摘要
目的:探讨对直肠癌术后行永久性结肠造口患者实施激励式护理干预的效果。方法:将2017年1月-2018年11月笔者所在医院收治的80例直肠癌患者随机分成观察组与对照组,每组40例,两组均行腹腔镜手术及永久性结肠造口,对照组予以患者常规围术期护理,观察组在对照组的护理基础上实施激励式护理干预,观察两组护理效果。结果:护理后,观察组SAS、SDS评分分别为(42.26±4.21)、(41.36±4.22)分,明显低于对照组的(48.56±4.75)、(47.52±4.59)分(t=6.278、9.753,P=0.000);观察组自我效能为90.00%,显著高于对照组的62.50%(χ^2=9.352,P=0.004);护理后观察组功能量表评分为(140.26±12.29)分,明显高于对照组的(131.28±11.87)分(t=3.324,P=0.001);护理后观察组症状积分为(86.69±8.47)分,明显低于对照组的(106.63±9.77)分(t=9.753,P=0.000)。结论:对直肠癌术后行永久性结肠造口的患者实施激励式护理干预,可改善患者心理状态,提高患者自我效能及生活质量。
Objective:To explore the effect of incentive nursing intervention on patients undergoing permanent colostomy after rectal cancer surgery.Method:From January 2017 to November 2018,80 cases of colorectal cancer patients treated in our hospital were randomly divided into observation group and control group,40 cases in each group,two groups were performed laparoscopic colon and permanent colostomy,the control group patients with conventional perioperative nursing,on this basis,observation group used incentive nursing intervention.Observed the two groups of nursing effect.Result:After nursing,SAS and SDS scores of the observation group were(42.26±4.21)points and(41.36±4.22)points,which were significantly lower than(48.56±4.75)points and(47.52±4.59)points of the control group(t=6.278,9.753,P=0.000).The proportion high self-efficacy in the observation group was 90.00%,which was significantly higher than 62.50%in the control group(χ^2=9.352,P=0.004).After nursing,the functional scale score of the observation group was(140.26±12.29)points,significantly higher than(131.28±11.87)points of the control group(t=3.324,P=0.001).And the symptom score of the observation group was(86.69±8.47)points,significantly lower than(106.63±9.77)points of the control group(t=9.753,P=0.000).Conclusion:For patients undergoing permanent colostomy after rectal cancer surgery,the implementation of incentive nursing intervention can improve the psychological state of patients,improve patients’self-efficacy and quality of life.
作者
黄理好
庄惠真
王小燕
HUANG Lihao;ZHUANG Huizhen;WANG Xiaoyan(The First Affiliated Hospital of Xiamen University,Xiamen 361003,China)
出处
《中外医学研究》
2019年第34期119-121,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
激励式护理干预
直肠癌
永久性结肠造口
心理状态
自我效能
生活质量
Incentive nursing intervention
Rectal cancer
Permanent colostomy
Mental state
Self-efficacy
Quality of life
