直肠癌术后结肠造口患者行综合性护理干预的效果分析

Analysis on the effects of comprehensive nursing intervention on the patients with rectal cancer after colostomy

目的分析直肠癌术后结肠造口患者行综合性护理干预的效果。方法选择2014年6月～2015年6月我院收治的直肠癌术后结肠造口患者82例纳入本研究，对所有患者均实施信封随机分组方案，其中常规组41例，采取一般护理措施，实验组41例，采取综合性的护理干预措施，比较两组患者的生活质量、SAS、SDS评分与护理满意度情况。结果入院时，两组患者SAS、SDS评分比较，差异无统计学意义（P〉0.05）；护理后，实验组患者的SAS、SDS评分明显低于常规组，实验组患者抑郁和焦虑程度得到显著改善（P〈0．05）；实验组患者护理后的生活质量评分明显高于常规组（P〈0．05），实验组患者日常生活能力、规律性排便及造口自理能力均有显著性改善；实验组患者护理满意度为95．12％，而常规组为80．49％，实验组患者护理满意度明显高于常规组（P〈0．05）。结论对直肠癌术后结肠造口患者予综合性护理干预措施可取得较好的护理效果，明显改善患者负性情绪．提高护理满意度，改善患者生活质量，值得临床推广。

Objective To explore the nursing effects for the patients with rectal cancer after colostomy. Methods 82 patients with rectal cancer after colostomy who were admitted to our hospital from June 2014 to June 2015 were enrolled in this study. All the patients were randomized by envelop randomization protocol. 41 patients in the regular group were given general nursing measures, and 41 patients in the experiment group were given comprehensive nursing intervention. Life quality, SAS, SDS scores and satisfaction degree were compared between the two groups＂ of patients. Results Upon admission, SA.S and SDS scores in the two groups were not significantly different （P〉0.05）; after nursing, SAS and SDS scores in the experiment group were significantly lower than those in the regular group. Depression and anxiety degrees in the experiment group were significantly improved, and the differences compared between the two groups were significant（P〈0.05）; score of life quality in the experiment group after nursing was significantly higher than that in the regular group（P〈0.05）, and daily life ability, regular defecation and stoma self-care ability in the experiment group were significantly improved; the satisfaction degree in the experiment group was 95.12%, and the degree was only 80.49% in the regular group. The satisfaction degree towards nursing in the experiment group was significantly higher than that in the regular group （P〈0.05）. Conclusion For the patients with rectal cancer after colostomy, comprehensive nursing intervention is able to obtain more significant application effects, which is able to significantly improve patients＇ negative emotion, enhance nursing satisfaction and is worthy of clinical promotion.