摘要
目的探讨术前和术后对行Miles根治术的患者实施排便护理干预提高患者造口自我管理能力的效果。方法将92例患者按照住院时间分为观察组和对照组。观察组术前即开始接受针对排便方式改变的护理干预;对照组只在手术后接受排便干预。干预结束后,两组患者采用VAS视觉模拟尺测评造口自我管理能力。研究人员在患者出院3、6、9个月和1年时进行电话随访,获取患者对结肠造口自我管理能力的自测分数。结果共87例患者完成所有随访。出院时、出院后3个月及出院后1年,两组造口自我管理能力得分的差异无统计学意义。在出院后6个月和9个月时,两组造口自我管理能力得分的差异有统计学意义(P<0.05)。两组患者出院6个月后造口自我管理能力逐渐提高,得分均高于出院时和出院后3个月。结论 Miles根治术患者术前还是术后开始接受新的排便方式的护理干预,对患者出院时的造口管理能力影响不大,但术前接受干预对出院后造口管理能力的提高有更为积极的作用。何时开始干预需要根据患者的具体需求确定。
Objective To evaluate the effect of nursing intervention on self-care behaviors of stoma in patients after radical surgery for rectal cancer and colostomy. Methods Ninety-two rectal cancer patients were divided into two groups. The pa-tients in the experimental group received continuous nursing intervention on defecation preoperatively and postoperatively,while the patients in the control group received nursing intervention on defecation only postoperatively. The patients＇ self-care behaviors of stoma were assessed with visual analog scale（VAS） by telephone follow-up at 0,3,6,9 and 12 months after discharge. Results Eighty-seven patients completed all the follow-up. There were significant differences in the scores of self-care behaviors at 6 and 9 months after discharge between the two groups（P0.05）,while no significant difference was found at 0,3 and 12 months after discharge（P0.05）. The patients in both group got higher scores at 6,9 and 12 months than 0 and 3 months after discharge. Conclusion Initiation of nursing intervention on defecation preoperatively in patients before or after radical surgery for rectal cancer showed similar effect on patients＇ self-care capability of stoma. However,intervention started before the surgerg was more beneficial for patients＇ improvement of self-care behaviors of stoma after discharge. Start time of intervention should be determined according to the need of the individual.
出处
《中华护理杂志》
CSCD
北大核心
2010年第7期588-590,共3页
Chinese Journal of Nursing
