学术论文

      规范化造口灌洗护理在直肠癌 Miles 术患者中的应用效果分析

      Analysis of application effect of standardized colostomy irrigation nursing in rectal cancer patients with Miles surgery

      摘要:
      目的:分析规范化结肠造口灌洗护理在直肠癌 Miles 术患者中的应用效果。方法选取接受直肠癌 Miles 术治疗的患者126例,采用数字表法随机分为观察组和对照组,每组63例。对照组采用造口自然排便传统造口袋护理模式,观察组采用规范化造口灌洗护理模式。比较两组护理前后生活质量功能领域评分、生活质量单项量表评分及累计护理费用等情况。结果护理前,两组各项功能评分、生活质量单项量表评分等差异均无统计学意义(均 P >0.05);护理后,观察组躯体功能(97.84±3.83)分、认知功能(96.79±8.77)分、情绪功能(94.57±8.76)分、角色功能(96.57±1.57)分、社会功能(92.77±6.17)分、恶心呕吐(0.56±0.23)分、失眠(2.64±1.78)分、疼痛(1.48±0.63)分、疲倦(5.13±2.47)分、食欲丧失(1.76±0.83)分,均明显优于对照组[躯体功能(90.22±3.79)分、认知功能(80.99±8.74)分、情绪功能(83.26±13.83)分、角色功能(78.85±3.26)分、社会功能(83.67±3.45)分、恶心呕吐(1.27±0.76)分、失眠(12.25±3.61)分、疼痛(4.08±1.67)分、疲倦(6.76±2.98)分、食欲丧失(3.47±1.62)分],两组差异均有统计学意义(t =11.22、10.13、5.48、38.87、10.22、7.10、18.95、11.56、3.34、7.46,均 P <0.05);观察组产品费用(1488.78±102.49)元、护理费用(158.46±10.73)元、总费用(1638.79±106.73)元,均明显低于对照组的(2070.17±141.78)元、(311.17±99.32)元、(2380.63±212.79)元,差异均有统计学意义(t =26.38、12.13、24.73,均 P <0.05)。结论规范化造口灌洗护理可提高直肠癌 Miles 术后患者的整体生活质量,减轻其经济及心理负担。
      Abstract:
      Objective To analyze the application effect of standardized colostomy irrigation nursing in rectal cancer patients with Miles operation.Methods 126 rectal cancer patients underwent Miles operation were randomly divided into the observation group and the control group,63 cases in each group.The patients of the control group were treated with traditional colostomy natural defecation ostomy care model,and the patients of the observation group were given standardized colostomy irrigation nursing mode.Before and after nursing,the life quality function score,life quality score and individual total care expenses of the two groups were compared.Results Before nursing,the function score and quality of life event scale score between the two groups were compared,and the differences were not statistically significant(all P >0.05).After nursing,physical function[(97.84 ±3.83)points],cognitive function[(96.79 ± 8.77)points],emotional function[(94.57 ±8.76)points],role function[(96.57 ±1.57)points],social function [(92.77 ±6.17)points],nausea and vomiting[(0.56 ±0.23)points],insomnia[(2.64 ±1.78)points],pain [(1.48 ±0.63)points],fatigue[(5.13 ±2.47)points],loss of appetite[(1.76 ±0.83)points]of the observation group were significantly better than those of the control group [(90.22 ±3.79)points,(80.99 ±8.74)points, (83.26 ±13.83)points,(78.85 ±3.26)points,(83.67 ±3.45)points,(1.27 ±0.76)points,(12.25 ±3.61)points, (4.08 ±1.67)points,(6.76 ±2.98)points,(3.47 ±1.62)points],there were statistically significant differences between the two groups(t =11.22,10.13,5.48,38.87,10.22,7.10,18.95,11.56,3.34,7.46,all P <0.05).After nursing,the product cost[(1 488.78 ±102.49)yuan],nursing cost[(158.46 ±10.73)yuan],total cost[(1 638.79 ±&nbsp;106.73)yuan]of the observation group were significantly lower than those of the control group [(2 070.17 ± 141.78)yuan,(311.17 ±99.32)yuan,(2 380.63 ±212.79)yuan],the differences were statistically significant (t =26.38,12.13,24.73,all P <0.05 ).Conclusion Standardized colostomy irrigation nursing can improve overall quality of life in patients of rectal cancer after Miles operation,reduce the economic and psychological burden,and its application effect is better.
      Author: Zhang Lihua Gao Lihua Wang Jia Zhang Lixia
      作者单位: 绍兴市人民医院 浙江大学绍兴医院肛肠外科, 浙江省绍兴,312000
      刊 名: 中国基层医药 ISTIC
      年,卷(期): 2017, 24(6)
      在线出版日期: 2017年3月29日
      基金项目: 浙江省绍兴市科技计划项目(2011A33006)Fund programScience and technology planning project of Shaoxing city,Zhejiang province