常规护理联合标准造口护理对直肠癌术后结肠造口患者生活质量的影响

The Effect of Conventional Nursing Care Combined with Standard Stoma Care on the Quality of Life of Colostomy Patients after Rectal Cancer Surgery

目的探究常规护理联合标准造口护理对直肠癌术后结肠造口患者生活质量的影响。方法方便选取2021年1月—2022年12月厦门大学附属第一医院收治的107例直肠癌术后结肠造口患者为研究对象,按随机数表法将其分为两组,对照组53例,观察组54例。对照组接受常规护理,观察组在此基础上给予标准造口护理,并随访3个月。比较两组造口患者自我照护指数量表(Ostomy Sel-Care Index,OSCI)、心理韧性量表(Connor—Davidson resilience scale,CD—RISC)、造口病人生活质量量表(Stoma Self-Care Scale,Stoma-QOL)评分。结果两组护理前CD-RISC中3个因子评分及总分对比,差异无统计学意义(P>0.05);观察组护理后CDRISC中3个因子及总分均高于对照组,差异有统计学意义(P<0.05)。两组护理前OSCI中4个分量表评分及总分对比,差异无统计学意义(P>0.05);观察组护理后OSCI中4个分量表及总分均高于对照组,差异有统计学意义(P<0.05)。两组护理前Stoma-QOL评分对比,差异无统计学意义(P>0.05);观察组护理后Stoma-QOL总评分(77.74±9.67)分高于对照组(71.12±9.83)分,差异有统计学意义(t=3.512,P<0.05)。结论对直肠癌术后结肠造口患者实施常规护理联合标准造口护理可以调节其心理状态,增强其自我照护能力,提高其生活质量水平。

Objective To investigate the effect of conventional care combined with standard stoma care on the quality of life of postoperative colostomy patients with rectal cancer.Methods A total of 107 patients with postoperative colostomy for rectal cancer admitted to the First Affiliated Hospital of Xiamen University from January 2021 to December 2022 were conveniently selected as the study objects,and were divided into two groups according to the method of randomized numerical table,53 cases in the control group and 54 cases in the observation group.The control group received conventional care,based on which standard stoma care was given to the observation group and followed up for 3 months.The two groups were compared in terms of scores of the Ostomy Self-Care Index Scale(OSCI),the Mental Toughness Scale(CD-RISC),and the Stoma Quality of Life Scale for Ostomy Patients(Stoma-QOL).Results The difference was not statistically significant in the three factor scores and total scores in the CD-RISC before care in the two groups(P>0.05).The 3 factors and total score in CD-RISC in the observation group were higher than those in the control group after nursing,the difference was statistically significant(P<0.05).There was no statistically significant difference in the comparison of the 4 subscale scores and total scores in OSCI before care between the two groups(P>0.05).The 4 subscale and total scores of OSCI in the observation group after nursing were higher than those in the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in the comparison of Stoma-QOL scores between the two groups before nursing care(P>0.05).The total Stoma-QOL score of the observation group after care(77.74±9.67)points was higher than that of the control group(71.12±9.83)points,the difference was statistically significant(t=3.512,P<0.05).Conclusion The implementation of conventional care combined with standard stoma care for postoperative colostomy patients with rectal cancer can regulate their psychological state,enhance their self-care ability,and improve their quality of life level.