团体行为干预对腹腔镜直肠癌手术患者肛门训练依从度的影响

Effect of group behavior intervention on the anal training compliance of patients with rectal cancer undergoing laparoscopic surgery

目的研究团体行为干预对腹腔镜直肠癌手术患者肛门训练依从度的影响。方法将本院82例直肠癌患者纳入研究,均行择期腹腔镜手术治疗,随机分为观察组和对照组,每组各41例。观察组开展团体行为干预,共开展4次,对照组行常规护理,比较两组护理后1月肛门训练依从度评分、依从率,并观察肛门功能恢复情况。结果两组护理前各维度依从性评分差异无统计学意义(P>0.05),护理后观察组各维度评分显著高于护理前及对照组护理后(P<0.05);观察组护理后依从性分级显著优于对照组(P<0.05);观察组护理后肛门功能显著优于对照组,差异有统计学意义(P<0.05);两组护理前肛管静息压、收缩压比较差异无统计学意义(P>0.05),护理后观察组肛管静息压、收缩压显著高于对照组(P<0.05)。结论团体行为干预可提高腹腔镜直肠癌根治手术后患者肛门训练依从性,从而促进肛门功能恢复,临床应用价值较高。

Objective To study the effect of group behavior intervention on the anal training compliance of patients with rectal cancer undergoing laparoscopic surgery. Methods Eighty-two patients with rectal cancer in our hospital were enrolled in the study. All patients underwent elective laparoscopic surgery. And these patients were divived into observation group and control group with 41 cases in each group.Patient in the observation group received group behavior intervention with a total of 4 times,while the control group underwent routine nursing care.The anal training compliance score and compliance rate were compared between groups, and the recovery of anal function was observed. Results There was no significant difference in compliance scores between the two groups before nursing（P 〈 0.05）. After nursing, the scores,compliance grade and the anal function in the observation group were significantly betterthan those before nursing and those in control group after nursing（P 〈 0.05）. And the anal resting pressure and systolic blood pressure in two groups before nursing showed no distinct difference（P 〉 0.05）. While resting pressure and systolic blood pressure was distinctly increased in the observation group after nursing compared with control group（P 〈 0.05）, Conclusion Group behavior intervention can improve the anal training compliance of patients with rectal cancer after laparoscopic surgery, so as to promote the recovery of anal function.