心理康复护理对直肠癌造口患者的效果

Effect of psychological rehabilitation nursing on patients with rectal cancer enterostomy

目的 观察在直肠癌造口患者中采取心理康复护理的效果,为制订临床护理方案提供参考。方法 选取2019年2月—2020年12月广东省江门市中心医院收治的直肠癌造口患者110例进行研究,通过随机抽签的方法将患者分为观察组和对照组各55例。对照组采用常规护理干预,观察组采用心理康复护理干预。比较两组患者护理前后的心理状态、护理满意率及手术情况。结果 护理后,观察组SAS、SDS评分低于对照组,差异均有统计学意义(P<0.05)。观察组护理总满意率为94.55%,高于对照组的74.55%,差异有统计学意义(χ^(2)=8.419,P<0.05)。观察组手术时长短于对照组,术中失血量少于对照组,差异均有统计学意义(P<0.05)。结论 心理康复护理应用于直肠癌造口患者中,能够有效改变患者的心理状态,树立患者对抗疾病的自信,减少术中的失血量,促进患者快速恢复,得到了患者普遍认可,值得临床推广应用。

Objective To observe the effect of psychological rehabilitation nursing in patients with rectal cancer enterostomy,in order to provide reference for the development of clinical nursing plans.Methods A total of 110 patients with rectal cancer enterostomy admitted to Guangdong Province Jiangmen Central Hospital from February 2019 to December 2020 were selected to study.The patients were divided into observation group and control group by random drawing of lots,with 55 cases in each group.The control group received routine nursing intervention,while the observation group received psychological rehabilitation nursing intervention.The psychological state before and after nursing,nursing satisfaction rate and surgical condition of two groups of patients were compared.Results After nursing,the SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The total satisfaction rate of nursing in the observation group was 94.55%,which was higher than 74.55% in the control group,and the difference was statistically significant(χ^(2)=8.419,P<0.05).The duration of surgery in the observation group was longer than that in the control group,and the intraoperative blood loss was less than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of psychological rehabilitation nursing in rectal cancer enterostomy patients could effectively change their psychological state,establish their confidence in fighting against the disease,reduce intraoperative blood loss,promote rapid recovery and gain general recognition from patients.It was worthy of clinical promotion and application.