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        精細(xì)化護(hù)理干預(yù)對腹腔鏡結(jié)直腸癌根治術(shù)患者術(shù)后恢復(fù)與生存質(zhì)量的影響

        2020-12-14 04:20:24段曉丹
        中國現(xiàn)代醫(yī)生 2020年29期

        段曉丹

        [摘要] 目的 分析精細(xì)化護(hù)理干預(yù)對腹腔鏡結(jié)直腸癌根治術(shù)患者術(shù)后恢復(fù)與生存質(zhì)量的影響。方法 選取2017年2月~2019年2月我院收治的行腹腔鏡結(jié)直腸癌根治術(shù)患者120例,應(yīng)用隨機數(shù)字表法分為兩組,對照組(n=60)應(yīng)用常規(guī)護(hù)理干預(yù),觀察組(n=60)強化常規(guī)護(hù)理且應(yīng)用精細(xì)化護(hù)理干預(yù),比較兩組患者術(shù)后恢復(fù)及生存質(zhì)量情況。 結(jié)果 觀察組患者住院時間、麻醉恢復(fù)時間、肛門排氣時間、腸鳴音恢復(fù)時間均短于對照組,差異有統(tǒng)計學(xué)意義(P<0.05)。觀察組患者生理功能、心理狀況、肢體活動、軀體疼痛評分均高于對照組,差異有統(tǒng)計學(xué)意義(P<0.05)。 結(jié)論 臨床上對結(jié)直腸癌根治術(shù)患者配合精細(xì)化護(hù)理能有效改善患者術(shù)后生活質(zhì)量,改善患者睡眠,是一種優(yōu)秀的護(hù)理方法,具有臨床推廣的使用價值。

        [關(guān)鍵詞] 精細(xì)化護(hù)理干預(yù);腹腔鏡結(jié)直腸癌根治術(shù);術(shù)后恢復(fù);生存質(zhì)量

        [中圖分類號] R473.6? ? ? ? ? [文獻(xiàn)標(biāo)識碼] B? ? ? ? ? [文章編號] 1673-9701(2020)29-0182-03

        [Abstract] Objective To analyze the impacts of meticulous nursing intervention on postoperative recovery and life quality of patients undergoing laparoscopic radical resection of colorectal cancer. Methods From February 2017 to February 2019, a total of 120 patients admitted to our hospital and treated by laparoscopic radical resection of colorectal cancer were randomly divided into the control group(n=60) and the observation group(n=60) by random number table method. The control group was treated by routine nursing intervention, while the observation group was treated by strengthened routine nursing and meticulous nursing intervention. The postoperative recoveries and life qualities of the two groups were compared. Results The hospitalization time, anesthesia recovery time, anal exhaust time and bowel sound recovery time in the observation group were shorter than those in the control group, and the differences were statistically significant(P<0.05). The physiological functions, psychological statuses, physical activities and body pain scores of patients in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). Conclusion Clinically, meticulous nursing for patients undergoing radical resection of colorectal cancer effectively promotes the life quality and improves their sleep. It is an excellent nursing method and has the utility of clinical promotion.

        [Key words] Meticulous nursing intervention; Laparoscopic radical resection of colorectal cancer; Postoperative recovery; Life quality

        結(jié)直腸癌是指發(fā)生在結(jié)腸和直腸的惡性腫瘤,也稱作大腸癌。根據(jù)最新的癌癥統(tǒng)計資料,我國2015年新發(fā)結(jié)直腸癌37萬余例,結(jié)直腸癌的發(fā)病率和死亡率在全部惡性腫瘤中排第5位,在北京、上海、廣州等大城市,結(jié)直腸癌的發(fā)病率大約排第2或第3位,結(jié)直腸癌是一種嚴(yán)重威脅人民健康的疾病。因為結(jié)直腸癌早期沒有明顯癥狀,所以不少患者在初次診斷時已經(jīng)處于中晚期,治療比較棘手,因此,結(jié)直腸癌的早期診斷和規(guī)范化治療是提高患者生存質(zhì)量的關(guān)鍵。結(jié)直腸癌根治術(shù)是治療結(jié)直腸癌的常用手段,患者在圍術(shù)期需要護(hù)理人員給予精心的護(hù)理,以調(diào)整身心狀態(tài),準(zhǔn)備手術(shù)及面對術(shù)后康復(fù),常規(guī)護(hù)理逐漸難以滿足日益增長的患者需求,因此需更加有效的護(hù)理方法[1]。目前臨床護(hù)理進(jìn)展迅速,專業(yè)而全面的護(hù)理是業(yè)界的一致追求,將常規(guī)護(hù)理精細(xì)化,在護(hù)理過程中給予更多細(xì)致的干預(yù)措施是一種新型的護(hù)理理念。本研究探討精細(xì)化護(hù)理干預(yù)對腹腔鏡結(jié)直腸癌根治術(shù)患者術(shù)后恢復(fù)與生存質(zhì)量的影響,旨在為臨床護(hù)理的改進(jìn)做出貢獻(xiàn),現(xiàn)報道如下。

        綜上所述,結(jié)直腸癌是常見惡性腫瘤,一般需要根治手術(shù)治療,同時需配合精心的臨床護(hù)理。而精細(xì)化護(hù)理是一種有效的護(hù)理方法,其將臨床護(hù)理細(xì)化、個性化,為患者提供全面、有針對性的護(hù)理方法,提高患者的生存質(zhì)量,具有一定意義的臨床推廣價值。

        [參考文獻(xiàn)]

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        [2] 錢紅英,黃培. 加速康復(fù)護(hù)理對結(jié)直腸癌手術(shù)患者術(shù)后恢復(fù)的影響[J]. 國際護(hù)理學(xué)雜志,2019,38(22):3742-3744.

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        [4] 高慧,彭艷,王梅. 快速康復(fù)護(hù)理聯(lián)合營養(yǎng)支持在結(jié)直腸癌根治術(shù)中的應(yīng)用[J]. 護(hù)理實踐與研究,2019,16(19):83-85.

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        [7] 張曉平,許晶晶. 結(jié)直腸癌造口患者造口周圍性皮炎發(fā)生的相關(guān)因素分析[J]. 護(hù)理實踐與研究,2020,17(1):11-14.

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        [9] RD Bojesen,P Fitzgerald,P Munk-Madsen,et al. Hypoxaemia during recovery after surgery for colorectal cancer:A prospective observational study[J]. Anaesthesia,2019, 74(8):1009-1017.

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        [14] Thomas J George,Aaron J Franke,A Bapsi Chakravarthy,et al. National Cancer Institute (NCI) state of the science:Targeted radiosensitizers in colorectal cancer[J]. Cancer,2019,125(16):2732-2746.

        [15] 韓慧敏,鄭璐,劉靜. 婦產(chǎn)科腹腔鏡手術(shù)患者感染的病原微生物分布與護(hù)理對策[J]. 護(hù)理實踐與研究,2019,16(10):127-129.

        (收稿日期:2020-04-30)

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