基于希望理论实施盆底肌功能锻炼对预防性肠造口还纳术患者肛门功能的影响  

Effect of hope theory-based pelvic floor exercises on hope level and anal function in patients with prophylactic enterostomy reversal

作　　者：王大元 姚翠 赵云 Wang Dayuan;Yao Cui;Zhao Yun(Department of Colorectal Surgery,Jiangsu Provincial People’s Hospital,Nanjing Medical University,Nanjing 210029,Jiangsu Province,China)

机构地区：[1]南京医科大学第一附属医院/江苏省人民医院结直肠外科,江苏南京210029

出　　处：《现代临床护理》2024年第8期56-62,共7页Modern Clinical Nursing

基　　金：江苏省自然科学基金面上项目,项目编号为BK20201491;江苏省人民医院临床能力提升工程护理项目,项目编号为JSPH-NC-2022-25。

摘　　要：目的探讨基于希望理论实施盆底肌功能锻炼对预防性肠造口还纳术患者肛门功能的影响。方法选择2021年3月至2023年3月行预防性肠造口还纳术的104例低位直肠癌患者作为研究对象,按随机数字表法分为对照组与干预组,每组各52例。对照组给予常规护理+盆底肌功能锻炼方案,干预组在常规护理基础上给予基于希望理论的盆底肌功能锻炼方案,分别在术后在1个月和3个月评估患者肛门功能,于干预前及术后3个月评估患自我护理能力者、希望水平。结果干预组患者在术后1个月和3个月肛门功能评分均较对照组低,差异有统计学意义[术后1个月:(12.1±2.4)分vs.(13.9±2.2)分,t=-3.987,P<0.001;术后3个月:(5.8±1.4)分vs(7.3±1.7)分,t=-4.912,P<0.001]。干预前后干预组患者自我护理能力总分差值及希望水平总分差值较对照组高,差异有统计学意义[(26.6±3.5)分vs(12.3±1.6)分,t=26.796,P<0.001],[(7.4±0.3)分vs(2.0±0.4)分,t=77.881,P<0.001]。结论基于希望理论实施盆底肌功能锻炼可改善预防性肠造口还纳术患者术后肛门功能,并提高其自我护理能力及希望水平。Objective To analyse the effect of hope theory-based pelvic floor exercises on anal function in patients with prophylactic enterostomy reversal.Methods A total of 104 patients with low rectal cancer and underwent prophylactic enterostomy reversal from March 2021 to March 2023 were selected and randomly divided into a routine group and a trial group,with 52 patients per group.Patients in the routine group received a standard postoperative nursing care plus a pelvic floor exercise program,while the patients in the trial group received a hope theory-based pelvic floor exercise program in addition to the standard postoperative nursing care.The anal function of patients was evaluated at 1 and 3 months after surgery,while the self-care ability and hope level were evaluated before the intervention and at 3 months post-surgery.Results In comparison with the routine group,the patients in trial group demonstrated significantly lower scores of anal function at both 1 month and 3 months after surgery(12.1±2.4 vs.13.9±2.2,t=-3.987,P<0.001;5.8±1.4 vs.7.3±1.7,t=-4.912,P<0.001,respectively).The trial group showed significant increases in the total scores in both self-care ability and hope level after the intervention(26.6±3.5 vs.12.3±1.6,t=26.796,P<0.001;7.4±0.3 vs.2.0±0.4,t=77.881,P<0.001,respectively).Conclusion Hope theory-based pelvic floor exercises can enhance postoperative anal function,self-care ability and hope level in patients undergoing prophylactic enterostomy reversal.

关 键 词：预防性肠造口还纳术 盆底肌锻炼 希望理论 护理 肛门功能 

分 类 号：R473.6[医药卫生—护理学]