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结肠癌患者围手术期进行综合护理的应用效果
作者姓名:刘聪  马燕玲  刘桂昌  张泽琳  周兆兰  周兴美  徐玉
作者单位:1. 昭通市第一人民医院
基金项目:基金: 云南省教育厅科学研究基金资助项目 (2015J054);
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.

关 键 词:综合护理    结肠癌    并发症    生活质量    满意度
收稿时间:0167-02-23

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