结直肠癌根治术患者依据多学科诊疗意见于围术期落实重点护理措施的效果

Effect of implementing key nursing measures in patients undergoing radical resection of colorectal cancer in perioperative period based on multidisciplinary advice

目的:探讨结直肠癌根治术患者依据多学科诊疗意见于围术期落实重点护理措施的具体效果。方法:2019年2月-2020年6月,对启东市人民医院174例结直肠癌手术患者进行了病例对照研究,根据治疗方法的不同将患者分为对照组(常规护理方法)和试验组(依据多学科诊疗意见于围术期落实重点护理措施),比较两组患者护理指标的统计学意义,比较两组患者护理前后睡眠质量、抑郁评分、生活质量的统计学意义,比较两组患者并发症发生情况的统计学意义。结果:试验组患者尿管留置时间、胃管留置时间、腹腔管留置时间、流质进食时间、下床活动时间、住院时间显著短于对照组患者(P<0.05),两组患者治疗前后睡眠质量、抑郁评分、生活质量的比较,睡眠质量、抑郁评分、生活质量指标得分差异有统计学意义(P<0.05)。治疗后比较试验组睡眠质量得分、抑郁评分显著低于对照组,生活质量指标得分显著高于对照组,差异有统计学意义(P<0.05)。试验组患者临床疗效显著优于对照组患者(P<0.05)。试验组患者并发症发生情况显著低于对照组患者(Z=9.569,P<0.05)。结论:相比于常规护理方法,直肠癌根治术患者依据多学科诊疗意见于围术期落实重点护理的效果更佳,患者症状改善时间也相对较短。

Objective:To investigate the effect of key nursing measures in patients undergoing radical resection of colorectal cancer.Methods:From February 2019 to June 2020,174 patients with colorectal cancer were divided into the control group(routine nursing method)and the experimental group(key nursing measures during perioperative period according to multi-disciplinary opinions).The statistical differences of the two groups of patients'nursing indicators were compared and the statistical differences of sleep quality depression scores and life quality between the two groups of patients before and after nursing,the statistical differences of the occurrence of complications between the two groups of patients were compared.Results:The retention time of urinary catheter,gastric tube,abdominal tube,fluid feeding,moving out of bed and hospital stay of the experimental group were significantly shorter than those of the control group(P<0.05).After treatment,the score of sleep quality and depression in the experimental group was significantly lower than that in the control group,the score of quality of life index of the experimental group was significantly higher than that of the control group,and the score of St.George's scale of the experimental group was significantly lower than that of the control group.The bed efficacy of the experimental group was significantly better than that of the control group(P<0.05).The incidence of complications in the experimental group was significantly lower than that in the control group(P<0.05).Conclusion:Compared with conventional nursing methods,key nursing measures according to multi-disciplinary diagnosis and treatment have better effect on patients with rectal cancer undergoing radical resection in perioperative period,and their symptom improvement time is relatively short.