协同护理模式对低位直肠癌患者保肛术后肛门括约肌功能训练效果的影响

Influence of CCM on postoperative function training effect of anal sphincter in patients with anus preserving surgery for low rectal cancer

目的：探讨连续性协同护理模式对低位直肠癌患者保肛术后肛门括约肌功能训练效果的影响。方法选择2013年7—12月实施保肛术治疗的低位直肠癌患者86例为对照组，实施常规护理。选择2014年7—12月实施保肛术治疗的低位直肠癌患者88例为观察组，在对照组常规护理的基础上实施连续性协同护理模式。比较两组患者干预3个月和6个月后的排便功能和生活质量。结果护理干预3个月后观察组患者肛门功能良好者为81．8％，高于对照组的47．7％；干预6个月后观察组患者肛门功能良好者为90．9％，高于对照组的67．4％，差异均有统计学意义（χ2值分别为8．632，7．523；P ＜0．05）。观察组患者生理功能、心理功能、社会功能、健康自我认识能力及总生活质量得分均高于对照组患者，差异有统计学意义（t 值分别为5．264，4．635，4．265，4．145，3．958；P ＜0．01）。结论通过实施连续性协同家属护理管理，促进了患者排便功能的恢复，提高了患者的生活质量水平。

Objective To discuss influence of continuous collaboration care model （CCM） on postoperative function training effect of anal sphincter in patients with anus preserving surgery for low rectal cancer.Methods 86 cases with low rectal cancer treated by anus preserving surgery from July to December in 2013 were selected as control group,to whom routine nursing care was carried out.88 patients with low rectal cancer treated by anus preserving surgery from July to December in 2014 were selected as observation group,to whom continuous CCMwas implemented on the basis of routine nursing care in the control group.Defecation function and quality of life of patients in the two groups were compared 3 months and 6 months after the surgery.Results After 3 months of nursing intervention,81.8% of patients in the observation group had fine anal function,higher than the number in the control group,47.7%;after 6 months,the proportions of the two groups were 90.9% and 67.4% （χ2 =8.632,7.523;P 〈0.05）.Physiological function,psychological function,social function,self-awareness of health and score of quality of life of patients in the observation group were all higher than those of the control group （t =5.264,4.635,4.265,4.145,3.958;P 〈0.01 ）.Conclusions Implementation of continuous collaborative family care management can promote recovery of patients′defecation function and improve their quality of life.