中医特色护理对结直肠癌患者术后并发症和生活质量的影响  

Influence of TCM-featured Nursing on Postoperative Complications and Quality of Life in Patients with Colorectal Cancer

作　　者：赵伊丽 王煜[1] 卫婷 ZHAO Yili;WANG Yu;WEI Ting(Shuguang Hospital Affiliated to Shanghai University of TCM,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属曙光医院,上海201203

出　　处：《西部中医药》2025年第2期156-160,共5页Western Journal of Traditional Chinese Medicine

基　　金：医学免疫学国家重点实验室开放课题(NKMI2020K18)。

摘　　要：目的:观察中医特色护理对结直肠癌(colorectal cancer,CRC)患者术后并发症和生活质量的影响。方法:将接受腹腔镜CRC根治术的114例患者按随机数字表法分为对照组和观察组各57例。对照组予常规护理,观察组在对照组基础上予中医特色护理。观察两组患者术后胃肠功能恢复情况(首次排气时间、肠鸣音恢复时间、首次排便时间)、术后疼痛情况、生活质量评分、抑郁自评量表(self-rating depression scale,SDS)和焦虑自评量表(self-rating anxiety scale,SAS)评分、并发症发生率及护理满意度。结果:护理后观察组肠鸣音恢复时间、首次排气与排便时间以及第1、2、3天VAS评分均低于对照组(P<0.05);护理后两组患者生活质量评分均升高(P<0.05),观察组高于对照组(P<0.05);护理后两组患者SAS和SDS评分均降低(P<0.05),观察组低于对照组(P<0.05);护理满意度观察组[98.25%(56/57)]高于对照组[80.70%(46/57)](P<0.05);并发症发生率观察组[7.02%(4/57)]低于对照组[22.81%(13/57)](P<0.05)。结论:常规护理加中医特色护理可改善CRC患者术后胃肠功能,缓解术后疼痛,减少患者不良情绪及术后并发症,提高生活质量,而且有利于改善护患关系。Objective:To observe the impacts of TCM-featured nursing on postoperative complications and quality of life in patients with colorectal cancer(CRC).Methods:All 114 patients who underwent laparoscopic radical resection of CRC were allocated to the control group and the observation group using random number table method with 57 cases in each group.The control group accepted conventional care,and the observation group was given TCM-featured nursing on the foundation of the therapy of the control group.To observe the recovery of gastrointestinal function after the operation(initial exhaust time,borborygmus recovery time and initial defecation time),postoperative pain conditions,the scores of quality of life,SDS and SAS scores,the incidence of adverse reaction and nursing satisfaction between the two groups.Results:After the nursing,borborygmus recovery time,initial exhaust time,initial defecation time,and VAS scores on the 1st,2nd and 3rd day of the observation group were lower than these of the control group(P<0.05);after the care,the scores of quality of life were lifted in the two groups(P<0.05),the observation group was higher than the control group(P<0.05);after the nursing,SDS and SAS of the two groups were lowered(P<0.05),the observation group was lower than the control group(P<0.05);nursing satisfaction of the observation group was[98.25%(56/57)],higher than[80.70%(46/57)]of the control group(P<0.05);the incidence of the complications of the observation group was[7.02%(4/57)],lower than[22.81%(13/57)]of the control group(P<0.05).Conclusion:Conventional care plus TCM-featured nursing could improve gastrointestinal function in CRC patients after the operation,relieve postoperative pain,and reduce the patients'negative emotion and postoperative complications,enhance quality of life,and it is conducive to improving nurse-patient relationship.

关 键 词：结直肠癌 术后并发症 生活质量 中医特色护理 

分 类 号：R269[医药卫生—中西医结合]