术后贫血对生活质量的影响

The Effect of Anaemia after Operation on Life Quality

目的 观察手术出血致术后贫血对病人生活质量的影响 ,探讨其健康教育与护理要点。方法 6 0例直肠癌根治术、子宫内膜癌根治术等择期手术患者以围手术期输血标准不同分为Hb≤ 70 g/L输血组 (试验组 )与 70 g/L<Hb≤ 10 0g/L输血组 (对照组 ) ,应用GLQZ生活质量测定表相关内容制定统一健康教育方案 ,并于出院、出院后 4周和 3个月时统计GLQZ数值。结果 (1)两组患者围手术期出血量间差异无显著性意义 ,输血量间有极显著差异 ,术后 72h与 4周时Hb差异有显著性意义 ,术后 3个月Hb差异无显著性意义。 (2 )术后通过健康教育除术后 72h精神心理状态有极显著意义外 ,患者生活质量评价指标间差异均无显著性意义。结论 严格按Hb≤ 70 g/L控制围手术期异体输血虽然可致患者术后短期贫血 ,但除术后

Objective To observe the effect anaemia after operation on life quality (LQ) of the patients caused by the operation-bleeding,and to explore the main points of health education and nursing.Methods 60 cases of patients with rectum cancer and uterus inside velamen cancer received operation and were divided into two balanced groups (the test group the Hb≤70 g/L and comparison group 70 g/L<Hb≤100 g/L) according to the different transfuse criterion of during and around operation.The health teaching plan was established according to GLQZ (gestrointestional lebens qualitazindex ) LQ investigation table.The GLQZ number value was recorded three times:the patients leaving hospital,four weeks and three months after leaving hospital.Results The two groups had no notable difference in the operative bleeding mete (P>0.05),but transfuse mete had extremely prominent difference during operation (P<0.01).The Hb as well as extremely prominent difference in the 72 h and four weeks to the last-operation (P<0.01 or P<0.05).There was no notable difference of the sufferer LQ index judge (P>0.05) except mental state have best prominence at the last-operation 72 h (P<0.01) pass health education in the last-operation.Conclusion Short time anaemia after operation may occur according to variant transfusion on Hb≤70 g/L during operation,but there is no notable influence in general on LQ except mental state.