不同护理方式对经腹会阴直肠切除术患者术后恢复的影响

Comprehensive nursing intervention in patients with rectal cancer after colostomy

目的:探讨综合护理干预对直肠癌结肠造口术患者的临床意义.方法:选择2010-04/2013-05于我院行Miles术的患者68例,依据术后护理方式不同分为传统护理组(34例)和综合护理组(34例),观察两种护理方式临床疗效的差异.结果:综合护理组造口术治疗知识、对造口术态度、对造口术环境、对造口术后恢复信心评分均优于传统护理组患者,综合护理组在吻合口狭窄发生率、粪嵌顿发生率以及吻合口感染发生率方面低于传统护理组患者,差异有统计学意义(2.9%vs 11.8%,5.8%vs 5.8%,2.9%vs 8.8%,均P<0.05).结论:综合护理可应用于直肠癌结肠造口术术后的护理,可有效降低术后并发症,提高护理质量.

AIM： To explore the impact of comprehensive nursing intervention on quality of life in patients with rectal cancer after colostomy. METHODS： The clinical data for 68 patients who underwent rectal colostomy for rectal cancer from April 2010 to May 2013 at our hospital were analyzed retrospectively. The patients were divided into either a conventional nursing intervention group （n = 34） or a comprehensive nursing intervention group （n = 34）. The clinical efficacy was compared between the two groups. RESULTS： The scores for knowledge and attitude regarding ostomy, ostomy environment, and postoperative recovery confidence were significantly better in the comprehensive nursing intervention group than in the conventional nursing intervention group. The incidences of anastomotic stricture, fecal impaction, and anastomofic infection were significantly lower in the comprehensive nursing intervention group （2.9% vs 11.8%, 5.8% vs 5.8%, 2.9% vs 8.8%, P 〈 0.05 for all）.CONCLUSION： Comprehensive nursing intervention can improve the cognitive degree of rectal cancer patients after colostomy, reduce postoperative complications, and improve the quality of nursing.