82例直肠癌永久性结肠造口患者心理护理体会

Experience of Psychological Nursing for 82 Cases Rectal Cancer Patients with Permanent Colostomy

目的:探讨直肠癌永久性结肠造口患者的心理护理方法。方法:对2008年8月-2011年8月长沙市第一医院普外科直肠癌永久性结肠造口患者随机分为观察组和对照组各41例,两组患者均采用相同的治疗方案和常规护理。治疗组在常规护理的基础上增加心理护理,包括文字教育、形象教育等多种形式,比较分析两组患者的疗效。采用Wilcoxon秩和检验,P<0.05为差异有统计学意义。结果:治疗组41例患者基本掌握造口袋的使用,生活态度积极乐观,能自我护理,与对照组比较差异有统计学意义(P<0.05);治疗组41例患者对心理护理的满意度高水平层次,与对照组比较差异有统计学意义(P<0.05)。结论:对直肠癌永久性结肠造口患者进行心理护理,可促使患者心理更好的接受结肠造口,促使其生活质量明显提高,对保障手术的实质性成功具有重要意义。

Objective ：To study the psychological nursing methods of the patient after rectal cancer with permanent colostomy.Methods ：Rectal cancer patient with permanent colostomy was divided into the treatment group and the control group stochastically with 41 cases in each group in first hospital of changsha from August 2008 to August 2011.Two groups of patients were performed with the same treatment and nursing.The treatment group was treated with increased psychological nursing on the basis of routine nursing care, including writing education, image education and other forms of education.A comparative analysis of treatment effect was effective in two groups of patients.We used Wilcoxon rank sum test for statistical analysis.Significance was set at P〈0.05.Results ：The treatment group of 41 cases grasped the basic use of colostomy bag, had positive and optimistic attitude to life, cared himself or herself.The difference was statistically significant compared with the control group （P〈0.05）.The high level satisfaction on the psychological nursing by the treatment group of 41 cases was statistically significant compared with the control group （P〈0.05）.Conclusion ：The psychological nursing to the rectal cancer patients with permanent colostomy make patients to undergo colostomy well, can improve patient＇s quality of living obviously.It is important to safeguard surgery＇s success substantively.