BACKGROUND Patients with colorectal cancer may need postoperative nursing to improve prognosis,and conventional nursing is not effective.Clinical research is needed to explore nursing methods that can more effectively...BACKGROUND Patients with colorectal cancer may need postoperative nursing to improve prognosis,and conventional nursing is not effective.Clinical research is needed to explore nursing methods that can more effectively improve postoperative conditions on colorectal cancer patients undergoing colostomy.AIM To explore the effect of internet multiple linkage mode-based extended care combined with in-hospital comfort care on colorectal cancer patients undergoing colostomy.METHODS Data from 187 patients with colostomy treated in our hospital from May 2019 to March 2022 were collected and divided into three groups,A(n=62),B(n=62)and C(n=63),according to different intervention methods.Group A received internet multiple linkage mode-based extended care combined with in-hospital comfort care.Group B received internet multiple linkage mode-based extended care.Group C received usual care intervention.Complications were compared among the three groups.The stoma self-efficacy scale,Hamilton Anxiety Scale,RESULTS The complication rate of group A,B and C(16.13%,20.97%and 60.32%,respectively)was significantly different(all P<0.05).The incidence of complications in groups A and B was lower than that in group C,and there was no significant difference between groups A and B(P>0.05).After intervention,the scores of ostomy care,social contact,diet choice,confidence in maintaining vitality,confidence in self-care of ostomy,confidence in sexual life,confidence in sexual satisfaction and confidence in physical labor in the three groups were all higher than before intervention,and the scores of groups A and B were higher than those of group C,with statistical significance(P<0.05).The Hamilton Anxiety Scale and Hamilton Depression Scale scores of the three groups after intervention were lower than those before intervention.The scores of groups A and B were lower than those of group C,and the score of group A was lower than that of group B,all with statistical significance(all P<0.05).There was a statist-ically significant difference in cancer-induced fatigue among the three groups(P<0.05).After intervention,the scores of physical health,psychological health,social health and mental health of the three groups were lower than before the intervention.The scores of group A and B were lower than that of group C;and the score of group A was lower than that of group B,all with statistical significance(all P<0.05).CONCLUSION Internet multiple linkage mode-based extended care combined with in-hospital comfort care can effectively improve self-efficacy,bad mood,cancer-related fatigue and life quality of colorectal cancer patients undergoing colostomy.展开更多
Although great differences exist between the trade systems of different countries,internationaltrade must go on in line with the customary international trade rules.As China’s economy developsand the socialist market...Although great differences exist between the trade systems of different countries,internationaltrade must go on in line with the customary international trade rules.As China’s economy developsand the socialist market economic system emerges,China is basically qualified to link up withcustomary international trade rules.In the Ninth Five-Year Plan period,China’s reform of its foreigntrade system aims at setting up a trade system that conforms with international trade practice.Forthe purpose,the author of this article suggests that a neutral trade policy should be adopted inaccordance with the international practice since it does not hinder exports,nor restrict imports toan excessive degree.展开更多
目的:探讨多元联动延伸服务模式在肿瘤晚期患者经外周静脉穿刺的中心静脉导管(peripherally inserted central catheter,PICC)管道维护中的应用效果。方法:选取2020年6月—2023年6月景德镇市第二人民医院肿瘤科接受PICC的80例肿瘤患者,...目的:探讨多元联动延伸服务模式在肿瘤晚期患者经外周静脉穿刺的中心静脉导管(peripherally inserted central catheter,PICC)管道维护中的应用效果。方法:选取2020年6月—2023年6月景德镇市第二人民医院肿瘤科接受PICC的80例肿瘤患者,随机分为对照组(实施以健康教育、疼痛护理、导管维护、饮食指导等为主的常规干预模式)与观察组(对照组基础上联合多元联动延伸服务模式),每组40例。记录两组PICC并发症发生情况,对比干预前后导管维护依从性的差异,并随访统计两组患者满意度。结果:干预前,两组导管维护依从性比较,差异无统计学意义(P>0.05);干预后,两组导管维护依从性均升高(P<0.05),且观察组导管维护依从性高于对照组,差异有统计学意义(P<0.05)。随访调查结果显示观察组PICC专项护理服务满意度高于对照组,差异有统计学意义(P<0.05)。结论:多元联动延伸服务模式用于肿瘤晚期患者PICC管道维护中,能在常规护理基础上增加明显效果,不仅能提高一定的安全性,降低并发症风险,还能从维护依从性入手,提高患者临床配合度,避免不必要的医疗开销,患者满意度也较高。展开更多
基金Supported by Clinical Teaching Base of Jiangsu Medical Vocational College,No.20219141.
文摘BACKGROUND Patients with colorectal cancer may need postoperative nursing to improve prognosis,and conventional nursing is not effective.Clinical research is needed to explore nursing methods that can more effectively improve postoperative conditions on colorectal cancer patients undergoing colostomy.AIM To explore the effect of internet multiple linkage mode-based extended care combined with in-hospital comfort care on colorectal cancer patients undergoing colostomy.METHODS Data from 187 patients with colostomy treated in our hospital from May 2019 to March 2022 were collected and divided into three groups,A(n=62),B(n=62)and C(n=63),according to different intervention methods.Group A received internet multiple linkage mode-based extended care combined with in-hospital comfort care.Group B received internet multiple linkage mode-based extended care.Group C received usual care intervention.Complications were compared among the three groups.The stoma self-efficacy scale,Hamilton Anxiety Scale,RESULTS The complication rate of group A,B and C(16.13%,20.97%and 60.32%,respectively)was significantly different(all P<0.05).The incidence of complications in groups A and B was lower than that in group C,and there was no significant difference between groups A and B(P>0.05).After intervention,the scores of ostomy care,social contact,diet choice,confidence in maintaining vitality,confidence in self-care of ostomy,confidence in sexual life,confidence in sexual satisfaction and confidence in physical labor in the three groups were all higher than before intervention,and the scores of groups A and B were higher than those of group C,with statistical significance(P<0.05).The Hamilton Anxiety Scale and Hamilton Depression Scale scores of the three groups after intervention were lower than those before intervention.The scores of groups A and B were lower than those of group C,and the score of group A was lower than that of group B,all with statistical significance(all P<0.05).There was a statist-ically significant difference in cancer-induced fatigue among the three groups(P<0.05).After intervention,the scores of physical health,psychological health,social health and mental health of the three groups were lower than before the intervention.The scores of group A and B were lower than that of group C;and the score of group A was lower than that of group B,all with statistical significance(all P<0.05).CONCLUSION Internet multiple linkage mode-based extended care combined with in-hospital comfort care can effectively improve self-efficacy,bad mood,cancer-related fatigue and life quality of colorectal cancer patients undergoing colostomy.
文摘Although great differences exist between the trade systems of different countries,internationaltrade must go on in line with the customary international trade rules.As China’s economy developsand the socialist market economic system emerges,China is basically qualified to link up withcustomary international trade rules.In the Ninth Five-Year Plan period,China’s reform of its foreigntrade system aims at setting up a trade system that conforms with international trade practice.Forthe purpose,the author of this article suggests that a neutral trade policy should be adopted inaccordance with the international practice since it does not hinder exports,nor restrict imports toan excessive degree.
文摘目的:探讨多元联动延伸服务模式在肿瘤晚期患者经外周静脉穿刺的中心静脉导管(peripherally inserted central catheter,PICC)管道维护中的应用效果。方法:选取2020年6月—2023年6月景德镇市第二人民医院肿瘤科接受PICC的80例肿瘤患者,随机分为对照组(实施以健康教育、疼痛护理、导管维护、饮食指导等为主的常规干预模式)与观察组(对照组基础上联合多元联动延伸服务模式),每组40例。记录两组PICC并发症发生情况,对比干预前后导管维护依从性的差异,并随访统计两组患者满意度。结果:干预前,两组导管维护依从性比较,差异无统计学意义(P>0.05);干预后,两组导管维护依从性均升高(P<0.05),且观察组导管维护依从性高于对照组,差异有统计学意义(P<0.05)。随访调查结果显示观察组PICC专项护理服务满意度高于对照组,差异有统计学意义(P<0.05)。结论:多元联动延伸服务模式用于肿瘤晚期患者PICC管道维护中,能在常规护理基础上增加明显效果,不仅能提高一定的安全性,降低并发症风险,还能从维护依从性入手,提高患者临床配合度,避免不必要的医疗开销,患者满意度也较高。
