Background:In the treatment of colorectal cancer,laparoscopic surgery has seen a significant amount of success.Reducing the risk of postoperative complications and improving patients’quality of life can be accomplish...Background:In the treatment of colorectal cancer,laparoscopic surgery has seen a significant amount of success.Reducing the risk of postoperative complications and improving patients’quality of life can be accomplished by appropriately employing pelvic peritoneal repair and sigmoid colostomy when appropriate.Objective:To compare fusion closure of pelvic peritoneum combined with extraperitoneal colostomy with non-closure of pelvic peritoneum combined with intraperitoneal colostomy in patients with low rectal cancer who had permanent colostomy.Methods:Low rectal cancer patients admitted to Hengshui People’s Hospital for permanent colostomy were evaluated.The participants were divided into two groups:an observation and a control group.All 30 cases in the observation group underwent pelvic peritoneum closure and extraperitoneal colostomy,while the other 30 cases in the control group underwent intraperitoneal colostomy.The C-reactive protein(CRP)levels of the participants in both groups were evaluated for 6 months to 2 years(24 h before,24 h after,48 h after,96 h after surgery).Results:Comparing the colostomy operative time,time to first passage of flatus postoperatively,time to first defecation postoperatively,length of hospital stay,laboratory indicators,stoma-related complications,colostomy function,etc.,the colostomy operative time significantly differed between the two groups(P<0.05);the observation group did considerably better than the control group in terms of stoma-related complications and bowel movement control 6 months after surgery(P<0.05);and although serum CRP levels increased in both groups 48 h after surgery,the difference was significant(P<0.05).Conclusion:Extraperitoneal colostomy can improve the quality of life of patients with permanent stoma and reduce the occurrence of stoma-related complications.Thus,this technique is worthy of promotion in clinical practice.展开更多
目的探讨老年直肠癌患者永久性结肠造口术后生存质量的影响因素。方法选取2017年1月至2018年12月53例于中南大学湘雅医学院附属海口医院行永久性结肠造口术的老年直肠癌患者为研究对象,采用世界卫生组织生存质量测定量表简表(World Heal...目的探讨老年直肠癌患者永久性结肠造口术后生存质量的影响因素。方法选取2017年1月至2018年12月53例于中南大学湘雅医学院附属海口医院行永久性结肠造口术的老年直肠癌患者为研究对象,采用世界卫生组织生存质量测定量表简表(World Health Organization quality of life scale-brief form questionnaire,WHOQOL-BREF)分析患者手术前后生存质量的变化情况,并筛选患者术后生存质量的影响因素。结果老年直肠癌患者造口术后1个月和3个月WHOQOL-BREF的生理状况、心理状况、社会关系维度评分及总分均显著低于术前(均P<0.05)。高中及以上文化程度、已婚、家庭人均月收入>4000元、肿瘤TNM分期Ⅰ期、无直肠癌家族史、无造口并发症、高自我效能患者术后3个月WHOQOL-BREF总分均显著高于小学及初中文化程度、离异/丧偶/未婚、家庭人均月收入<2000元、肿瘤TNM分期Ⅱ期与Ⅲ期、有直肠癌家族史、无造口并发症、低自我效能者(均P<0.05)。多元线性回归分析结果表明,家庭人均月收入、造口并发症、造口自我效能量表(stoma self-efficacy scale,SSES)总分均为老年直肠癌患者永久性结肠造口术后3个月生存质量的独立影响因素(均P<0.05),家庭人均月收入越高、无造口并发症、SSES总分越高,患者术后3个月WHOQOL-BREF总分越高。结论老年直肠癌患者永久性结肠造口术后3个月内的生存质量显著降低,家庭收入越高、有造口并发症、自我效能感越强,患者术后3个月的生存质量越高。展开更多
目的:调查直肠癌永久性造口患者疾病耻辱感、社会支持及自我效能现状,并分析患者疾病耻辱感与社会支持及自我效能之间的相关性。方法:采用方便抽样,选取解放军第102医院2015年6月至2016年12月直肠癌永久性造口患者118名为研究对象。采...目的:调查直肠癌永久性造口患者疾病耻辱感、社会支持及自我效能现状,并分析患者疾病耻辱感与社会支持及自我效能之间的相关性。方法:采用方便抽样,选取解放军第102医院2015年6月至2016年12月直肠癌永久性造口患者118名为研究对象。采用社会影响量表(Social Impact Scale,SIS)、社会支持评定量表(Social Suppor t R ating Scale,SSR S)以及造口相关自我效能问卷调查患者疾病耻辱感、社会支持及自我效能,并采用Spearman相关性检验分析患者疾病耻辱感与社会支持及自我效能的相关性。结果:患者疾病耻辱感得分为59.47±11.03,社会支持总分为43.11±5.85,55.08%患者自我效能处于中等水平。患者疾病耻辱感得分与社会支持中的主观支持、客观支持、社会利用度得分呈负相关(P<0.05),与自我效能呈负相关(P<0.05)。结论:直肠癌永久性造口患者疾病耻辱感较强,临床护理工作者应全方位采取措施提高患者社会支持水平,从而降低患者疾病耻辱感,提高其自我效能。展开更多
目的探讨造口师护理指导对腹会阴联合直肠癌根治术(Miles术)后永久肠造口患者自我护理能力及社会支持的影响。方法对实施Miles术后永久肠造口的62例患者给予造口师指导护理,在指导前及指导后3个月让患者填写自我护理能力实施量表(exerci...目的探讨造口师护理指导对腹会阴联合直肠癌根治术(Miles术)后永久肠造口患者自我护理能力及社会支持的影响。方法对实施Miles术后永久肠造口的62例患者给予造口师指导护理,在指导前及指导后3个月让患者填写自我护理能力实施量表(exercise of self-care agency scale,ESCAS)以及领悟社会支持量表(perceived social support scale,PSSS)。结果造口师指导后3个月,患者的自护能力及社会支持均提高,且自护能力评分的提高与社会支持评分的提高呈显著正相关(r=0.868 7,P<0.05)。结论造口师护理指导可明显提高Miles术后永久肠造口患者的自护能力及社会支持,且两者的提高具有相关性。展开更多
基金the Medical Science Research Project of Hebei Province(20211322).
文摘Background:In the treatment of colorectal cancer,laparoscopic surgery has seen a significant amount of success.Reducing the risk of postoperative complications and improving patients’quality of life can be accomplished by appropriately employing pelvic peritoneal repair and sigmoid colostomy when appropriate.Objective:To compare fusion closure of pelvic peritoneum combined with extraperitoneal colostomy with non-closure of pelvic peritoneum combined with intraperitoneal colostomy in patients with low rectal cancer who had permanent colostomy.Methods:Low rectal cancer patients admitted to Hengshui People’s Hospital for permanent colostomy were evaluated.The participants were divided into two groups:an observation and a control group.All 30 cases in the observation group underwent pelvic peritoneum closure and extraperitoneal colostomy,while the other 30 cases in the control group underwent intraperitoneal colostomy.The C-reactive protein(CRP)levels of the participants in both groups were evaluated for 6 months to 2 years(24 h before,24 h after,48 h after,96 h after surgery).Results:Comparing the colostomy operative time,time to first passage of flatus postoperatively,time to first defecation postoperatively,length of hospital stay,laboratory indicators,stoma-related complications,colostomy function,etc.,the colostomy operative time significantly differed between the two groups(P<0.05);the observation group did considerably better than the control group in terms of stoma-related complications and bowel movement control 6 months after surgery(P<0.05);and although serum CRP levels increased in both groups 48 h after surgery,the difference was significant(P<0.05).Conclusion:Extraperitoneal colostomy can improve the quality of life of patients with permanent stoma and reduce the occurrence of stoma-related complications.Thus,this technique is worthy of promotion in clinical practice.
文摘目的探讨老年直肠癌患者永久性结肠造口术后生存质量的影响因素。方法选取2017年1月至2018年12月53例于中南大学湘雅医学院附属海口医院行永久性结肠造口术的老年直肠癌患者为研究对象,采用世界卫生组织生存质量测定量表简表(World Health Organization quality of life scale-brief form questionnaire,WHOQOL-BREF)分析患者手术前后生存质量的变化情况,并筛选患者术后生存质量的影响因素。结果老年直肠癌患者造口术后1个月和3个月WHOQOL-BREF的生理状况、心理状况、社会关系维度评分及总分均显著低于术前(均P<0.05)。高中及以上文化程度、已婚、家庭人均月收入>4000元、肿瘤TNM分期Ⅰ期、无直肠癌家族史、无造口并发症、高自我效能患者术后3个月WHOQOL-BREF总分均显著高于小学及初中文化程度、离异/丧偶/未婚、家庭人均月收入<2000元、肿瘤TNM分期Ⅱ期与Ⅲ期、有直肠癌家族史、无造口并发症、低自我效能者(均P<0.05)。多元线性回归分析结果表明,家庭人均月收入、造口并发症、造口自我效能量表(stoma self-efficacy scale,SSES)总分均为老年直肠癌患者永久性结肠造口术后3个月生存质量的独立影响因素(均P<0.05),家庭人均月收入越高、无造口并发症、SSES总分越高,患者术后3个月WHOQOL-BREF总分越高。结论老年直肠癌患者永久性结肠造口术后3个月内的生存质量显著降低,家庭收入越高、有造口并发症、自我效能感越强,患者术后3个月的生存质量越高。
文摘目的:调查直肠癌永久性造口患者疾病耻辱感、社会支持及自我效能现状,并分析患者疾病耻辱感与社会支持及自我效能之间的相关性。方法:采用方便抽样,选取解放军第102医院2015年6月至2016年12月直肠癌永久性造口患者118名为研究对象。采用社会影响量表(Social Impact Scale,SIS)、社会支持评定量表(Social Suppor t R ating Scale,SSR S)以及造口相关自我效能问卷调查患者疾病耻辱感、社会支持及自我效能,并采用Spearman相关性检验分析患者疾病耻辱感与社会支持及自我效能的相关性。结果:患者疾病耻辱感得分为59.47±11.03,社会支持总分为43.11±5.85,55.08%患者自我效能处于中等水平。患者疾病耻辱感得分与社会支持中的主观支持、客观支持、社会利用度得分呈负相关(P<0.05),与自我效能呈负相关(P<0.05)。结论:直肠癌永久性造口患者疾病耻辱感较强,临床护理工作者应全方位采取措施提高患者社会支持水平,从而降低患者疾病耻辱感,提高其自我效能。
文摘目的探讨造口师护理指导对腹会阴联合直肠癌根治术(Miles术)后永久肠造口患者自我护理能力及社会支持的影响。方法对实施Miles术后永久肠造口的62例患者给予造口师指导护理,在指导前及指导后3个月让患者填写自我护理能力实施量表(exercise of self-care agency scale,ESCAS)以及领悟社会支持量表(perceived social support scale,PSSS)。结果造口师指导后3个月,患者的自护能力及社会支持均提高,且自护能力评分的提高与社会支持评分的提高呈显著正相关(r=0.868 7,P<0.05)。结论造口师护理指导可明显提高Miles术后永久肠造口患者的自护能力及社会支持,且两者的提高具有相关性。
