首页|以护士为主导的认知及康复护理联合正念减压训练对结直肠癌术后患者康复进程及负性情绪的影响

以护士为主导的认知及康复护理联合正念减压训练对结直肠癌术后患者康复进程及负性情绪的影响

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目的 探讨以护士为主导的认知及康复护理联合正念减压训练对结直肠癌术后患者康复进程及负性情绪的影响.方法 选择 2020 年 3 月—2023 年 3月海军军医大学第二附属医院收治的 60 例结直肠癌术后患者为研究对象,按随机数字表法将其分为对照组与观察组,各 30 例.对照组采用结直肠癌常规术后干预,观察组采用以护士为主导的认知及康复护理联合正念减压训练干预.比较两组患者的康复进程、负性情绪及生活质量.结果 干预后,观察组术后首次排气时间、肠道恢复时间、下床活动时间及住院时间均短于对照组,组间差异有统计学意义(P<0.05);观察组焦虑自评量表、抑郁自评量表评分均低于对照组,组间差异有统计学意义(P<0.05);生活质量量表综合评定问卷各个维度评分均高于对照组,组间差异有统计学意义(P<0.05).结论 以护士为主导的认知及康复护理联合正念减压训练可加快结直肠癌术后患者康复进程,减轻其负性情绪,改善生活质量.
Effects of Nurse-Led Cognitive and Rehabilitation Nursing Combined with Mindfulness-Based Decompression Training on Recovery Process and Negative Emotions in Patients with Colorectal Cancer after Surgery
Objective To explore the effects of nurse-led cognitive and rehabilitation nursing combined with mindfulness-based decompression training on rehabilitation process and negative emotions in patients with colorectal cancer after surgery.Methods A total of 60 postoperative patients with colorectal cancer admitted to the Second Affiliated Hospital of Naval Medical University from March 2020 to March 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 30 cases in each group.The control group received conventional postoperative intervention for colorec tal cancer,and the observation group received nurse-led cognitive and rehabilitation nursing combined with mindfulness-based decompression training intervention.The recovery process,negative emotion and quality of life were compared between the two groups.Results After the intervention,the first postoperative exhaust time,intestinal recovery time,getting out of bed time and hospitalization time in the observation group were shorter than those in the control group,the differences between the two groups were statistically significant(P<0.05);the scores of self-rating anxiety scale and self-rating depression scale in observation group were lower than those in control group,the differences between the two groups were statistically significant(P<0.05);the scores of all dimensions of QOL were higher than those of control group,the differences between the two groups were statistically significant(P<0.05).Conclusion Nurse-led cognitive and rehabilitation nursing combined with mindfulness-based decompression training can accelerate the rehabilitation process of patients with colorectal cancer after surgery,reduce their negative emotions and improve their quality of life.

Colorectal cancerNurse-ledCognitive and rehabilitation nursingMindfulness-based stress reduction trainingRehabilitation processNegative emotion

李曼、周燕燕、王影

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海军军医大学第二附属医院肛肠外科,上海黄浦 200003

结直肠癌 护士主导 认知及康复护理 正念减压训练 康复进程 负性情绪

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(16)