摘要
目的:研究结直肠癌前病变患者内镜黏膜下层剥离术(endoscopic submucosal dissection,ESD)治疗后应用基于奥马哈系统的延续护理的效果。方法:选取2017年5月至2018年5月收治的100例经ESD治疗的结直肠癌前病患者为研究对象,根据随机数字表法分为观察组(50例)和对照组(50例),对照组施以常规延续护理干预,观察组在对照组的基础上施以基于奥马哈系统的延续护理,比较两组血清肿瘤标记物变化情况、健康行为量表(HPLP)评分和生活质量评分量表(SF-36)评分。结果:观察组癌胚抗原(CEA)、肿瘤标志物(CA19-9、CA242)低于对照组(P<0.05),观察组患者HPLP评分高于对照组(P<0.05),观察组患者干预后SF-36量表评分高于对照组。结论:基于奥马哈系统的延续性护理应用于内镜下黏膜剥离术治疗结直肠癌前病变患者的临床效果理想,能有效降低患者血清肿瘤标志物水平,提高患者健康行为,提升患者生活质量。
Objective:To study patients with colorectal cancer before the disease in the endoscopic submucosal layer stripping(endoscopic submucosal dissection,ESD)after treatment application based on the continuation of the Omaha system nursing effect.Methods:A total of 100 cases of pre-colorectal cancer patients treated with ESD from May 2017 to May 2018 were selected as research objects and divided into the observation group(50 cases)and the control group(50 cases)according to the random number table method.The control group received routine continuous nursing intervention,while the observation group received Omaha system-based continuous nursing on the basis of the control group.The changes of serum tumor markers,health behavior Scale(HPLP)score and quality of life scale(SF-36)score were compared between the two groups.Results:CEA and tumor markers(CA19-9 and CA242)of the observation group were lower than those of the control group(P<0.05),HPLP score of the observation group was higher than that of the control group(P<0.05),and SF-36 scale score of the observation group was higher than that of the control group after intervention.Conclusion:Continuous nursing based on Omaha system has an ideal clinical effect in endoscopic mucosal dissection for patients with precolorectal cancer,which can effectively reduce the level of serum tumor markers,improve patient health behavior,and improve the quality of life of patients.
作者
关英玲
古燕珍
尚合敏
GUAN Yingling;GU Yanzhen;SHANG Hemin(Digestive Endoscopy Room,Hebi People's Hospital,Hebi 458030,China;Operating Room,Wuling County People's Hospital;RICU,Hebi People's Hospital)
出处
《包头医学院学报》
CAS
2020年第8期82-85,共4页
Journal of Baotou Medical College
