预康复联合积极因素干预对结直肠癌手术患者下床活动依从性、快速康复和复发恐惧的影响  

Effect of pre-rehabilitation combined with positive factor intervention on ambulation compliance,rapid rehabilitation and fear of recurrence in patients undergoing colorectal cancer surgery

作　　者：何美玲 王瑞芳[2] He Meiling;Wang Ruifang(Ward 1,Department of Gastroenterology,the First Affiliated Hospital of Henan University,Kajfeng 475000,China;Department of Surgery,the First Affiliated Hospital of Henan University,Kaifeng 475000,China)

机构地区：[1]河南大学第一附属医院消化内科一病区,开封475000 [2]河南大学第一附属医院外科,开封475000

出　　处：《国际护理学杂志》2025年第1期69-75,共7页international journal of nursing

基　　金：2022年开封市科技发展计划项目(202204016)。

摘　　要：目的:探讨预康复联合积极因素干预对结直肠癌手术患者下床活动依从性、快速康复和复发恐惧的影响。方法:选取河南大学第一附属医院2019年1月至2023年3月收治的159例结直肠癌手术患者,按照随机数字表法将其分为观察组80例和对照组79例。对照组采用常规护理联合积极因素干预,观察组在对照组的基础上采用预康复联合积极因素干预。比较两组患者的下床活动依从性、术后恢复情况、术后并发症发生情况、癌症复发恐惧程度和生活质量。结果:观察组术后下床活动依从率为92.50%(74/80)高于对照组的81.01%(64/79),差异有统计学意义(P<0.05);观察组术后肠鸣音恢复时间、首次排气时间、首次排便时间和住院时间均短于对照组,差异有统计学意义(均P<0.05);观察组肺部感染、下肢深静脉血栓形成和并发症总发生率[2.50%(2/80),1.25%(1/80),10.00%(8/80)]低于对照组的[10.13%(8/79),8.86%(7/79),36.71%(29/79)],差异有统计学意义(均P<0.05);干预后,观察组患者癌症复发恐惧量表(FCRI)各维度评分均低于对照组,差异有统计学意义(均P<0.05);干预后,观察组患者癌症患者生活功能指数量表(FLIC)各维度评分均高于对照组,差异有统计学意义(均P<0.05)。结论:采用预康复联合积极因素干预能够提升结直肠癌手术患者术后下床活动依从性,促进胃肠道功能恢复,缩短住院时间,降低术后并发症的发生率,促进术后恢复,降低患者术后对癌症复发的恐惧程度,提高其生活质量。Objective:To explore the effect of pre-rehabilitation combined with positive factor intervention on ambulation compliance,rapid rehabilitation and fear of recurrence in patients with colorectal cancer surgery.Methods:A total of 159 patients with colorectal cancer treated in the First Affiliated Hospital of Henan University from January 2019 to March 2023 were selected and divided into observation group(80 cases)and control group(79 cases)according to random number table method.The control group was treated with routine nursing combined with positive factor intervention,while the observation group was given pre-rehabilitation combined with positive factor intervention on the basis of the control group.The ambulation compliance,postoperative recovery,occurrence of postoperative complications,fear degree of cancer recurrence and quality of life were compared between the two groups.Results:The postoperative ambulation compliance rate in the observation grou[92.50%(74/80)]was higher than that in the control group[81.01%(64/79)],and the difference was statistically significant(P<0.05).The postoperative bowel sound recovery time,first exhaust time,first defecation time and hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of pulmonary infection,deep vein thrombosis and complications in the observation group[2.50%(2/80),1.25%(1/80),10.00%(8/80)]was lower than that in the control group[10.13%(8/79),8.86%(7/79),36.71%(29/79)],and the differences were statistically significant(P<0.05).After intervention,the scores of dimensions of Fear of Cancer Recurrence Inventory(FCRI)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of dimensions of cancer patients'life function index of Functional Living Index Cancer(FLIC)in the observation group were higher than those in the control group,and the differences were statistical

关 键 词：结直肠癌 下床活动依从性 预康复 积极因素干预 

分 类 号：R473.73[医药卫生—护理学]