直肠癌Miles术后结肠造口的心理护理体会

目的探讨直肠癌患者经Miles手术后结肠造口的心理护理效果。方法对2010年5月至2012年5月在我院外科收治的74例直肠癌结肠造口患者随机分为对照组和观察组，每组各有37例，对照组采用常规治疗护理，观察组在对照组的基础上在术后1个月内对患者进行多种形式的心理护理干预（包括治疗环境护理、健康教育护理以及细节护理），对两组患者的疗效满意度进行评价。结果观察组心理护理干预后SAS评分和SDS评分均明显优于对照组（P〈0．05），观察组心理护理干预后其SF-36生活质量量表各维度评分均明显高于对照组（P〈0．05）。结论准确分析直肠癌Miles术后结肠造口患者的心理问题，并进行心理干预可以有效的改善患者心理状态、提高术后生活质量。

Psychological nursing experience on colostomy after rectal Miles

Objective To investigate the effect of psychological nursing care for rectal cancer patients af- ter Miles operation colostomy. Method 74 patients with rectal cancer colostomy from May 2010 to May 2012 ad- mitted to our hospital were randomly divided into a control group and the observation group, 37 cases for each group, the control group was given conventional treatment care, the observation group was given various forms of psychological care intervention （including treatment of environmental care, health education, care and detail care） on the basis of control group .The efficacy of the two groups and the patients＇ satisfaction were evaluated. Resulta The scores of SAS and SDS scores in the psychological nursing care after the intervention of the observation group were significantly better than those of the control group （P〈0.05）, the observation group after the intervention of psychological care scale scores of the SF-36 quality of life was significantly higher than that in the control group （P〈0.05）.Conclusion The accurate analysis of the Miles operation for rectal cancer patients with colostomy psy- chological problems and psychological intervention can be effective to improve the patients＇ mental state and their quality of life.