舒适护理对结肠癌术后化疗患者康复效果的影响

Effect of comfortable nursing on the rehabilitation of patients with colon cancer after postoperative chemotherapy

目的:探讨舒适护理对结肠癌术后化疗患者康复效果的影响。方法:收集2015年7月至2017年1月接诊的39例结肠癌术后化疗患者,按随机数字表法分为观察组20例和对照组19例。对照组给予常规护理干预,观察组给予舒适护理干预。干预2周后,采用症状自评量表SCL90评估患者的焦虑、恐惧、抑郁、敌对、躯体化得分,以及康复效果得分,包括生理、心理社会、与医务人员的关系、婚姻关系、性关系。结果:观察组焦虑、恐惧、抑郁、敌对、躯体化评分分别为(8.68±4.33)分、(7.88±0.06)分、(6.96±1.55)分、(5.98±1.17)分、(10.22±4.58)分,对照组分别为(16.36±2.88)分、(14.57±1.99)分、(12.79±1.77)分、(11.22±1.66)分、(24.02±2.45)分,组间差异有统计学意义(P<0.05)。观察组生理、心理社会、与医务人员的关系、婚姻关系、性关系、总分分别为(1.77±0.68)分、(1.49±1.05)分、(1.78±1.04)分、(1.01±0.88)分、(1.71±0.99)分和(1.58±1.05)分,对照组分别为(2.66±0.99)分、(2.23±1.04)分、(2.78±0.77)分、(2.01±1.12)分、(2.78±0.77)分和(2.48±1.02)分,组间差异有统计学意义(P<0.05)。结论:舒适护理对结肠癌术后化疗患者康复有积极影响,患者SCL-90评分、康复效果评分改善较好。

Objective: To explore the effect of comfortable nursing on the rehabilitation of patients with colon cancer after postoperative chemotherapy. Methods: From July 2015 to January 2017, 39 cases of postoperative chemotherapy for colon cancer were collected and divided into an observation group with 20 cases and a control group with 19 cases according to the random number table method. The control group received routine nursing intervention and the observation group received comfortable nursing intervention. After 2 weeks of intervention, symptom checklist SCL90 was used to assess anxiety, fear, depression, hostility and somatization scores, and the score of rehabilitation effect, including physiology, psychological society, relationship with medical personnel, marital relations and sexual relations. Results: The anxiety, fear, depression, hostility, and somatization scores in the observation group were(8.68±4.33) points,(7.88±0.06) points,(6.96±1.55) points,(5.98±1.17) points, and(10.22±4.58) points, respectively. The those in the control group were(16.36±2.88) points,(14.57±1.99) points,(12.79±1.77) points,(11.22±1.66) points,(24.02±2.45) points, respectively and the difference between the two groups was statistically significant(P<0.05). The scores of physiology, psychological society, relationship with medical personnel, marital relationship, sexual relationship and the total score in the observation group were(1.77±0.68) points,(1.49±1.05) points,(1.78±1.04) points, and(1.01±0.88) points,(1.71±0.99) points and(1.58±1.05) points, respectively, those in the control group had(2.66±0.99) points,(2.23±1.04) points,(2.78±0.77) points,(2.01±1.12) points,(2.78±0.77) points, and(2.48±1.02) points, respectively and there was a statistically significant difference between groups(P<0.05). Conclusion: Comfortable nursing has a positive effect on the recovery of patients with colon cancer after postoperative chemotherapy and the patients' SCL-90 score and rehabilitation effect score are improved well.