延续性护理对直肠癌经肛内镜切除术后患者排便功能的影响(1)
【摘要】 目的 探讨延续性护理对直肠癌经肛内镜切除术后患者排便功能及生活质量的影响。方法 19例直肠癌经肛内镜切除术后患者作为研究对象， 通过随机数字表将其分为对照组(9例)及实验组(10例)， 对照组采用常规护理， 实验组在常规护理基础上采用延续性护理， 比较两组护理效果。结果 与对照组比较， 实验组术中出血量、术后肛门排气时间、术后住院时间均明显缩短， 差异具有统计学意义(P<0.05)；术后1个月， 实验组Wexner评分(8.5±2.6)分、徐忠法评分优良率90.00%均明显高于对照组(11.1±2.5)分、44.44%， 差异具有统计学意义(P<0.05)。结论 在直肠癌经肛内镜切除术后患者的护理中采用延续性护理方法， 能够有效改善患者的排便功能， 进一步增强患者的控便能力， 提高患者的日常生活质量， 值得推广。
【关键词】 延续性护理；经肛内镜切除术；直肠癌；排便功能
DOI：10.14163/j.cnki.11-5547/r.2017.12.075
【Abstract】 Objective To investigate influence by continuous nursing on defecation function and quality of life in patients after transanal endoscopic excision of rectal cancer. Methods A total of 19 patients after transanal endoscopic excision of rectal cancer as study subjects were divided by random number table into control group (9 cases) and experimental group (10 cases). The control group received conventional nursing， and the experimental group received additional continuous nursing to conventional nursing. Nursing effects were compared between the two groups. Results Comparing with the control group， the experimental group had obviously less intraoperative bleeding volume， and shorter postoperative anus exhaust time and postoperative hospital stay time. Their difference had statistical significance (P<0.05). In postoperative 1 month， the experimental group had Wexner score as (8.5±2.6) points and good rate of Xu Zhongfa score as 90.00%， which were all higher than (11.1±2.5) points and 44.44% in the control group. Their difference had statistical significance (P<0.05). Conclusion Implement of continuous nursing in nursing for patients after transanal endoscopic excision of rectal cancer can effectively improve defecation function and further enhance defecation control ability. This method can improve quality of life in patients， and it is worth promoting.
【Key words】 Continuous nursing； Transanal endoscopic excision； Rectal cancer； Defecation function
自然腔道內镜手术是一种内镜外科新技术， 即经人体自然腔道置入内镜到达腹腔， 在内镜下完成各种手术操作， 从而达到腹壁无瘢痕， 术后疼痛更轻、住院时间更短的效果， 为微创手术发展的新方向[1-5]。初步证实该手术较为安全可行， 不影响肿瘤的根治性， 较传统开放手术更具微创效果[6-10]， 但是手术过后， 患者康复时间较长， 尤其是在出院之后， 由于缺乏相关认知， 这导致患者生活质量不高。为进一步分析延续性护理对直肠癌患者术后排便功能及生活质量的影响。本文选择19例直肠癌经肛内镜切除术后患者作为研究对象， 现汇报如下。
1 资料与方法
1. 1 一般资料 选取2010年1月～2016年1月本院收治的19例直肠癌经肛内镜切除术后患者作为研究对象， 患者均符合直肠癌的诊断标准， 无严重并发症， 可以接受手术， 并签署相关协议。通过随机数字表将患者分为对照组(9例)及实验组(10例)。实验组男4例， 女6例， 年龄27～77岁， 平均年龄(58.21±7.57)岁。对照组男3例， 女6例， 年龄27～78岁， 平均年龄(58.29±7.41)岁。两组患者性别、年龄等一般资料比较， 差异无统计学意义(P>0.05)， 具有可比性。, 百拇医药(李峙)
【关键词】 延续性护理；经肛内镜切除术；直肠癌；排便功能
DOI：10.14163/j.cnki.11-5547/r.2017.12.075
【Abstract】 Objective To investigate influence by continuous nursing on defecation function and quality of life in patients after transanal endoscopic excision of rectal cancer. Methods A total of 19 patients after transanal endoscopic excision of rectal cancer as study subjects were divided by random number table into control group (9 cases) and experimental group (10 cases). The control group received conventional nursing， and the experimental group received additional continuous nursing to conventional nursing. Nursing effects were compared between the two groups. Results Comparing with the control group， the experimental group had obviously less intraoperative bleeding volume， and shorter postoperative anus exhaust time and postoperative hospital stay time. Their difference had statistical significance (P<0.05). In postoperative 1 month， the experimental group had Wexner score as (8.5±2.6) points and good rate of Xu Zhongfa score as 90.00%， which were all higher than (11.1±2.5) points and 44.44% in the control group. Their difference had statistical significance (P<0.05). Conclusion Implement of continuous nursing in nursing for patients after transanal endoscopic excision of rectal cancer can effectively improve defecation function and further enhance defecation control ability. This method can improve quality of life in patients， and it is worth promoting.
【Key words】 Continuous nursing； Transanal endoscopic excision； Rectal cancer； Defecation function
自然腔道內镜手术是一种内镜外科新技术， 即经人体自然腔道置入内镜到达腹腔， 在内镜下完成各种手术操作， 从而达到腹壁无瘢痕， 术后疼痛更轻、住院时间更短的效果， 为微创手术发展的新方向[1-5]。初步证实该手术较为安全可行， 不影响肿瘤的根治性， 较传统开放手术更具微创效果[6-10]， 但是手术过后， 患者康复时间较长， 尤其是在出院之后， 由于缺乏相关认知， 这导致患者生活质量不高。为进一步分析延续性护理对直肠癌患者术后排便功能及生活质量的影响。本文选择19例直肠癌经肛内镜切除术后患者作为研究对象， 现汇报如下。
1 资料与方法
1. 1 一般资料 选取2010年1月～2016年1月本院收治的19例直肠癌经肛内镜切除术后患者作为研究对象， 患者均符合直肠癌的诊断标准， 无严重并发症， 可以接受手术， 并签署相关协议。通过随机数字表将患者分为对照组(9例)及实验组(10例)。实验组男4例， 女6例， 年龄27～77岁， 平均年龄(58.21±7.57)岁。对照组男3例， 女6例， 年龄27～78岁， 平均年龄(58.29±7.41)岁。两组患者性别、年龄等一般资料比较， 差异无统计学意义(P>0.05)， 具有可比性。, 百拇医药(李峙)