直肠癌Miles术后应用预见性护理对结肠造口并发症的影响

Effect of predictive nursing on postoperative complications of colorectal cancer with Miles

目的探讨应用预见性护理对直肠癌Miles术后结肠造口并发症的预防效果。方法采集该科2014年2月至2016年7月收治的76例直肠癌Miles手术患者,按随机数字表法分为观察组和对照组,各38例。观察组采用预见性护理方式,对照组采用常规护理方式。对2组患者结肠造口并发症的发生率及住院时间进行比较。结果观察组患者造口水肿、出血、造口回缩、造口周围炎、狭窄/脱垂、造口坏死等发生率均低于对照组,住院时间也短于对照组,差异均有统计学意义(P<0.05)。结论预见性护理能有效降低直肠癌Miles术后结肠造口并发症,并缩短患者住院时间,值得临床推广应用。

Objective To investigate the effect of foreseeable nursing on the prevention of colostomy complications after Miles operation in rectal cancer. Methods A total of 76 patients with rectal cancer who underwent Miles operation from February 2014 to July 2016 were included in the study.They were randomly divided into the observation group and the control group,38 cases in each group.The observation group adopted the foreseeable nursing mode and the control group adopted the routine nursing.The incidence of colostomy complications and the time of hospitalization were compared between the two groups. Results The incidence of stoma edema,bleeding,stoma contraction,stoma inflammation,stenosis/prolapse and stoma necrosis in the observation group were all lower than those in the control group,and the hospitalization time was shorter than that in the control group,the difference was statistically significant （ P 〈0.05）. Conclusion Foreseeable nursing can effectively reduce the complications of colostomy after Miles and shorten the time of hospitalization.It is worthy of clinical application.