结直肠癌患者术后肠造口的干预化护理

Interventional Nursing of Postoperative Enterostomy in Patients With Colorectal Cancer

目的了解改善结直肠癌患者术后肠造口健康状态的干预化护理方式。方法选择本院在2014年2月-2019年2月诊治的结直肠癌行术后肠造口治疗的患者90例进行护理分析,按照双色球分组方式将患者分为干预化护理服务组和常规化护理服务组,各45例,干预化护理服务组患者在手术后给予干预化护理,常规化护理服务组给予常规护理,对比两组患者术后并发症的发生率、护理前后患者的造口健康状态、生活质量状况以及患者的自我管理能力。结果干预化护理服务组患者术后并发症发生率为4.44%,显著低于常规化护理服务组术后并发症发生率31.11%,数据对比P<0.05,差异有统计学意义。在护理前,两组的造口健康状态、生活质量状况以及患者的自我管理能力相似,P>0.05,差异无统计学意义;在护理之后干预化护理服务组患者的造口健康状态、生活质量状况以及患者的自我管理能力优于常规化护理服务组,P<0.05,差异有统计学意义。结论在结直肠癌患者行术后肠造口护理中应用干预化护理能够显著提升治疗效果,改善患者的自我管理能力和生活质量,提高造口的健康状态,减少术后并发症。

Objective To understand the interventional nursing methods for improving health status of postoperative enterostomy in patients with colorectal cancer.Methods 90 patients who underwent postoperative enterostomy treatment for colorectal cancer treated in the hospital from February 2014 to February 2019 were selected for nursing analysis.The patients were divided into the interventional nursing service group and the routine nursing according to the two-color ball grouping method.There were 45 patients in each group.Patients in the interventional nursing service group were given interventional nursing after the operation.The routine nursing service group was given routine nursing care.The incidence of postoperative complications,the ostomy health status of the patients before and after the nursing,the quality of life and patient self-management of the two groups were compared.Results The incidence of postoperative complications in the interventional nursing service group was 4.44%,signifcantly lower than that in the routine nursing service group(31.11%),P<0.05,the difference was statistically significant.Before nursing,the health status of ostomy,quality of life and self-management ability of patients in the two groups were similar,P>0.05,the diference was not statistically signifcant.After nursing,the ostomy health status,quality of life and self-management ability of patients in the interventional nursing service group were better than those in the routine nursing service group,the difference was statistically significant(P<0.05).Conclusion The application of interventional nursing in postoperative enterostomy care for patients with colorectal cancer can significantly improve the therapeutic effect,improve the patients’self-management ability and quality of life,improve the health status of ostomy,reduce postoperative complications.