摘要
目的分析基于赋能理论的多维护理对腹腔镜结肠癌术后患者应激反应及术后康复的影响。方法按随机数字表法将2019年3月至2022年12月河南省中医院收治的88例腹腔镜结肠癌术后患者分为两组(各44例)。对照组接受常规护理干预,观察组接受基于赋能理论的多维护理干预。比较两组患者手术前后应激反应水平[肿瘤坏死因子-α(TNF-α)、白介素-6(IL-6)、皮质醇(Cor)]、康复情况、术后并发症和生活质量评分。结果术后两组IL-6、TNF-α、Cor水平均升高,但观察组IL-6、TNF-α、Cor水平低于对照组(P<0.05);观察组肛门通气时间、首次下床时间、住院总时长和首次排便时间均短于对照组(P<0.05);干预后1个月两组生活质量总得分均升高,且观察组高于对照组(P<0.05);观察组术后并发症发生率低于对照组(4.54%比18.18%)(P<0.05)。结论基于赋能理论的多维度护理能有效减轻腹腔镜结肠癌患者围手术期的应激反应,加快术后康复,减少并发症发生,提高生活质量。
Objective To explore the influence of multi-dimensional nursing based on the empowerment theory on the stress response and postoperative rehabilitation of patients with laparoscopic colon cancer.Methods Eighty-eight patients undergoing laparoscopic colon cancer surgery in Henan Provincial Hospital of Traditional Chinese Medicine from March 2019 to December 2022 were divided into two groups(44 cases each)according to random number table.The control group received routine nursing intervention,and the observation group received multi-dimensional nursing intervention.Stress response levels[tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),cortisol(Cor)],rehabilitation,postoperative complications and quality of life scores were compared in two groups.Results The levels of IL-6,TNF-αand Cor were increased between the two groups after surgery,but the levels of IL-6,TNF-αand Cor in the observation group were lower than those in the control group(P<0.05).The anal ventilation time,the first time to get out of bed,the total length of hospital stay and the first defecation time of the observation group were shorter(P<0.05).The scores of quality of life in both groups increased one month after surgery,and the scores in the observation group was higher(P<0.05).The incidence of postoperative complications in the observation group was lower compared with the control group(4.54%vs 18.18%)(P<0.05).Conclusion The multi-dimensional nursing based on the empowerment theory can effectively reduce the stress response in the perioperative period of laparoscopic colon cancer patients,accelerate postoperative rehabilitation,reduce complications and improve the quality of life.
作者
张威
宋国娥
ZHANG Wei;SONG Guoe(General Surgery Department,Henan Provincial Hospital of Traditional Chinese Medicine,Zhengzhou 450000,China)
出处
《河南医学研究》
CAS
2024年第18期3439-3443,共5页
Henan Medical Research
关键词
赋能理论
多维护理
结肠癌
应激反应
术后康复
empowerment theory
multi-dimensional nursing
colon cancer
stress response
rehabilitation after surgery
