摘要
[ 摘要 ] 目的 探讨直肠癌术后结肠造口患者的临床护理经验。方法 随机选取该院收治的直肠癌结肠造口患者 60 例，平均分为观察组 30 例，对照组 30 例，对照组采取常规手术护理方式，观察组在对照组的基础上进行全程护理，对两组患者心理状态、造口自我护理能力、造口并发症发生率、排便规律性等指标进行观察记录。结果 观察组发生悲观、抑郁等异常心理者为 7 例，显著优于对照组 16 例，（ P<0.05 ），观察组发生造口水肿 1 例，刺激性皮炎 1 例，对照组发生造口坏死 1 例，造口水肿 2 例，造口出血 5 例，刺激性皮炎 2 例，观察组在并发症发生率方面显著优于对照组（ P<0.05 ），观察组患者掌握造口自我护理技巧的程度及人数均高于对照组（ P<0.05 ）。 结论 直肠癌术后结肠造口患者可采取全程综合护理干预，能够显著提高患者生活质量。
[ 关键词 ] 直肠癌；结肠造口；护理
[abstract] Objective To explore the clinical nursing experience of patients with colostomy after rectal cancer operation. Methods 60 patients with rectal cancer undergoing colostomy in our hospital were randomly selected and divided into observation group (30 cases) and control group (30 cases). The control group was given routine surgical nursing. The observation group was given whole-course nursing on the basis of the control group. The psychological status, self-care ability of the patients, the incidence of stoma complications and the regularity of defecation of the two groups were observed and recorded. Results There were 7 cases of pessimism and depression in the observation group, which was significantly better than 16 cases in the control group (P < 0.05). There were 1 case of edema of stoma, 1 case of irritant dermatitis in the observation group, 1 case of necrosis of stoma in the control group, 2 cases of edema of stoma, 5 cases of bleeding of stoma and 2 cases of irritant dermatitis in the observation group. The incidence of complications in the observation group was significantly better than that in the control group (P < 0.05). The degree and number of self-nursing skills of stoma grip were higher than those of control group (P < 0.05). Conclusion Comprehensive nursing intervention can be adopted in patients with colostomy after rectal cancer operation, which can significantly improve the quality of life of patients.
出版日期
2019年01月11日（中国期刊网平台首次上网日期，不代表论文的发表时间）
