个性化干预对高龄直肠癌Miles术后结肠造口患者的效果分析

发布时间：2018-02-15 23:18

本文关键词： 个性化干预直肠癌Miles术结肠造口高龄患者临床效果　出处：《中国内镜杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的研究个性化干预对高龄直肠癌腹会阴联合直肠癌根治术(Miles术)后结肠造口患者的临床效果。方法研究对象选取该院2014年6月-2016年1月收治的行直肠癌Miles术后结肠造口的高龄患者114例,采用随机数字法将其分为对照组和观察组,每组各57例,对照组患者给予常规干预,观察组患者则联合个性化干预,比较两组患者的各种并发症发生率、干预满意度及生存质量评分。同时比较两组患者干预前自护能力评分。结果观察组的总并发症发生率(5.25%)明显低于对照组(22.80%)(χ~2=8.36,P=0.000),观察组的总干预满意度(91.23%)明显高于对照组(75.44%)(χ~2=6.60,P=0.010),干预后,观察组的自护能力评分和生存质量评分明显高于对照组(P0.01)。结论采用个性化干预可减少高龄直肠癌Miles术后结肠造口患者各种并发症发生,对患者的生存质量及自护能力均有明显提高,且可有效缓解负面情况,提高患者对干预的满意度,具有较高的开展价值,值得在临床推广。
[Abstract]:Objective to study the clinical effect of individualized intervention on elderly patients with rectal cancer after abdominal perineum combined with radical resection of rectal cancer after colostomy. Methods the subjects were selected from June 2014 to January 2016 after Miles operation for rectal cancer. 114 elderly patients with colostomy, They were divided into control group and observation group with 57 cases in each group. The patients in the control group were given routine intervention, and the patients in the observation group were combined with individualized intervention to compare the incidence of complications between the two groups. The scores of intervention satisfaction and quality of life were also compared between the two groups before intervention. Results the incidence of total complications in the observation group was significantly lower than that in the control group (蠂 ~ 2 / 2 ~ (8.36) P ~ (0.000) P ~ (0.000)). The total intervention satisfaction degree of the observation group was significantly higher than that of the control group (蠂 ~ (26.60) P ~ (0.010)). After the intervention, the total intervention satisfaction degree in the observation group was significantly higher than that in the control group (蠂 ~ (26.60) P ~ (0.010)). The scores of self-care ability and quality of life in the observation group were significantly higher than those in the control group (P 0.01). Conclusion individualized intervention can reduce the incidence of various complications in the elderly patients with colorectal cancer after colostomy after Miles. It can significantly improve the quality of life and self-care ability of patients, and can effectively alleviate the negative situation, improve the patients' satisfaction with the intervention, has a higher value of development, and is worthy of clinical promotion.
【作者单位】：四川省遂宁市中心医院伤口造口门诊;
【分类号】：R473.73

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