中低位直肠癌患者保留括约肌手术后肠道功能障碍自我管理方案的有效性研究

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中文摘要：目的:分析中低位直肠癌患者保留括约肌手术后肠道功能障碍自我管理方案的有效性。方法:选择2019年5月—2021年5月苏州大学附属第一医院收治的108例中低位直肠癌患者，随机将患者分为对照组(n=54)、观察组(n=54)。两组均行保留括约肌手术治疗，对照组给予术后常规护理，观察组在对照组基础上给予自我管理方案护理。比较两组患者自我管理行为、肠道功能、视觉模拟评分(VAS)、焦虑自评量表(SAS)评分。结果:护理后，两组患者社交管理、情绪管理、肛周皮肤管理、饮食管理、治疗管理评分及总分均升高，且观察组均高于对照组，差异有统计学意义(P<0。05)。护理后，两组排便受饮食影响、便频便急、排便感觉异常评分及总分均升高，且观察组均高于对照组，差异有统计学意义(P<0。05)。护理后，两组患者VAS评分、SAS评分明显降低，且观察组患者VAS评分、SAS评分明显低于对照组，差异有统计学意义(P<0。05)。结论:自我管理方案护理可有效提高中低位直肠癌患者保留括约肌手术后的自我管理行为，改善患者肠道功能，减轻患者焦虑及疼痛，有助于改善患者预后情况。

外文标题：Efficacy of Self-management Program Nursing for Intestinal Dysfunction after Sphincter-sparing Surgery in Patients with Middle and Low Rectal Cancer

外文摘要：Objective:To evaluate the effectiveness of self-management program nursing for intestinal dysfunction after sphincter-preserving surgery in patients with middle and low rectal cancer.Method:A total of 108 patients with medium-low rectal cancer admitted to the First Affiliated Hospital of Soochow University from May 2019 to May 2021 were selected.They were divided into control group (n=54) and observation group (n=54).Both group were treated with sphincter-preserving surgery,the control group was given routine postoperative care,and the observation group was given self-management program nursing on the basis of the control group.The intestinal symptom self-management behavior,intestinal function,the visual analogue scale (VAS) and self-rating anxiety scale (SAS) scores were compared between the two groups before and after nursing.Result:After nursing,the total scores of social management,emotional management,perianal skin management,diet management,treatment management and the total score in both groups were increased,and the scores in the observation group were significantly higher than those in the control group,the differences were statistically significant (P<0.05).After nursing,defecation affected by diet,frequency and urgency of defecation,paresthesia of defecation and total score were significantly increased,and the scores in the observation group were higher than those in control group,the differences were statistically significant (P<0.05).After nursing,VAS score and SAS score were significantly decreased in both groups,and VAS score and SAS score in the observation group were significantly lower than those in the control group,the differences were statistically significant (P<0.05).Conclusion:Self-management program nursing can effectively improve the self-management behavior of patients with middle and low rectal cancer after sphincter-preserving surgery,improve the intestinal function of patients,reduce the anxiety and pain of patients,and help improve the prognosis of patients.

外文关键词：

Patients with middle and low rectal cancerSphincter-sparing surgeryIntestinal dysfunctionSelf-management program nursingEffectiveness

作者：

张雪静、童莉莉

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作者单位：

苏州大学附属第一医院江苏苏州 215006

关键词：

中低位直肠癌患者保留括约肌手术肠道功能障碍自我管理方案有效性

出版年：

2024

DOI：