探讨延续护理对直肠癌永久性肠造口患者生存质量及自护能力的影响

发布时间：2018-04-27 19:59

本文选题：直肠癌 + 永久性肠造口　；参考：《临床医药文献电子杂志》2016年45期

【摘要】：目的探讨延续护理对直肠癌永久性肠造口患者生存质量及自护能力的影响。方法选取2014年10月~2016年10月在我院外科治疗的50例直肠癌永久性肠造口患者,将其随机分为对照组与观察组,对照组采用常规护理方法,观察组采用延续护理方法,比较两组患者的自护能力、生存质量和心理状态。结果观察组自我护理能力测定量表(ESCA)中自护责任感、健康知识水平、自我护理技能、自我概念得分明显高于对照组,差异有统计学意义(P0.05);观察组生活质量核心量表(QLQ-C30)中躯体功能、角色功能、情绪功能、认知功能、社会功能得分明显高于对照组,差异有统计学意义(P0.05);观察组SCL-90自评量表中躯体化、强迫症状、人际关系敏感、焦虑、抑郁、敌对、恐惧、偏执和精神病性得分明显低于对照组,差异有统计学意义(P0.05)。结论延续护理对直肠癌永久性肠造口患者生存质量及自护能力有积极影响,能够提高患者生活及自护能力,获得良好心理状态,改善预后。
[Abstract]:Objective to explore the effect of continuous nursing on the quality of life and self-care ability of rectal cancer patients with permanent enterostomy. Methods from October 2014 to October 2016, 50 patients with rectal cancer were randomly divided into two groups: the control group and the observation group. The control group was treated with routine nursing method, and the observation group with continuous nursing method. Self-care ability, quality of life and psychological state were compared between the two groups. Results the scores of self-care responsibility, health knowledge, self-nursing skills and self-concept in the observation group were significantly higher than those in the control group. The scores of somatic function, role function, emotional function, cognitive function and social function in the observation group were significantly higher than those in the control group. The scores of somatization, obsessive-compulsive symptoms, interpersonal sensitivity, anxiety, depression, hostility, fear, paranoid ideation and psychosis in the observation group were significantly lower than those in the control group (P 0.05). Conclusion continuous nursing has a positive effect on the quality of life and self-care ability of rectal cancer patients with permanent enterostomy, which can improve the patients' life and self-care ability, obtain a good psychological state and improve the prognosis.
【作者单位】：中日友好医院消化内科;
【分类号】：R473.73

【相似文献】