摘要
目的 观察对直肠癌根治术后结肠造瘘口患者应用预见性护理模式的临床效果。方法 选取86例于2017年5月至2019年4月来我院接受直肠癌根治术后结肠造瘘口患者为研究对象,按入院先后顺序将其分为两组,各43例,接受常规护理者为对照组,应用预见性护理模式者为观察组。统计两组患者的护理效果,并展开对比与评价。结果 造瘘口并发症发生率方面,观察组造瘘口周围水肿、周围皮炎等并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。心理状态改善方面,观察组患者护理后的SAS评分及SDS评分均显著低于对照组(P<0.05)。生存质量评分方面,护理之前两组患者的评分差异无统计学意义(P>0.05),观察组患者护理后的躯体、情绪、认知、角色及社会功能等指标评分均显著高于对照组(P<0.05)。护理前,两组患者的生命尊严评分差异无统计学意义(P>0.05),护理后,观察组的生命尊严评分改善效果比对照组更显著,差异有统计学意义(P<0.05)。观察组(42例,占比为97.67%)患者护理之后的满意度明显比对照组(37例,占比为86.05%)更高,差异有统计学意义(P<0.05)。结论 预见性护理模式能够有效降低直肠癌根治术后结肠造瘘口患者的并发症发生率,改善其不良心理状态,充分促进其生存质量的提高,提升患者的整体生命尊严,提高满意度。
Objective To observe the clinical effect of applying predictive nursing mode to patients with colostomy stoma after radical resection of rectal cancer. Methods A total of 86 patients who came to our hospital for colostomy after radical resection of rectal cancer from 2017.5 to 2019.4were selected as the research objects, and they were divided into two groups according to the order of admission, with 43 cases in each group, and those who received routine care were the control group, the application of predictive nursing mode is the observation group. The nursing effects of the two groups of patients were compared and evaluated. Results In terms of the incidence of complications of the stoma, the incidence of complications such as edema and dermatitis around the stoma in the observation group was significantly lower than that in the control group, and the difference was statistically significant(P<0.05). In terms of psychological state improvement, the SAS anxiety score and SDS depression score of the observation group after nursing were significantly lower than those of the control group(P<0.05). In terms of quality of life scores, the scores of the two groups of patients before nursing were not significantly different(P>0.05), and the scores of physical, emotional, cognitive, role and social functions in the observation group after nursing were significantly higher than those in the control group(P<0.05). Before nursing, there was no significant difference in the scores of life dignity between the two groups(P>0.05). After nursing, the improvement effect of the scores of life dignity in the observation group was more significant than that in the control group, with a statistical difference(P<0.05). The observation group(42 cases, accounting for 97.67%) patients’ satisfaction after nursing was significantly higher than that of the control group(37 cases, accounting for 86.05%), with statistical difference(P<0.05). Conclusion The predictive nursing model can effectively reduce the incidence of complications in pa
作者
王雅楠
WANG Ya'nan(Yingkou Economic and Technological Development Zone Central Hospital,the Sixth People's Hospital of Yingkou,Yingkou 115007,China)
出处
《中国医药指南》
2023年第5期47-50,共4页
Guide of China Medicine
关键词
直肠癌根治术
结肠造瘘口护理
预见性护理模式
生命尊严
满意度
Radical resection for rectal cancer
Colostomy care
Predictive nursing model
Dignity of life
Satisfaction
