摘要
目的 分析开展互联网延续性护理对结直肠癌化疗患者的整体影响。方法 选取2023年2月至2024年2月宜宾市兴文县人民医院收治的结直肠癌化疗患者54例,根据不同护理模式分为普通组和延续组,各27例。普通组开展常规延续性护理,延续组开展互联网延续性护理,比较不同护理模式对患者情绪及不良反应发生的影响。结果 护理前,两组患者的ESCA、HAMA、HAMD评分比较差异无显著性(P> 0.05)。护理后,延续组患者的ESCA评分高于普通组,HAMA评分及HDMD评分低于普通组,差异均有显著性(P<0.001)。出院时,两组患者的细菌内毒素及二胺氧化酶水平比较差异无显著性(P>0.05);出院3个月、6个月,延续组患者的细菌内毒素及二胺氧化酶水平均低于普通组,差异均有显著性(P<0.05)。普通组有7例患者发生不同程度的周围神经、胃肠及血液不良反应,高于延续组,差异有显著性(P<0.05)。结论 开展互联网延续性护理,对减轻结直肠癌化疗患者不良反应、维持胃肠功能均有显著作用,同时还有效缓解患者负性情绪,助其提升自护能力。
Objective To analyze the overall impact of Internet continuous nursing on patients with colorectal cancer undergoing chemotherapy.Method From February 2023 to February 2024,54 patients with colorectal cancer undergoing chemotherapy in the people's Hospital of Xingwen County,Yibin City were selected and divided into normal group and continuous group according to different nursing modes,with 27 cases in each group.The general group received routine continuing care,and the continuing group received Internet continuing care.The effects of different nursing modes on patients'emotions and adverse reactions were compared.Result Before nursing,there was no significant difference in ESCA,HAMA and HAMD scores between the two groups(P>0.05).After nursing,the ESCA score of the continuation group was higher than that of the normal group,while the HAMA score and HDMD score of the continuation group were lower than that of the normal group,with significant differences(P<0.001).At discharge,there was no significant difference in the levels of bacterial endotoxin and diamine oxidase between the two groups(P>0.05);At 3 and 6 months after discharge,the levels of bacterial endotoxin and diamine oxidase in the continuation group were significantly lower than those in the normal group(P<0.05).7 patients in the general group had different degrees of peripheral nerve,gastrointestinal and blood adverse reactions,which was higher than that in the continuation group,and the difference was significant(P<0.05)Conclusion The implementation of Internet continuity nursing has a significant effect on reducing the adverse reactions of patients with colorectal cancer undergoing chemotherapy and maintaining gastrointestinal function.At the same time,it can also effectively relieve the negative emotions of patients and help them improve their self-care ability.
作者
郝林
Hao Lin(Gastrointestinal Surgery Department of Xingwen County People's Hospital in Yibin City,Sichuan Yibin 644400,China)
出处
《临床普外科电子杂志》
2025年第4期96-100,共5页
Journal of General Surgery for Clinicians(Electronic Version)
关键词
延续性护理
互联网
化疗
结直肠癌
胃肠功能
Continuity of care
Internet
Chemotherapy
Colorectal cancer
Gastrointestinal function
