摘要
目的研究手机指导软件在直肠癌患者围手术期自我排便训练中的应用价值。方法纳入2015年4月至2017年4月120例直肠癌根治术患者作为研究对象,随机分为两组,每组各60例。观察组围术期利用手机APP指导患者进行自我排便训练,对照组行常规护理指导。根据徐忠法等编著肛门功能分级标准和大便失禁生活质量量表(FIQL)比较两组患者术后肛门功能和生活质量。结果观察组术后首次肛门排气时间早于对照组,出院时肛门功能优于对照组,差异均有统计学意义(均P<0.05)。观察组术前1 d和出院时直肠静息压和直肠排便收缩压差异均无统计学意义(均P>0.05),观察组出院时直肠最大耐受量和直肠排便收缩压高于对照组,差异均有统计学意义(均P<0.05)。观察组术后1个月时生活方式、心理应付/行为、抑郁/自我感受及窘迫尴尬等FIQL各项评分均高于对照组,差异均有统计学意义(均P<0.05)。结论应用手机APP软件指导直肠癌根治术患者围手术期进行肛门功能训练能改善患者术后肛门功能和生活质量,具有方便、直观的优点,值得临床推广应用。
Objective To study the value of a mobile phone guidance app for perioperative bowel training in patients with rectal cancer. Methods 120 patients undergoing radical resection of rectal cancer treated in our hospital from April 2015 to April 2017 were selected as the study subjects. They were randomly assigned to two groups, with 60 cases in each group. The treatment group used a mobile app to guide the patients for bowel training during the perioperative period and the control group received routine nursing. The anal function and quality of life were evaluated using the anal function classification by Xu Zhongfa and the Fecal Incontinence Quality of Life（FIQL） questionnaire, respectively, and were compared between the two groups. Results Time to first anus exhaust was significantly shorter in the treatment group than in the control group. The anal function at discharge was significantly better in the treatment group than in the control group and the difference were statistically significant（P〈0.05）. In the treatment group, there were no significant difference in rectal resting pressure and the contractile pressure of rectal defecation between one day before the operation and at discharge（P〈0.05）. At discharge, the maximum rectal tolerance and rectal defecation systolic pressure were significantly higher in the treatment group than in the control group and the differences were statistically significant（P〈0.05）. One month after operation, the FIQL scores of life style, psychological coping/behavior, depression/self-feeling and embarrassment were significantly higher in treatment group than those in control group and the differences were statistically significant（P〈0.05）. Conclusion Using mobile app for perioperative bowel training in patients with rectal cancer is effective in improving the postoperative anal function and quality of life. It is convenient to use and user-friendly, and has potential for clinical application.
作者
许雪冰
林冬颜
邓敏
Xu Xuebing;Lin Dongyan;Deng Min(Operating Room,Wenchang People＇s Hospital,Wenchang,Hainan,571300,China;Operating Room,Hainan People＇s Hospital,Haikou,Hainan,570100,China)
出处
《结直肠肛门外科》
2018年第4期414-417,共4页
Journal of Colorectal & Anal Surgery
基金
海南省文昌市工业和信息化局研究课题(编号:C03140302)
关键词
直肠癌
围手术期
自我控便能力
手机软件
rectal cancer
perioperative period
self-Control ability
mobile phone app
