直肠癌术后留置肛管患者舒适度现状及影响因素分析

Analysis of comfort status and influencing factors of postoperative patients with rectal cancer indwelling anal canal

目的调查直肠癌术后留置肛管患者舒适度现状并分析影响因素,为制定预防及改进措施提供依据。方法采用便利抽样法,数字评分和视觉模拟评分相结合自行编制的《留置肛管患者舒适度调查问卷》,对2019年1—12月浙江大学医学院附属邵逸夫医院肛肠外科64例留置肛管患者作为研究对象进行调查、分析。结果留置肛管患者的不适主要为坐位困难和上下床困难,其中43例占67.19%的患者中重度坐位困难,30例占46.88%的患者中重度上下床困难。肛管外露长度是患者不适的影响因素(F值为22.018、18.213,P<0.01)。结论直肠癌留置肛管患者存在较严重的坐位困难和上下床困难,应针对影响因素给予相应措施,使用有效的干预方法改善患者的舒适度。

Objective To investigate the comfort of postoperative rectal cancer patients with indwelling anal tube and analyze the influencing factors,so as to provide a basis for the formulation of prevention and improvement measures.Methods The subjective comfort self-report method of digital score and visual analog score was used to investigate and analyze 64 patients with indwelling anal canal in anorectal surgery.Results The main discomfort of patients with indwelling anal tube were difficulty in sitting and getting in and out of bed,of which 43 cases(61.9%)reported moderate and severe sitting difficulty,and 30 cases(46.88%)reported moderate and severe difficulty in getting up and down the bed.The exposed length of anal canal was the influencing factor of discomfort(Fvalues were 22.018,18.213,P<0.01).Conclusion Rectal cancer patients with indwelling anal tube have serious difficulties in sitting position and getting in and out of bed.Corresponding measures should be taken according to the influencing factors and effective intervention methods should be used to improve the comfort of the patients.