路径化护理干预对腹腔镜下直肠癌患者术后并发症及生活质量的影响

Influence of Pathway-like Nursing Intervention on the Postoperative Complication and Quality of Life in the Rectal Cancer Patients Undergoing Laparoscopic Surgery

为探讨路径化护理干预对腹腔镜下直肠癌患者术后并发症及生活质量的影响,选择2018年3月至2019年1月在本院接受腹腔镜下直肠癌手术治疗的70例直肠癌患者为研究对象,将其随机分为干预组和常规组,每组35例。常规组患者采用传统护理干预,干预组患者采用路径化护理干预,比较2组患者术后并发症及生活质量等情况。结果显示,干预组患者切口感染、术后出血、排尿困难、腹胀腹泻发生率均低于常规组(P<0.05),干预组护理后精神状况、躯体疼痛、心理健康、健康总评分均高于常规组(P<0.05),干预组患者首次排气、排便时间均短于常规组(P<0.05)。结果表明,路径化护理干预能减少腹腔镜下直肠癌患者术后并发症,提高其生活质量,促进患者术后身体康复,值得临床推广应用。

This study was to investigate the influence of pathway-like nursing intervention on the complication after laparoscopic surgery for rectal cancer patients,and on their quality of life,enrolled 70cases surgical treated in authors'hospital from 2018-03to 2019-01as research objects and randomly divided them into routine group(35cases,routine nursing intervention)and intervention group(35cases,pathway-like one);then,compared both groups'postoperative complication incidence,and patients'quality of life.As results,in the incidence of incision infection,of postoperative bleeding,of dysuria,and of burbulence and diarrhea;in mental situation,body pain,pscychic health,and total health score rating;as well in the time for first-time flatus,and defecation intervention group was respectively and significantly lower,higher,as well shorter than routine group(all,P<0.05).Results show that pathway-like nursing intervention can reduce postoperative complication,enhance patients'quality of life,and promote their postoperative rehabilitation.It is worthy of clinical popularization and application.