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改进式综合护理及活动干预在结直肠癌手术患者中的应用效果

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目的 探讨改进式综合护理及活动干预在结直肠癌手术患者中的应用效果.方法 根据干预方式的不同将78例结直肠癌手术患者分为常规组(n=37)和干预组(n=41),常规组患者围手术期接受常规干预,干预组患者围手术期接受改进式综合护理及活动干预.比较两组患者术后胃肠功能、术后住院时间、负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]及并发症发生情况.结果 干预组患者腹胀改善时间、首次排气时间、进食恢复时间、首次肠鸣音恢复时间及术后住院时间均短于常规组,并发症总发生率低于常规组,差异均有统计学意义(P﹤0.05).干预后,两组患者SDS、SAS评分均低于本组干预前,EORTC QLQ-C30各维度评分均高于本组干预前,干预组患者SDS、SAS评分均低于常规组,EORTC QLQ-C30各维度评分均高于常规组,差异均有统计学意义(P﹤0.05).结论 改进式综合护理及活动干预可改善结直肠癌手术患者的胃肠道功能、负性情绪、生活质量,降低并发症发生率,有利于患者术后恢复.
Application effect of modified comprehensive nursing and activity intervention in patients undergoing colorectal cancer surgery
Objective To explore the application effect of modified comprehensive nursing and activity intervention in patients undergoing colorectal cancer surgery.Method A total of 78 patients who underwent colorectal cancer surgery were divided into conventional group(n=37)and intervention group(n=41)according to different intervention methods.The conventional group received conventional intervention during the perioperative period,the intervention group re-ceived modified comprehensive nursing and activity intervention during the perioperative period.The postoperative gas-trointestinal function,postoperative hospitalization time,negative emotions[self-rating depression scale(SDS),self-rat-ing anxiety scale(SAS)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)]and incidence of complications were compared between the two groups.Re-sult The improvement time of abdominal distension,first exhaust time,recovery time of feeding,first time of bowel sound recovery,and postoperative hospitalization time in intervention group were shorter than those in control group,the total incidence of complications was lower than that in control group,and the differences were statistically significant(P<0.05).After intervention,the SDS and SAS scores in two groups were lower than those before intervention,the dimen-sional scores of EORTC QLQ-C30 were higher than those before intervention,the SDS and SAS scores in intervention group were lower than those in control group,the dimensional scores of EORTC QLQ-C30 were higher than those in con-trol group,and the differences were statistically significant(P<0.05).Conclusion Modified comprehensive nursing and activity intervention can improve gastrointestinal function,negative emotion,quality of life,reduce the incidence of com-plications and facilitate postoperative recovery of patients undergoing colorectal cancer surgery.

colorectal cancersurgerymodified comprehensive nursing and activity interventionapplication effect

秦瑞霞、冯圆圆、高露露

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郑州大学第一附属医院胃肠外科一病区/疝和腹壁外科,郑州 4500000

结直肠癌 手术 改进式综合护理及活动干预 应用效果

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(15)