激励式护理对直肠癌术后永久性结肠造口的影响

Effect of incentive nursing on permanent colostomy after rectal cancer operation

目的分析激励式护理对直肠癌术后永久性结肠造口的影响。方法将高唐县人民医院2018年5月-2019年6月收治的直肠癌患者100例作为观察对象,采用随机数字表法分为观察组和对照组各50例,观察组实施激励式护理,对照组实施常规护理,观察比较两组患者的疾病认知水平(合理饮食、规律排便、并发症观察、造口皮肤护理、粪袋清洁)、自我护理能力(自我责任感、自护知识、自我技能、自我概念),并用生活质量评价量表(SF-36)评判两组患者的日常生活质量。结果观察组各项生活质量评分、各项疾病认知水平评分、各项自我护理能力评分及总分均高于对照组,差异均有统计学意义(P<0.05)。结论在直肠癌术后护理管理中应用激励式护理,可有效提升患者的疾病认知水平、自我护理能力及生活质量,临床疗效较好,值得临床推广应用。

Objective To analyze the effect of incentive nursing on permanent colostomy after operation of rectal cancer. Methods From May 2018 to June 2019,100 patients with rectal cancer treated in Gaotang County People’s Hospital were selected as the observation objects,and divided into observation group and control group with 50 cases in each group according to random number table method. The observation group was given incentive nursing,while the control group was given routine nursing. The disease cognition level(reasonable diet,regular defecation,complications observation,stoma skin care,fecal bag cleaning),self-care ability(self responsibility,self-care knowledge,self skills,self-concept)were observed and compared between the two groups,and the quality of daily life of patients between the two groups was evaluated by quality of life assessment scale(SF-36). Results The each score of life quality,each score of disease cognitive level,each and total score of self-care ability of the observation group were higher than those of the control group,and the differences above all were statistically significant(P<0.05). Conclusion The application of incentive nursing in postoperative nursing management of rectal cancer could effectively improve the patients’ cognitive level of disease,self-care ability and quality of life. The clinical effect was better,which was worthy of clinical promotion and application.