低位直肠癌保肛术后行早期排便功能训练护理模式对肛门功能的影响分析

Effect Analysis of Early Defecation Function Training Nursing Model on Anal Function of Low Rectal Cancer After Anal Sphincter Preservation Surgery

目的 研究早期排便功能训练护理模式应用在低位直肠癌保肛术后患者的临床可行性,并深入探究有无影响肛门功能。方法 通过计算机1:1随机数列方式对本院2021年5月—2023年6月收治的低位直肠癌保肛术后患者82例均分两组。其中,参照组(n=41)采用常规护理,研究组(n=41)采用早期排便功能训练护理模式,比较护理后的效果。结果 研究组护理后的排便功能优良率以及护理工作满意度评分较参照组高,组间差异有统计学意义(P<0.05)。护理质量评分方面,研究组心理护理、训练干预、专业技术和护理中心等分值较参照组高,组间差异有统计学意义(P<0.05)。护理前两组患者的SAS评分和SDS评分对比,差异无统计学意义(P>0.05);护理后研究组SAS评分和SDS评分较参照组低,组间差异有统计学意义(P<0.05)。结论 低位直肠癌保肛术后患者选取科学有效的护理方法至关重要,其中早期排便功能训练护理模式对肛门功能的恢复具有积极的效果,护理工作满意度以及护理质量均明显提高,不良心理得到显著改善,具有较高的可行性。

Objective To study clinical feasibility of early defecation function training nursing model for patients with low rectal cancer after anal sphincter preservation surgery,and explore effect on anal function deeply.Methods The paper chose 82 cases low rectal cancer patients with anal sphincter preservation surgery in our hospital from May 2021 to June 2023,and divided them into two groups randomly with 1:1 computer sequence.Among them,41 cases in reference group were treated with routine nursing,remaining 41 cases in study group with early defecation function training nursing mode.Nursing effect was compared.Results Excellent rate of defecation function after nursing in study group was higher than reference group,nursing satisfaction degree was higher,hypothesis test was significant,P<0.05.in terms of nursing quality scores,study group had higher scores in psychological care,training intervention,professional skills,and nursing center than control group,hypothesis test was significant,with P<0.05.There was no significant difference in SAS and SDS scores between two groups before nursing,with P>0.05.SAS and SDS scores of post nursing study group were lower than control group,hypothesis test was significant,with P< 0.05.Conclusion Scientific and effective nursing methods is crucial for low rectal cancer patients with anal sphincter preservation surgery,early defecation function training nursing model can achieve positive effect on recovery of anal function,and significantly improve satisfaction degree,nursing quality and negative psychology,which has high feasibility.