直肠癌患者术后护理质量提供参考。方法:采用便利抽样法,选取2020年2月至2021年7月在某三级甲等医院胃结直肠外科治疗的101例低位直肠癌患者为研究对象,按照入院时间先后分为对照组50例,干预组51例。对照组接受常规护理,干预组在对照组的基础上接受基于时机理论的预防干预,比较两组患者造口还纳术后1个月、3个月低位前切除综合征发生情况、严重程度及生活质量。结果:干预组造口还纳术后3个月的低位前切除综合征评分及严重程度显著低于对照组(P<0.05),发生率(64.70%)显著低于对照组(88.00%)(P<0.05);干预组术后1个月、3个月的生活质量显著优于对照组(P<0.05)。结论:基于时机理论的预防干预可有效降低直肠癌患者术后3个月低位前切除综合征发生率及严重程度,提高患者术后短期生活质量。Objective:To explore the effects of prophylactic intervention based on the theory of"Timing It Right"in patients with rectal cancer on reducing the incidence and severity of postoperative Low Anterior Resection Syndrome(LARS).Methods:Totally 101 patients with low rectal cancer who were treated in the gastrointestinal surgery department of a tertiary grade A hospital from February 2020 to July 2021 were selected by convenience sampling method,and they were divided into 50 cases in the control group and 51 cases in the intervention group according to the order of admission time.The control group received routine care,and the intervention group received prophylactic intervention based on the"Timing It Right"on the basis of the intervention in the control group.The incidence,severity of LARS and quality of life were compared between the two groups at 1 month and 3 months after stoma reduction.Results:The LARS score and severity at 3 months after stoma reduction in the intervention group were significantly lower than that in the control group(P<0.05).The incidence(64.70%)was also significantly lower than that in the control group(88.00%)(P<0.05);and the quality of life in the intervention group was significantly higher than that in the control group at 1 month and 3 months after surgery(P<0.05).Conclusion:Prophylactic intervention based on the theory of"Timing It Right"can effectively reduce the incidence and severity of LARS in patients with low rectal cancer at 3 months after surgery,and improve patients'short-term quality of life after surgery.

关 键 词：低位前切除综合征 直肠癌 时机理论 预防干预 护理质量 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]