造口治疗师对Miles术后患者实施护理干预的效果

目的评价造口治疗师实施的护理干预对Miles患者焦虑、抑郁和生命质量的影响。方法选择2008年7月—2009年6月在我院行Miles术的直肠癌患者88例,随机分为干预组和对照组各44例。干预组由造口治疗师（Enterostomeal Therapist,ET）给予专科护理,对照组实施常规护理,分别在手术前和出院前应用焦虑自评量表（SAS）和抑郁自评量表（SDS）进行干预效果评价;术后1个月进行造口自我护理情况和生命质量评定。结果两组患者干预前后焦虑、抑郁得分比较差异有统计学意义（P〈0.01）;两组患者生命质量中躯体功能、角色功能、情绪功能、认知功能、社会认知、总健康状况、失眠、体形、未来看法和与人工肛门有关问题,差异有统计学意义（P〈0.01）;两组患者在造口自理程度、造口位置合适度、造口周围皮肤完整度、并发症和现有健康知识应对康复问题情况方面,差异有统计学意义（P〈0.05）。结论由ET介导的专科护理可以更好的减轻患者焦虑、抑郁状况,降低造口并发症,提高Miles患者生命质量。

Effect evaluation of nursing intervention of enterostomal therapists in Miles patients

Objective To evaluate the effect of nursing intervention of enterostomal therapist(ET) on anxiety,depression and quality of life of Miles patients.Methods Total 88 Miles patients with rectal cancer in our hospital from July 2008 to June 2009 were selected and randomly divided into the intervention group(n=44,receiving ET nursing) and the control group(n=44,receiving routine nursing).The Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS) were used to evaluate all the patients preoperation a...