延伸护理对直肠癌Miles术后造口患者生存质量的影响

Effect of extended care on life quality of patients with colostomy after Miles operation for rectal cance

目的探讨对直肠癌Miles术后造口患者开展延伸护理服务的效果。方法将60例直肠癌Miles术后造口患者按随机数字表法分为对照组和试验组,每组30例。对照组采用门诊随访,传统应答措施;试验组采用护患沟通,录像播放,电话随访,互联网模式以及参加专题讲座形式开展延伸护理服务。比较2组患者的并发症发生率、规律性排便的建立、换袋技巧、自我护理能力、生活态度及性功能满意度。结果试验组在并发症发生率、规律性排便的建立、自我护理能力和生活态度及性功能满意度方面均显著优于对照组,差异有统计学意义(P<0.05)。结论对永久性结肠造口术后患者开展延伸护理服务有助于改善患者的生活质量。

Objective To disscuss the effect of extended care on life quality of patients withcolostomy after Miles operation for rectal cancer. Methods 60 patients with colostomy after Milesoperation were randomed divided into control group and experimental group, each group was including30 cases. Control group adopts outpatient follow-up, traditional response measures. Experimental groupadopts extended care services including the nurse communication, video, telephone follow-up, seminar.Incidence of complications, the establishment of a regular defecation, self-care ability, life attitude and sexualsatisfaction were compared between two groups. Results The experiment group was superior in the aspectof incidence of complications, the establishment of a regular defecation, self-care ability, life attitude andsexual satisfaction(P < 0.05). Conclusions Extended care plays an importment role of improving thelife quality in patients with colostomy.