心理护理和造口护理在直肠癌术后结肠造口患者中应用效果.docVIP

心理护理和造口护理在直肠癌术后结肠造口患者中应用效果 　　[摘要] 目的 探讨心理护理和造口护理在直肠癌术后结肠造口患者中的应用效果。 方法 选取本院2011年10月～2014年11月诊治的36例直肠癌术后结肠造口患者作为研究对象，随机分为试验组与对照组，各18例。对照组给予遵医用药、病情观察、口头健康宣教、解答患者疑问等常规护理管理，试验组在对照组的基础上加强造口护理和心理护理。比较两组的住院时间、排便不适发生率、排便规律发生率、不良反应发生率及护理满意度。 结果 试验组的住院时间为（14.68±1.52） d，显著短于对照组的（22.63±1.93） d，差异有统计学意义（P0.05）。试验组的排便不适发生率显著低于对照组，差异有统计学意义（P0.05）。试验组的排便规律发生率显著高于对照组，差异有统计学意义（P0.05）。试验组的不良反应发生率为5.56%，显著低于对照组的33.33%，差异有统计学意义（P0.05）。试验组的护理满意度为94.44%，显著高于对照组的66.67%，差异有统计学意义（P0.05）。 结论 心理护理和造口护理在直肠癌术后结肠造口患者中的应用效果显著，能够有效改善患者的排便状况，降低不良反应发生率，提高护理满意度。 　　[关键词] 直肠癌；结肠造口；护理措施；护理效果 　　[中图分类号] R735.3+7 [文献标识码] A [文章编号] 1674-4721（2015）05（b）-0179-03 　　Application effect of psychological nursing and colostomy nursing in patients with colostomy after rectal cancer operation 　　WANG Dong-ying 　　Department of Surgery，the Fifth People′s Hospital of Foshan City in Guangdong Province，Fushan 528211，China 　　[Abstract] Objective To explore the application effect of psychological nursing and colostomy nursing in patients with colostomy after rectal cancer operation. Methods 36 patients with colostomy after rectal cancer operation in our hospital from October 2011 to November 2014 were selected and randomly divided into the study group and the control group，18 cases in each group.The control group was given routine nursing management such as medicine taking as doctors′suggestions，disease observation，oral health publicity，answering the patients′questions and so on.The study group was strengthened the psychological nursing and colostomy nursing on the basis of the control group.The hospital stays，the incidence rate of defecation discomfort and regular defecation，tha incidence rate of adverse reaction，the degree of nursing satisfaction in two groups was compared respectively. Results The hospital stays in the study group was （14.68±1.52） d，which was shorter than （22.63±1.93） d in the control group，with significant difference（P 　　[Key words] Rectal cancer；Colostomy；Nursing measures；Nursing effect 　　随着生活环境