无缝隙护理对直肠癌造口患者身心状态的影响

Effect of seamless care on physical and mental status of patients with rectal cancer colostomy

目的探讨无缝隙护理对直肠癌造口患者身心状态的影响。方法选取该院2012年1月‐2015年1月接收治疗的60例直肠癌造口患者为研究对象,将其随机分为观察组和对照组,观察组患者给予无缝隙护理干预,对照组患者给予常规护理干预。观察并比较两组患者术后疼痛持续时间、肛门排气时间以及住院时间;检测并比较两组患者护理前后应激反应各指标差异;应用抑郁自评量表(SDS)和焦虑自评量表(SAS)对患者进行护理前后心理状态检测。结果观察组患者术后护理期疼痛持续时间、肛门排气时间及住院时间均显著短于对照组患者,差异有统计学意义(P<0.05);护理后观察组患者应激反应指标皮质醇(Cor)明显高于对照组患者,差异有统计学意义(P<0.05);护理后观察组患者应激反应指标白细胞介素-6(IL-6)、C-反应蛋白(CRP)均显著低于对照组患者,差异有统计学意义(P<0.05);观察组患者护理后SAS、SDS评分均显著低于对照组患者,差异有统计学意义(P<0.05)。结论直肠癌造口患者通过无缝隙护理后能减轻术后疼痛、缩短肛门排气及住院时间,并能减少应激反应,促进患者术后身体恢复,改善患者心理状态。

[Objective]To explore the effect of seamless nursing on the physical and mental status of patients with rectal cancer colostomy.[Methods]Sixty patients who underwent rectal cancer colostomy in our hospital between January 2012 and January 2015 were selected and randomly divided into the observation group and the control group,with 30 cases in each group.The observation group was given seamless nursing intervention while the control group was given routine nursing intervention.The duration of postoperative pain,anal exhaust time and hospitalization time of the two groups were observed and compared;the differences in stress response indicators were detected and compared between the two groups before and after nursing;the Selfrating Depression Scale（SDS） and Self-rating Anxiety Scale（SAS） were used to detect the mental status of patients before and after nursing.[Results]The duration of postoperative pain,anal exhaust time and hospitalization time of the observation group were significantly shorter than those of the control group（P〈0.05）;after nursing,the stress response indicators such as cortisol（Cor）was significantly higher,interleukin-6（IL-6） and C-reactive protein（CRP） were significantly lower than those in the control group（P〈0.05）;the SAS and SDS scores of the observation group after nursing were significantly lower than those of the control group（P〈0.05）.[Conclusion]Seamless nursing can reduce postoperative pain,shorten the time of anal exhaust and hospitalization,reduce stress response,promote postoperative recovery and improve the psychological status of patients with rectal cancer colostomy.