预见性护理模式在直肠癌根治术后结肠造瘘口护理中的应用效果

Application effect of predictive nursing mode in colostomy care after radical resectionof rectal cancer

目的探讨预见性护理模式在直肠癌根治术后结肠造瘘口护理中的应用效果。方法选取我院2017年10月至2019年3月收治的92例直肠癌术后结肠造瘘口患者,按照随机数字表法分为观察组(46例,预见性护理)与对照组(46例,传统护理)。比较两组患者造瘘口并发症发生情况及护理满意度;比较两组患者护理前、后的负性情绪及生存质量。结果观察组造瘘口并发症总发生率显著低于对照组,差异具有统计学意义(P<0.05)。护理后,两组的SAS和SDS评分均降低,且观察组明显低于对照组,差异具有统计学意义(P<0.05)。护理后,两组的生存质量各项评分均升高,且观察组明显高于对照组,差异具有统计学意义(P<0.05)。观察组的护理满意度明显高于对照组,差异具有统计学意义(P<0.05)。结论对直肠癌根治术后结肠造瘘口患者实施预见性护理可降低并发症发生率,改善患者焦虑抑郁情绪,提高患者生活质量及护理满意度。

Objective To explore the application effect of predictive nursing mode in colostomy care after radical resection of rectal cancer.Methods A total of 92 patients with colostomy after radical resection of rectal cancer in our hospital were selected and divided into observation group(46 cases,predictive nursing)and control group(46 cases,traditional nursing)according to the random number table.The fistula complications and nursing satisfaction of the two groups were compared;the negative emotions and quality of life before and after nursing were compared between the two groups.Results The total incidence of fistula complications in the observation group was significantly lower than that in the control group(P<0.05).After nursing,the SAS and SDS scores of the two groups decreased,and those in the observation group were significantly lower than the control group(P<0.05).After nursing,the quality of life scores of the two groups increased,and those in the observation group were significantly higher than the control group(P<0.05).The nursing satisfaction in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Predictive nursing for patients with colostomy after radical resection of rectal cancer can reduce the incidence of complications,improve anxiety,depression,the quality of life and nursing satisfaction.