结肠癌患者围手术期进行综合护理的应用效果

刘聪; 马燕玲; 刘桂昌; 张泽琳; 周兆兰; 周兴美; 徐玉

结肠癌患者围手术期进行综合护理的应用效果

1. 昭通市第一人民医院
2. 昆明医科大学第一附属医院

基金项目:

基金：云南省教育厅科学研究基金资助项目 (2015J054);

计量
- 文章访问数: 1651
- HTML全文浏览量: 611
- PDF下载量: 31
- 被引次数: 0
出版历程
- 收稿日期: 0167-02-23

Effects of Comprehensive Nursing Care on Patients with Colon Cancer in Perioperative Period

Funds:

基金：云南省教育厅科学研究基金资助项目 (2015J054);

摘要

摘要: 目的评价综合护理对结肠癌患者围手术期并发症, 术后恢复情况, 生活质量和满意度的影响.方法将结肠癌患者分为观察组 (40例) 和对照组 (40例) .对照组给予结肠癌手术常规护理, 观察组在对照组的基础上进行综合护理干预.对两组患者并发症、术后恢复情况、生活质量和满意度进行统计和分析.结果与对照组比较, 观察组中术后并发症发生率明显降低 (P<0.05) .与对照组比较, 观察组中术后首次排气时间、术后首次排便时间、下床活动时间和平均住院时间均明显降低 (P<0.05) .术后1、2和4周, 观察组胃肠疾病生活质量指数 (GIQLI) 评分明显高于对照组 (P<0.05) .观察组满意率及满意度评分均明显高于对照组 (P<0.05) .结论通过对结肠癌患者在围手术期进行综合护理, 可有效地减少术后并发症, 促进患者病情恢复, 减少住院时间, 改善患者日常生活质量, 提高满意度, 值得广泛推广.
- 综合护理 /
- 结肠癌 /
- 并发症 /
- 生活质量 /
- 满意度
Abstract: Objective To evaluate the clinical effects of comprehensive nursing care on the complications, postoperative recovery, quality of life and satisfaction in patients with colon cancer in perioperative period. Methods Patients (n=40) were divided into observation group and control group according to nursing methods. Patients in control group were treated with routine nursing and the observation group received comprehensive nursing intervention on the basis of routine nursing. The incidence of complication, postoperative recovery, quality of life and satisfaction were compared between the two groups. Results The incidence of complication in the observation group was significantly lower than that of the control group (P<0.05) . The first exhaust time, first postoperative defecation time, postoperative off-bed activity time and average hospital stay time in the observation group were significantly lower than those in the control group (P<0.05) . The Gastrointestinal Quality of Life Index (GIQLI) scores in the observation group were significantly higher than those in the control group in week 1, week 2 and week 4 after the operation (P<0.05) . The satisfaction rate and satisfaction score in the observation group were significantly higher than those in the control group (P<0.05) . Conclusion Comprehensive nursing care can significantly reduce the incidence of complications, speed up the recovery of patients, reduce hospitalization time, and improve the quality of life and the satisfaction of patients with colon cancer. It is worthy to be extensively applied.
- Comprehensive nursing care /
- Colon cancer /
- Complication /
- Quality of life /
- Satisfaction

HTML全文

参考文献(18)

[1]	[1]FEARON ERVOGELSTEIN B.A genetic model for colorectal tumorigenesis[J].Cell, 1990, 61 (5) :759-767.
[2]	[2]FEARON E R.Molecular genetics of colorectal cancer[J].Annu Rev Pathol, 2011, 17 (6) :479-507.
[3]	[3]BRENNER H, KLOOR M, POX C P.Colorectal cancer[J].Lancet, 2014, 383 (9927) :1490-1502.
[4]	[4]SIEGEL R, NAISHADHAM D, JEMAL A.Cancer statistics, 2013[J].CA Cancer J Clin, 2013, 63 (1) :11-30.
[5]	[5]SIEGEL R, DESANTIS C, JEMAL A.Colorectal cancer statistics, 2014[J].CA Cancer J Clin, 2014, 64 (2) :104-117.
[6]	[6]HUANG G, ZHU H, SHI Y, et al.cir-ITCH plays an inhibitory role in colorectal cancer by regulating the Wnt/beta-catenin pathway[J].PLo S One, 2015, 10 (6) :e0131225.
[7]康常艳.老年梗阻性结肠癌合并心血管疾病22例围术期护理经验[J].吉林医学, 2014, 35 (26) :5970-5970.
[8]刘晓月.综合护理在结肠癌并发肠梗阻患者中的应用效果[J].世界华人消化杂志, 2015, 23 (23) :3809-3812.
[9]李霞.结肠癌120例围术期护理分析[J].护理与临床, 2015, 19 (33) :4723-4724.
[10]侯桂英.探讨对结肠癌患者围手术期护理干预的护理效果[J].中国继续医学教育, 2015, 7 (32) :261-262.
[11]田琪.护理干预在结肠癌患者围手术期护理中的应用效果分析[J].中国医药指南, 2016, 14 (11) :249.
[12]杨秀英, 张大威, 邵弘, 等.对结肠癌患者在围手术期进行综合护理干预的临床效果[J].中国现代药物应用, 2017, 11 (2) :152-154.
[13]	[13]EYPASCH E, WILLIAMS J I, WOOD-DAUPHINEE S, et al.Gastrointestinal quality of life index:development, validation and application of a new instrument[J].Br J Surg, 1995, 82 (2) :216-222.
[14]贺玲.28例老年梗阻性结肠癌合并心血管疾病患者的围术期护理探讨[J].检验医学与临床, 2016, 13 (8) :1096-1098.
[15]	[15]SOSTRES C, GARGALLO C J, LANAS A.Aspirin, cyclooxygenase inhibition and colorectal cancer[J].World J Gastrointest Pharmacol Ther, 2014, 5 (1) :40-49.
[16]	[16]UNG L, LAM A K, MORRIS D L, et al.Tissue-based biomarkers predicting outcomes in metastatic colorectal cancer:a review[J].Clin Transl Oncol, 2014, 16 (5) :425-435.
[17]刘生蓉, 肖涛, 冯晓晖.结肠癌切除手术的临床护理观察[J].临床医药文献杂志, 2016, 3 (22) :4470-4470.
[18]马虹, 祁蕾.结肠癌患者围手术期应用加速康复营养护理的临床效果分析[J].中国肿瘤临床与康复, 2016, 23 (8) :997-1000.

相关文章(20)

[1]	马文妮, 冯雯娟, 马子林, 范咏诗, 马懿, 黄英. 自我管理在B型主动脉夹层患者出院准备度及生活质量间的中介效应, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20240530
[2]	蔡冰, 张伟, 刘静, 刘屹. miR-218-5p通过调控LAYN抑制结肠癌发展的机制, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20231206
[3]	吴江, 代水芬, 刘琴, 杨寿涛, 张江, 杨娇, 关琼瑶. 鼻咽癌同期放化疗患者实施营养临床护理路径对生活质量的影响, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20230510
[4]	张云惠, 孙杨, 贺谢巧, 陶德智, 罗发梦, 张海燕. 叙事护理对消化道恶性肿瘤患者心理痛苦及生活质量的影响, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20230810
[5]	马燕丽, 冯程, 郭利清, 郭霞, 周凤琼, 刘志惠, 马云红. “聚焦解决模式”护理干预在慢性丙型病毒性肝炎患者中的应用价值, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20230212
[6]	张权昌, 吴乔联, 刘宇, 赵欣. 腹腔镜与开腹完全结肠系膜切除术对结肠癌患者血小板活化、并发症发生率及肿瘤复发的影响, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20230919
[7]	皮静虹, 付欣桐, 陈俊宇, 陈文敏, 张娟, 缪永萍, 周开秀. 采用结构-过程-结果三维质量评价模式实施CABG延续护理实践, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20210339
[8]	黄松霞. 循证护理对冠心病介入治疗术后患者并发症发生率及舒适度的影响, 昆明医科大学学报.
[9]	王娟. 全面护理干预对肾病综合征患者临床疗效以及并发症的影响, 昆明医科大学学报.
[10]	胡凤婵. 共情护理对剖宫产产妇焦虑情绪及护理满意度的影响, 昆明医科大学学报.
[11]	湛自兰. 护理干预对脑出血非手术患者心理状态、并发症以及满意度的影响, 昆明医科大学学报.
[12]	郑锦红. 吞咽功能训练联合喂养指导对脑卒中吞咽障碍患者吞咽功能以及生活质量的影响, 昆明医科大学学报.
[13]	姜炎冰. 尿流动力学检查的并发症的原因分析及护理干预, 昆明医科大学学报.
[14]	王虹粤. MARS人工肝在肝衰竭并发症中的观察与护理, 昆明医科大学学报.
[15]	池秀平. 全程优质护理对宫颈癌患者生活质量及焦虑抑郁情绪的影响, 昆明医科大学学报.
[16]	林忠菊. 集束化护理对腺样体肥大患儿生活质量及疼痛的护理效果分析, 昆明医科大学学报.
[17]	蒋伟国. 重组表达hTFF2促进结肠癌细胞迁移和失巢增殖作用, 昆明医科大学学报.
[18]	蒋伟国. 重组表达hTFF2促进结肠癌细胞迁移和失巢增殖作用, 昆明医科大学学报.
[19]	杨艳. 心理护理干预对脑卒中患者生活质量的影响, 昆明医科大学学报.
[20]	付秋霞. 舒适护理在椎体骨折护理中的应用, 昆明医科大学学报.