护理干预对直肠癌合并糖尿病手术患者预后影响分析.docVIP

护理干预对直肠癌合并糖尿病手术患者预后影响分析 　　[摘要] 目的 探究护理干预对直肠癌合并糖尿病手术患者预后的效果，为临床提供指导。方法 以2015年6月―2017年6月该院收治的56例直肠癌合并糖尿病手术患者作为观察对象，随机将56例患者分为常规组（28例，应用常规护理干预）、循证组（28例，应用循证护理干预）。研究对比循证组和常规组患者的满意度评分、生活质量评分、心理健康评分及并发症发生率。结果 循证组患者护理后满意度评分（89.78±6.67）分、生活质量评分（81.59±4.77）分相比常规组明显更高，且心理健康评分（19.14±2.22）分较常规组明显更低（P0.05）；循证组患者并发症发生率（7.14%）相比常规组（28.57%）明显更低（P0.05）。结论 对直肠癌合并糖尿病手术患者实施循证护理切实可行，对患者预后具有较积极的作用。 　　[关键词] 护理；直肠癌；糖尿病；手术；预后 　　[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062（2017）10（b）-0003-02 　　[Abstract] Objective To study the effect of nursing intervention on the prognosis of operative patients with rectal carcinoma and diabetes thus providing guidance for the clinic. Methods 56 cases of operative patients with rectal carcinoma and diabetes diagnosed in our hospital from June 2015 to June 2017 were selected as the observation objects and randomly divided into two groups with 28 cases in each， the routine group adopted the routine nursing intervention， while the evidence-based group applied the evidence-based nursing intervention， and the satisfactory degree score， quality of life score， mental health score and incidence rate of complications were compared and researched. Results The nursing satisfactory degree and quality of life score in the evidence-based group were respectively （89.78±6.67）points and （81.59±4.77）points， which were obviously higher than those in the routine group， and the mental health score was （19.14±2.22）points， which was obviously lower than that in the routine group（P0.05）， and the incidence rate of complications in the evidence-based group was obviously lower than that in the routine group（7.14% vs 28.57%）（P0.05）. Conclusion The evidence-based nursing in operative patients with rectal carcinoma and diabetes is feasible， which is of positive significance to the prognosis of patients. 　　[Key words] Nursing； Rectal carcinoma； Diabetes； Operation； Prognosis 　　手?g是治疗癌症的有效手段，但由于直肠癌合并糖尿病的患病人群以老年人群为主，身体机能较差，加上患者合并有糖尿病，更易增加患者术后发生感染等并发症的机率，因此，有必要对患者实施相关护理措施[1]。该院选取2015年6月―20