溃疡性结肠炎相关性结直肠癌危险因素分析及延续性护理效果评价

Risk Facotrs Analysis of Correlative Colorectal Cancer of UC,and Efficacy Evaluation on Continuity Nursing

为探讨溃疡性结肠炎(UC)相关性结直肠癌危险因素及延续性护理的效果,选择我科收治的146例UC患者作为研究对象,其中组织病理学活检发现10例病灶已发生癌变,分析UC癌变的危险因素,并为患者实施延续性护理,观察延续性护理对患者遵医行为及生活质量的影响。结果显示,病变范围、病程、癌变前活检有不典型增生、使用激素为导致UC相关性结直肠癌发生的危险因素,P<0.05。延续性护理干预后,患者遵医依从性及生活质量水平均明显提高,P<0.05。结果表明,UC相关性结直肠癌发生的危险因素有病变范围、病程、癌变前活检有不典型增生、使用激素;实施延续性护理可有效提高患者遵医依从性及生活质量。

This study was to investigate the risk factors of correlative colorectal cancer of ulcerative colitis(UC),and to evaluate efficacy of continuity nursing(CN),enrolled 146 UC patients treated in author’s dept.,into the research:through histopathological biopsy 10 of 146 cases were inspected out their lesions having been carcinomatous conversions on which to analyse their risk factors from UC to the conversions,and to implement CN on the 10 patients,afterwards,to observe the influence of CN on patients’ behavior of following doctor’s advice and quality of life.As results,lession range,disease’s history,atypical hyperplasia shown by biopsy before carcinomatous conversions,and use of hormones were risk factors causing correlative colorectal cancer of UC(P<0.05);through CN intervention patients’ behavior of following doctor’advice,and quality of life had increased significantly(P<0.05).Resutls show that lesion range,disease’history,atypical hyperplasia shown by biopsy before carcinomatous conversions,and use of hormones are risk factors causing correlative colorectal cancer of UC,for that,implementing CN can effectively enhance patients’ hehavior of following doctors’ advice and quality of life.