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莫小雨,黄丽云,李冬梅,陈兰.延续护理对直肠癌预防性肠造口术患者生活质量的影响[J].中国医药科学,2020,(1):203-205        基金项目:
延续护理对直肠癌预防性肠造口术患者生活质量的影响
Effects of continuous nursing on quality of life of patients with preventive colostomy for rectal cancer
  
DOI:
中文关键词:  延续护理;预防性肠造口术;直肠癌根治术;生活质量
英文关键词:Continuing nursing;Preventive colostomy;Radical rectal cancer surgery;Quality of life
作者单位
莫小雨,黄丽云,李冬梅,陈兰 广东省茂名市电白区人民医院外四科,广东茂名 525400 
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中文摘要:
      [摘要] 目的 探讨延续护理对直肠癌预防性肠造口术患者生活质量的影响。 方法 选取 2015 年 7 月~ 2018年 6 月在我院行直肠癌预防性肠造口术的患者 100 例,按随机数字表法分为观察组和对照组,每组 50 例。对照组给予传统护理干预,观察组在此基础上给予延续护理干预。比较基线期与干预后两组癌症患者生命质量测定量表体系之大肠癌量表(QLICP-CR)得分。 结果 基线期,两组心理功能得分、社会功能得分、躯体功能得分、共性症状及副作用得分、尿路症状得分、特异躯体症状得分、特异心理反映得分、尿袋问题得分、性功能问题得分及 QLICP 总分比较,差异无统计学意义(P > 0.05);干预后,观察组心理功能得分、社会功能得分及躯体功能得分显著高于对照组,观察组共性症状及副作用得分、尿路症状得分、特异躯体症状得分、特异心理反映得分、尿袋问题得分、性功能问题得分、QLICP-CR 总分显著低于对照组,差异有统计学意义(P < 0.05)。 结论 与单纯传统护理相比,延续护理可改善直肠癌预防性肠造口术患者生活质量。
英文摘要:
      [Abstract] Objective To explore the effects of continuous nursing on the quality of life of patients with prophylactic colostomy for rectal cancer. Methods A total of 100 patients undergoing prophylactic colostomy for rectal cancer in our hospital between July 2015 and June 2018 were selected and divided into observation group and control group by random number table method,with 50 cases in each group.The control group was given traditional nursing intervention,and the observation group was given continuous nursing intervention on this basis. The scores of the Quality of Life Instruments for Cancer Patients-Colorectal Cancer(QLICP-CR)of the two groups were compared at baseline and after intervention. Results In the baseline period,there was no statistical difference between the two groups in the psychological function score,social function score,physical function score,common symptoms and side effects score,urinary tract symptom score,specific somatic symptom score,specific psychological response score,urine bag problem score,sexual function problem score and QLICP total scores(P > 0.05).After the intervention,the psychological function score,social function score,and physical function score of the observation group were significantly higher than those of the control group;the common symptom and side effect score,urinary tract symptom score,specific somatic symptom score,specific psychological response score,urine bag problem score,sexual function problem score,and QLICP-CR total score of the observation group were significantly lower than those of the control group,and the differences were statistically significant(P < 0.05). Conclusion Compared with traditional nursing,continuous nursing can improve the quality of life of patients with preventive colostomy for rectal cancer.
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