“五心”护理联合Watson关怀理论在结肠癌根治术患者中的应用

Application of 5-centered Practice Nursing combined with Watson Care Theory in Patients with Radical Resection of Colon Cancer

目的:探讨"五心"护理联合Watson关怀理论在结肠癌根治术患者中的应用效果。方法:将2015年1月～12月接受结肠癌根治术治疗的76例患者作为对照组,采用常规护理干预;将2016年1月～2017年1月行结肠癌根治术的76例患者作为观察组,在对照组护理基础上实施"五心"护理联合Watson关怀护理干预。比较两组患者干预效果。结果:观察组患者肛门排气时间、胃管拔除时间、开始进食时间及住院时间均短于对照组(P<0.05);化疗第14天、第28天,两组患者简明疲乏量表(BFI)评分均高于术前(P<0.05),观察组变化幅度显著低于对照组(P<0.05);化疗结束后,两组患者生活质量核心问卷(QLQ-C30)功能量表评分均显著提高,观察组评分高于对照组(P<0.05);观察组护理满意度评分高于对照组,护理纠纷发生率低于对照组(P<0.05)。结论:"五心"护理联合Watson关怀理论应用于结肠癌根治术患者,可有效减轻患者癌因性疲乏,提高术后恢复效果和患者护理满意度,降低护理纠纷发生率。

Objective:To explore the application effect of 5-centered practice nursing combined with Watson care theory in patients with radical resection of colon cancer.Methods:A total of 76 patients who received radical resection of colon cancer from January to December 2015 were selected as the control group,and routine nursing intervention was adopted.From January 2016 to January 2017,76 patients underwent radical resection of colon cancer in our hospital were selected as the observation group,and on the basis of nursing in the control group,5-centered practice nursing combined with Watson care nursing intervention was implemented.The effects of intervention were compared between the two groups.Results:Patients in the observation group had shorter time of anal exhaust,gastric tube removal,feeding and hospitalization than those in the control group(P<0.05).On the 14 th day and the 28 th day of chemotherapy,the BFI scores of patients in both groups were higher than those before surgery(P<0.05),and the changes in the observation group were significantly lower than those in the control group(P<0.05).After the end of chemotherapy,QLQ-C30 score in both groups was significantly improved,and the score in the observation group was higher than that in the control group(P<0.05).The nursing satisfaction score of the observation group was higher than that of the control group,and the incidence of nursing disputes was lower than that of the control group(P<0.05).Conclusion:The application of 5-centered practice nursing combined with Watson care theory in patients with radical resection of colon cancer can effectively reduce cancer-induced fatigue,improve postoperative recovery effect and patient satisfaction with nursing,and reduce the incidence of nursing disputes.