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目的探讨优质护理在结肠癌术后并发肠瘘致腹腔感染患者中的应用效果。方法选取2014年1月—2015年1月万安县人民医院收治的结肠癌术后并发肠瘘致腹腔感染患者84例,随机分为试验组与对照组,各42例。对照组患者予以常规护理,试验组患者予以优质护理。观察两组患者主要致病菌、临床疗效及QLQ-CR38评分。结果结肠癌术后并发肠瘘致腹腔感染患者的主要致病菌为革兰阴性菌,占71.4%;试验组患者临床疗效优于对照组,差异有统计学意义(P<0.05);干预前两组患者身体形象、对未来的期望、泌尿症状、化疗毒副作用、胃肠道症状、与补钾治疗相关问题、体质量减轻评分比较,差异无统计学意义(P>0.05),干预后试验组患者身体形象、对未来的期望评分高于对照组,泌尿症状、化疗毒副作用、胃肠道症状、与补钾治疗相关问题、体质量减轻评分低于对照组,差异有统计学意义(P<0.05)。结论优质护理在结肠癌术后并发肠瘘致腹腔感染患者中的应用效果显著,可有效改善患者临床症状,主要致病菌为革兰阴性菌。
Objective To investigate the effect of high quality nursing in patients with intraperitoneal infection of colon cancer after intestinal fistula. Methods From January 2014 to January 2015, 84 patients with intraperitoneal infection of colon cancer after operation of colorectal cancer who were treated in Wanan County People’s Hospital were randomly divided into test group and control group, with 42 cases in each group. Patients in the control group were given routine care and patients in the test group were given quality care. The main pathogens, clinical curative effect and QLQ-CR38 score of the two groups were observed. Results The main pathogens in patients with intraperitoneal infection of colon cancer complicated with intestinal fistula were Gram-negative bacteria, accounting for 71.4%. The clinical efficacy of the experimental group was better than that of the control group (P <0.05) There was no significant difference in physical appearance, future expectation, urinary symptoms, toxic and side effects of chemotherapy, gastrointestinal symptoms, problems related to potassium treatment and weight loss scores in both groups (P> 0.05) The body image of the group and the expectation of the future were higher than those of the control group, urinary symptoms, toxic and side effects of chemotherapy, gastrointestinal symptoms, problems associated with potassium treatment, and body weight loss scores were lower than those of the control group (P <0.05). Conclusion The application of high-quality nursing in patients with intraperitoneal infection of colon fistula complicated with intestinal fistula is effective and can effectively improve the clinical symptoms of patients. The main pathogens are Gram-negative bacteria.