延续护理对永久性肠造口患者生存质量及并发症的影响

目的探讨延续护理干预对直肠癌术后永久性肠造口患者生存质量及预后的影响。方法选取接受永久性肠造口的直肠癌患者128例,随机分为干预组和对照组。干预组患者出院后接受延续护理,对照组只接受常规出院护理指导。比较两组患者出院6个月后造口自我护理能力及造口相关知识掌握程度、生存质量及肠造口并发症的差异。结果干预组患者出院6个月后在造口自我护理能力、造口相关知识掌握程度、生存质量均高于对照组(P<0.05),肠造口并发症的总发生率低于对照组(P<0.01),术后随访6个月两组患者累积无造口不良事件生存率差异有统计学意义(91.9%vs 63.8%,P=0.001)。结论延续护理干预可促进永久性肠造口患者掌握造口护理知识、提升自我护理能力,提高患者的生存质量并减少肠造口并发症的发生,是行之有效的干预方法。

Effects of Transitional Nursing Care on Quality of Life and Complications of Patients with Rectal Cancer after Ostomy

Objective To investigate the effects of transitional nursing care on quality of life and prognosis of patients with rectal cancer after ostomy. Methods 128 rectal cancer patients treated with miles operations in our hospital were enrolled and randomly divide into two groups： control group and experimental group in which patients accept transitional nursing care after discharged from hospital. Self-nursing ability, proficiency in nursing knowledge about ostomy, quality of life （QOL） scores and ostomy complications in patients 6 months after discharged from hospital were measured and compared between two groups. Results The intervention group were discharged from hospital six months after the stoma self-care, ostomy related knowledge level of quality of life were higher （P〈0.05）, the overall incidence of intestinal stoma complications than the control group （P〈0.01）, and were followed up for 6 months cumulative adverse no stoma patients were event-free survival difference was statistically significant （91.9% vs 63.8%, P=0.001）. Conclusions Transitional nursing care can promote patients nursing knowledge about ostomy, increase their self-care ability and QOL, and reduce incidence rate of ostomy complications.