直肠癌造瘘术后伴癌因性疲乏患者的护理分析

Nursing Analysis of Patients with Colorectal Cancer Fatigue after Colostomy

目的分析直肠癌造瘘术后伴癌因性疲乏患者的护理效果。方法选取2016年7月~2017年7月在本院治疗的128例直肠癌造瘘术后伴CRF患者临床资料,按护理方案不同分为两组,各64例,对照组实施常规护理,观察组实施综合护理干预,比较组间心理状态、CRF症状情况及生存质量。结果观察组护理后SAS、SDS评分(26.47±5.12)分、(30.22±3.25)分均比对照组优(P<0.05);观察组无疲乏43.75%、轻微疲乏(50.00%)的比例比对照组(26.56%)、(31.25%)高(P<0.05);观察组躯体(88.42±8.51)分、角色(61.74±11.72)分、情绪(78.89±2.16)分等功能评分均优于对照组(P<0.05)。结论直肠癌造瘘术后伴癌因性疲乏患者经综合护理干预后,心理状态显著改善,有效缓解癌因性疲乏,且提升生存质量。

Objective To analyze the nursing effect of patients with cancer-causing fatigue after rectal cancer fistula. Methods Clinical data of 128 patients with CRF were selected from July 2016 to July 2017 in our hospital, according to the nursing program they were divided into two groups, 64 cases in each group.The control group received conventional nursing, while the observation group received comprehensive nursing intervention, psychological status between groups, CRF symptoms and quality of life of two groups were compared. Results The score of SAS and SDS（26.47±5.12） and（30.22 ± 3.25） points in the observation group were significantly better than those in the control group（P 〈 0.05）. The proportion of the fatigue group and the control group was 43.75% and 50.00% % and 31.25%, respectively（P 〈 0.05）. The scores of somatic body score（88.42±8.51）, character（61.74±11.72） and emotion（78.89±2.16） in observation group were better than those in control group（P 〈 0.05）. Conclusion After comprehensive nursing intervention, patients with cancer-related fatigue after rectal cancer fistula significantly improve mental state, effectively relieve cancer-induced fatigue and improve quality of life.