摘要
目的:观察综合护理干预对食管癌术后患者康复及生活质量的影响。方法:根据不同的护理措施将186例食管癌术后患者分为常规护理组87例和综合护理组99例。常规护理组给予胸心外科常规护理、认识宣教、心理护理、口腔护理、肠内营养的护理、吻合口瘘预防和行为指导等多种常规护理措施;综合护理组在上述常规护理的基础上给予中药热熨腹部、耳穴贴压和情志护理等中医护理措施。观察至患者出院。记录住院时间,记录吻合口瘘、胸胃综合征、吻合口狭窄、感染、胃排空障碍、反流性食管炎等并发症的发生情况,术后当天及术后2月采用食管癌补充模式表(QLQ-OES18)评价生活质量、评定卡氏(KPS)评分。结果:综合护理组胸胃综合征、胃排空障碍和反流性食管炎的发生率均低于常规护理组,住院时间短于常规护理组,差异均有统计学意义(P <0.05,P <0.01)。术后2月,2组QLQ-OES18各因子评分均较术后当天下降(P <0.01);综合护理组梗阻、食欲减退、吞咽困难、进食、反流和疼痛评分均低于常规护理组(P <0.01),KPS评分高于常规护理组(P <0.01)。结论:综合护理措施可减少并发症的发生,促进食管癌术后患者的康复,有助于提高患者的生活质量。
Objective： To observe the effect of comprehensive nursing intervention on rehabilitation and quality of life of patients after esophageal cancer operation. Methods- Divided 186 cases of patients after esophageal cancer operation into the group of routine nursing（87 cases） and the group of comprehensive nursing（99 cases）. The group of routine nursing was given various routine nursing measures such as cardiac surgical routine nursing, awareness education, psychological nursing, oral nursing, enteral nutrition nursing, prevention of anastomotic leakage and behavioral guidance, while the group of comprehensive nursing was given Chinese medicine nursing measures such as the abdominal hot medicated compress of Chinese medicine, auricular plaster and emotional restrictive therapy based on the routine nursing measures mentioned above. Observed the patients until they were discharged. Recorded the hospitalization time and the incidence of complications such as anastomotic leakage, thoracic-gastro syndrome, anastomotic stenosis, infection, delayed gastric emptying, and reflux esophagitis. Applied the esophagus-specific quality of life questionnaire（QLQ-OES18） to evaluate the quality of life after operation and two months after operation. Record Karnofsky（KPS） score two months after operation. Results： The incidence of thoracic-gastro syndrome, delayed gastric emptying and reflux esophagitis in the group of comprehensive nursing was lower than that in the group of routine nursing, and the hospitalization time was shorter than that in the group of routine nursing, differences being significant（P 〈 0.05, P 〈 0.01）. Two months after operation, the scores of the each factor in the QLQ-QES18 scale of the two groups were lower than those at the day after operation （P 〈 0.01）. The scores of obstruction, poor appetite, dysphagia, eating, reflux and pain in the group of comprehensive nursing were lower than those in the group of routine nursing（P 〈 0.01）, and KPS score was higher than that in
作者
舒秀琼
陈海丹
SHU Xiuqiong;CHEN Haidan
出处
《新中医》
CAS
2018年第11期229-232,共4页
New Chinese Medicine
关键词
食管癌
中医护理
生活质量
食管癌补充模式表(QLQ-OES18)
Esophagus cancer
Chinese medicine nursing
Quality of life
Esophagus-specific quality of life question-naire（QLQ-OES18）
