综合康复治疗对直肠癌Miles术后恢复期患者生存质量的影响

目的探讨综合康复治疗对直肠癌Miles术后恢复期患者生存质量的影响。方法54例直肠癌Miles术后患者,其中32例（治疗组）于术后2周始给予人工肛门综合护理、性生活指导及心理干预等康复治疗。22例（对照组）只给予人工肛门一般性护理指导。利用症状自评量表（SCL-90）、Olson婚姻质量问卷（ENRICH）分别于术后2周及6个月对二组患者生存质量进行评估。结果综合康复治疗组人际关系敏感因子分、抑郁因子分较治疗前均明显降低（P〈0.05）,性生活因子分明显升高（P〈0.05）。对照组差异无显著性（P〉0.05）。结论综合康复治疗能改善Miles术后患者的生存质量。

Effects of the comprehensive rehabilitation programme on the quality of life of the patients with carcinoma rectum in post-Miles operation during the period of convalescence

Objective To explore effects of comprehensive rehabilitation programme on the quality of life of the pa- tients with carcinoma rectum in post-Miles operation during the period of convalescence. Methods 54 patients with carcino- ma rectum in post-Miles operation during the period of convalescence were randomly enrolled into rehabilitation group （n=32） and control group （n=22）.The former were assigned to receive the treatment of comprehensive rehabilitation at 2 weeks after Miles-operation and the latter were assigned to receive only general nursing care. The quality of life of them were respectively assessed with the SCL-90 and ENRICH scores at 2 weeks and 6 months after operation. Results The scores of interpersonal sensitivity and depression in the group of comprehensive rehabilitation were significantly lower after rehabilitated than those of before rehabilitated （/~〈0.05） and sexual lifestyle scores were significantly higher after rehabilitated （P〈0.05）, hut in the control group did not change （P〉0.05）. Conclusion The comprehensive rehabilitation programme could improve the quality of life of the patients with carcinoma rectum in post-Miles operation during the period of convalescence.