直肠癌手术患者术后护理体会.docVIP

直肠癌手术患者术后护理体会摘 要 目的：总结直肠癌患者术后的护理经验，提高护理质量和患者的满意度，更好的为患者服务。方法：收治直肠癌患者56例，随机分成对照组和观察组各28例，所有患者均给予手术治疗，对照组进行一般的常规护理。观察组在对照组的基础上加强对术后的心理护理，密切观察导尿管，加强对人工肛门的护理和出院指导。结果：观察组28例经过治疗和护理，术后拔除导尿管时间401±113天，术后肛门排气时间466±146天，住院时间106±24天，患者满意度98%；对照组术后拔除导尿管时间651±141天，术后肛门排气时间678±141天，住院时间164±29天，患者满意度75%；两组比较差异有显著性(P＜005)。结论：对直肠癌患者术后进行精心与规范的护理，有助于提高治疗效果，改善患者的生存质量。 关键词 直肠癌术后 心理护理 人工肛门 导尿管 doi:10.3969/j.issn.1007-614x.2012.14.291 Abstract Objective:To summarize the nursing experience postoperative patients with rectal cancer,improve the quality of nursing and patient satisfaction,better service for patients.Methods:the data of our hospital in May 2010 to June 2011 treatment 56 cases of colorectal cancer patients were divided in the control group and the observation group every 28 patients,all patients were given surgery,and the control group general routine care.The observation group in the control group to strengthen the foundation of the psychological care,closely observe catheters,strengthen the artificial anus nursing and discharge guidance.Results:the observation group 28 patients after treatment and nursing,postoperative urethral catheter withdraw time for 401±113 d,postoperative anal exhaust time 466±146 d,the length of time 106±24 d,patient satisfaction was 98%;The control group postoperative urethral catheter withdraw time for 651±141 d,postoperative anal exhaust time 678±141 d,the length of time 164±29 d,patient satisfaction was 75%;With significant differences between the two groups(P＜005).Conclusion:the colorectal cancer patients carefully and the standard operation of nursing,help to improve the treatment effect and improves the quality of life of the patients. Key Words Rectal cancer Psychological care Artificial anus 直肠癌是消化道常见的恶性肿瘤，手术治疗是首选的治疗方法［1］。2010年5月～2011年6月收治直肠癌患者56例，进行回顾性分析，现报告如下。 资料与方法 2010年5月～2011年6月收治直肠癌患者56例，男36例，女20例，年龄38～61岁，平均493岁。56例患者随机分成对照组和观察组各28例，两组患者在年龄、性别、手术方法、疾病范围等方面差异无显著性。 手术方法：所有病例均行手术治疗，如腹会阴联合