早期预测性护理对结直肠癌手术后患者并发症及生活质量的影响
Influence of Early Predictive Nursing on Complications and Quality of Life in Patients after Colorectal Cancer Surgery.
作者信息
Gao Jing, Zhang Qiuyang, Zhao Xiaolin, Gao Wei
机构信息
Nursing Support Center Department, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Nursing Department, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
出版信息
Evid Based Complement Alternat Med. 2022 Jun 8;2022:8410664. doi: 10.1155/2022/8410664. eCollection 2022.
OBJECTIVE
To analyze the effect of early predictive nursing on complications and quality of life in patients after colorectal cancer surgery.
METHODS
A total of 130 patients with colorectal cancer who were diagnosed and underwent surgical resection in our hospital from 2019 to 2021 were recruited and assigned via the random number table method (1 : 1) to receive either conventional nursing (routine group) or predictive nursing (study group). Outcome measures included the incidence of complications and the quality of life.
RESULTS
Predictive nursing was associated with shorter operation time and hospital stay and less blood loss (2.35 ± 0.41, 9.32 ± 1.86, and 70.52 ± 16.52) versus conventional nursing (3.02 ± 0.78, 11.20 ± 2.14, and 81.51 ± 17.74) (all < 0.05). Patients in the study group showed a lower incidence of complications than the control group (10.76% vs 35.38%) (all < 0.05). Predictive nursing resulted in better anxiety relief than conventional nursing ( < 0.05). Predictive nursing was associated with higher emotional function, cognitive function, role function, and physical function scores (83.51 ± 12.56, 82.45 ± 9.15, 82.48 ± 10.46, 84.43 ± 13.48, and 82.73 ± 9.67) than conventional nursing (73.85 ± 13.54, 72.54 ± 12.74, 72.48 ± 10.45, 73.99 ± 14.51, and 72.45 ± 11.69) (all < 0.05). Patients receiving predictive nursing showed a significantly higher nursing satisfaction versus conventional nursing ( < 0.05).
CONCLUSION
Early predictive nursing for patients receiving colorectal cancer surgery can lower the incidence of complications, effectively improve the quality of life of patients, shorten the hospital stay, reduce the amount of bleeding, and enhance the satisfaction of patients.
目的
分析早期预见性护理对结直肠癌术后患者并发症及生活质量的影响。
方法
选取2019年至2021年在我院确诊并接受手术切除的130例结直肠癌患者，采用随机数字表法（1∶1）分为两组，分别接受常规护理（常规组）或预见性护理（研究组）。观察指标包括并发症发生率和生活质量。
结果
与常规护理相比，预见性护理的手术时间更短、住院时间更短、失血量更少（分别为2.35±0.41、9.32±1.86、70.52±16.52）（均<0.05），而常规护理分别为（3.02±0.78、11.20±2.14、81.51±17.74）。研究组患者的并发症发生率低于对照组（10.76%比35.38%）（均<0.05）。与常规护理相比，预见性护理在缓解焦虑方面效果更好（<0.05）。与常规护理相比，预见性护理的情感功能、认知功能、角色功能和身体功能得分更高（分别为83.51±12.56、82.45±9.15、82.48±10.46、84.43±13.48和82.73±9.67），常规护理分别为（73.85±13.54、72.54±12.74、72.48±10.45、73.99±14.51和72.45±11.69）（均<0.05）。接受预见性护理的患者护理满意度显著高于常规护理（<0.05）。
结论
对结直肠癌手术患者实施早期预见性护理可降低并发症发生率，有效提高患者生活质量，缩短住院时间，减少出血量，并提高患者满意度。
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