一体化护理模式在直肠癌手术患者护理中的应用

Application of integrated nursing model in the nursing of patients underwent rectal cancer surgery

目的探讨一体化护理模式在直肠癌手术患者护理中的应用效果。方法选取辽阳市某医院2018年9月—2020年12月收治的82例直肠癌患者为研究对象,根据不同护理方法分为观察组(n=43)与对照组(n=39),对照组患者采用常规护理干预,观察组患者在对照组护理基础上给予一体化护理模式干预,2组患者均持续干预3个月。比较2组患者干预3个月时胃肠功能恢复情况及护理期间并发症发生情况,比较2组患者干预前后疼痛程度[疼痛语言评价量表(VRS)评分、疼痛数字评价量表(NRS)评分],比较2组患者术前及术后第1天炎症因子水平[血清白介素-6(IL-6)及白介素-8(IL-8)]。结果干预前,2组患者VRS评分、NPS评分比较,差异均无统计学意义(P>0.05)。干预后,2组患者VRS评分和NPS评分均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。术后第1天,2组患者IL-6、IL-8水平均高于术前,差异均有统计学意义(P<0.05)。术后第1天,观察组患者IL-6、IL-8水平均低于对照组,差异均有统计学意义(P<0.05)。干预后,观察组患者便频评分、排便感觉异常评分、便急评分、排便受饮食影响评分及肠道功能问卷总分均低于对照组,差异均有统计学意义(P<0.05)。观察组患者护理期间并发症发生率为4.65%,低于对照组的20.51%,差异有统计学意义(P<0.05)。结论对直肠癌手术患者给予一体化护理模式干预可有效改善其疼痛程度,促进胃肠功能恢复,降低术后并发症发生风险。

Objective To explore the application of integrated nursing model in the nursing of patients underwent rectal cancer surgery.Methods A total of 82 patients with rectal cancer admitted to a hospital in Liaoyang City from September 2018 to December 2020 were selected as subjects and assigned to an observation group(n=43)and a control group(n=39)according to different nursing methods.Patients in the control group received routine nursing interventions,while the observation group received integrated nursing interventions on top of routine nursing.Patients in both groups received continuous intervention for 3 months.The recovery of gastrointestinal function and the occurrence of complications during the nursing were compared between the two groups,as well as the pain level[Visual Analogue Scale(VRS)and Numeric Rating Scale(NRS)scores]and inflammatory factor level[serum interleukin-6(IL-6)and interleukin-8(IL-8)]before and after the intervention.Results Before the intervention,there was no statistically significant difference in VRS score,NPS score between the 2 groups(P>0.05).After the intervention,the VRS and NPS scores in the 2 groups were lower than those before the intervention,and the observation group was lower than the control group,with statistically significant differences(P<0.05).On the first after surgery,the levels of IL-6 and IL-8 in both groups were higher than those before the intervention,and the differences were statistically significant(P<0.05).The levels of IL-6 and IL-8 in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The recovery of gastrointestinal function(stool frequency score,abnormal defecation sensation score,urgent stool score,diet-affected defecation score and total score of intestinal function questionnaire)in the observation group was lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications during nursing was 4.65%in the observation group,which was lower than that of the control group(20.51%),and the difference was statistically significant(P<0.05).Conclusion The intervention of the integrated nursing model for rectal cancer surgery patients can effectively improve their pain level,promote the recovery of gastrointestinal function and reduce the risk of postoperative complications.