延续护理在直肠癌术后永久性结肠造口患者护理中的应用效果

Application Effect of Extended Nursing in Nursing of Patients with Permanent Colostomy After Rectal Cancer Surgery

目的:探讨延续护理在直肠癌术后永久性结肠造口患者护理中的应用效果。方法:选取2023年6—12月在锦州医科大学附属第三医院就诊的80例直肠癌术后永久性结肠造口患者作为研究对象,以双盲法分为对照组和观察组,各40例。对照组行常规护理,观察组行延续护理。比较两组自护能力、生命质量、睡眠质量、护理满意度。结果:护理前,两组自护概念、自护知识、自护责任感、自护技能评分比较,差异无统计学意义(P>0.05);护理后,两组自护概念、自护知识、自护责任感、自护技能评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。护理前,两组精神健康、社会功能、生理机能、躯体疼痛评分比较,差异无统计学意义(P>0.05);护理后,两组精神健康、社会功能、生理机能、躯体疼痛评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。护理前,两组匹兹堡睡眠质量指数(PSQI)评分比较,差异无统计学意义(P>0.05);护理后,两组PSQI评分低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度高于对照组,差异有统计学意义(P=0.010)。结论:延续护理在直肠癌术后永久性结肠造口患者护理中的应用效果显著,可改善患者自护能力、生活质量、睡眠质量,患者护理满意度高。

Objective:To explore the application effect of extended nursing in the nursing of patients with permanent colostomy after rectal cancer surgery.Methods:A total of 80 patients with permanent colostomy after rectal cancer surgery admitted to the Third Affiliated Hospital of Jinzhou Medical University between June 2023 and December 2023 were selected as the study subjects.They were divided into control group and observation group according to the double-blind method,with 40 cases in each group.The control group received routine nursing,and the observation group received extended nursing.The self-care ability,life quality,sleep quality and nursing satisfaction were compared between two groups.Results:Before nursing,there was no significant difference in the scores of self-care concept,self-care knowledge,self-care responsibility and self-care skills between the two groups(P>0.05).After nursing,the scores of self-care concept,self-care knowledge,self-care responsibility and self-care skills in the two groups were higher than those before nursing,and the scores in the observation group were higher than those in the control group,with a statistically significant difference(P<0.05).Before nursing,there was no significant difference in the scores of mental health,social function,physiological function and physical pain between the two groups(P>0.05).After nursing,the scores of mental health,social function,physiological function and physical pain in the two groups were higher than those before nursing,and the scores in the observation group were higher than those in the control group,with a statistically significant difference(P<0.05).Before nursing,there was no significant difference in the scores of Pittsburgh Sleep Quality Index(PSQI)between the two groups(P>0.05).After nursing,the PSQI scores in the two groups were lower than those before nursing,and the scores in the observation group were lower than those in the control group,with a statistically significant difference(P<0.05).The total satisfaction with nursing in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.010).Conclusion:The application of extended nursing in the nursing of patients with permanent colostomy after rectal cancer surgery has a significant effect,which can improve patients'self-care ability,quality of life and sleep quality,with high nursing satisfaction.