积极式个案管理对结肠癌胃肠道功能、情感障碍的影响

目的探究与分析积极式个案管理对结肠癌患者术后胃肠道功能恢复及情感障碍的影响。方法选取我院自2017年6月—2019年6月收治的结肠癌患者110例,采取随机数字表法分为对照组与观察组,每组各55例,对照组给予常规管理,观察组给予积极式个案管理,对比两组患者围术期指标、术后胃肠道功能恢复指标及情感障碍评分。结果观察组与对照组相比胃管留置时间短、肠鸣音恢复时间短、初次排便时间短、初次排气时间短、初次进食流质时间短、初次进食后出现不适患者数少、达到出院标准时间短,组间差异具有统计学意义(P<0.05)。两组管理后与管理前相比HAMA量表及HAMD量表评分均降低,观察组管理后与对照组管理后相比HAMA量表及HAMD量表评分较低,组间差异具有统计学意义(P<0.05)。结论积极式个案管理可有效的促进结肠癌患者术后胃肠道功能恢复,改善其情感方面的障碍。

The Effect of Positive Case Management on Gastrointestinal Function and Affective Disorder in Colon Cancer

Objective To explore and analyze the impact of active case management on the recovery of gastrointestinal function and emotional disorders in patients with colon cancer after surgery.Methods A total of 110 patients with colorectal cancer admitted to our hospital from June 2017 to June 2019 were selected and divided into a control group and an observation group by a random number table,with 55 cases in each group.The control group was given routine management and the observation group was given active case management,and the perioperative indicators,postoperative gastrointestinal function recovery indicators and emotional disorder scores were compared between the two groups.Results Compared with the control group,the observation group had shorter gastric tube indwelling time,shorter recovery time of bowel sounds,shorter first defecation time,shorter first exhaust time,shorter first meal fluid time,fewer patients with discomfort after the first meal,and reached discharge standard time was short,there was statistically difference in the two groups(P<0.05).The scores of the HAMA scale and the HAMD scale in the two groups after management were lower than those before management.The scores of the HAMA scale and the HAMD scale in the observation group after management were lower than those in the control group after management,there was statistically difference in the two groups(P<0.05).Conclusion Active case management can effectively promote the recovery of gastrointestinal function in patients with colon cancer and improve their emotional barriers.