摘要
目的探讨功能互补式多途径延续护理对结直肠癌患者生活质量的影响。方法选取2019年10月至2020年6月间西安国际医学中心医院收治的行结直肠癌根治术的60例患者,根据随机信封抽签原则分为延续组和对照组,每组30例。对照组患者术后采用日常护理与生命体征监测,延续组患者术后采用功能互补式多途径延续护理。观察3个月,随访调查患者的生活质量。结果延续组患者术后首次排气时间、首次排便时间、肠鸣音恢复时间与住院时间均少于对照组,差异均有统计学意义(均P<0.05)。延续组患者术后14d并发症发生率为6.7%,低于对照组的33.3%,差异有统计学意义(P<0.05)。延续组患者术后1个月与3个月的遵医依从性为100.0%和96.7%,高于对照组的83.3%和80.0%,差异均有统计学意义(均P<0.05)。随访6个月后,延续组患者生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论对结直肠癌术后患者实施功能互补式多途径延续护理,不仅能促进患者康复,减少并发症,也可提高患者的遵医依从性与生活质量。
Objective To explore the effect of complementary multi-channel continuous nursing care on quality of life in patients with colorectal cancer.Methods From October 2019 to June 2020,60 patients who completed radical resection of colorectal cancer were selected at Xi'an International Medical Center Hospital.They were divided into a continuation group and a control group using the principle of random envelope drawing with 30 patients in each group.The continuation group were given functional complementary multi-channel continuation care after the operation and the control group were given daily care and vital signs monitoring after the operation.They were observed for 3 months to follow up the quality of life.Results The time to initial anal exhaust,defecation and bowel sound recovery and length of hospital stay were less in the continuation group than in the control group(all P<0.05).The incidence of postoperative complications was 6.7%in the continuation group at 14 d after the operation,which was lower than 33.3%of the control group(P<0.05).Compliance with medical treatment was 100.0%and 96.7%,respectively in the continuation group at 1 month and 3 months after operation,which was higher than 83.3%and 80.0%,respectively of the control group(all P<0.05).Over a follow-up of 6 months,quality of life score was significantly higher in the extension group than in the control group(P<0.05).Conclusion Functional complementary multi-channel continuing care can promote rehabilitation,reduce complications,improve compliance and quality of life in colorectal cancer patients after operation.
作者
徐媛
杨巧亮
XU Yuan;YANG Qiao-liang(Emergency Center,Xi'an International Medical Center Hospital,Xi'an 710038,China;Department of Anorectal and Pelvic Floor Surgery,Xi'an Daxing Hospital,Xi'an 710000,China)
出处
《中国肿瘤临床与康复》
2021年第8期1009-1012,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
功能互补式多途径延续护理
结直肠肿瘤
并发症
遵医依从性
生活质量
Functional complementary multi-channel continuous care
Colorectal neoplasms
Complications
Compliance with medical treatment
Quality of life
