综合护理干预在直肠癌低位前切除术患者围术期护理中的应用效果

Effects of comprehensive nursing intervention on perioperative nursing in patients with rectal cancer underwent Dixon

目的探讨综合护理干预在直肠癌低位前切除术(Dixon)患者围术期中的应用效果。方法 2012年2月~2016年1月选择在北京大学肿瘤医院诊治的直肠癌患者86例,根据信封法分为观察组与对照组,每组各43例。所有患者都给予Dixon手术,对照组在围术期采取常规护理方法,观察组在对照组基础上给予综合护理干预,记录两组预后情况与护理满意度。结果观察组的排气时间、排便时间与术后住院时间明显少于对照组(P<0.05)。出院时观察组护理满意度明显高于对照组(P<0.05)。术后1个月,观察组并发症发生情况明显低于对照组(P<0.05)。结论综合护理干预在直肠癌Dixon术患者围术期护理中的应用,有利于患者康复,减少并发症的发生,且能提高患者的护理满意度。

Objective To explore the applying values of comprehensive nursing intervention in perioperative period of rectal cancer patients underwent Dixon. Methods From February 2012 to January 2016, 86 patients with rectal cancer in Peking University Cancer Hospital were selected and divided into observation group and control group by envelope method, with 43 cases in each group. All patients were treated with Dixon, and the control group was treated with the perioperative routine nursing, while the observation group was treated with comprehensive nursing care based on the control group. The prognosis and nursing satisfaction of the two groups were recorded. Results The exhaust time, defecation time and postoperative hospital stay in the observation group were significantly less than that those in the control group （P 〈 0.05）. At discharge, the nursing satisfaction of the observation group was significantly higher than that of the control group （P 〈 0.05）. One month after operation, occurrence of complications in the observation group was significantly lower than that of the control group （P 〈 0.05）. Conclusion The comprehensive nursing intervention can be conducive to the rehabilitation of patients, reduce the incidence of complications, and improve nursing satisfaction of patients, which is applied in perioperative nursing in patients with rectal cancer underwent Dixon.