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目的探讨优化护理干预对大肠癌手术患者术后康复的影响。方法选择2013年1月—2015年1月本院收治的88例大肠癌患者作为研究对象,所有患者均行手术治疗,利用数字随机法将患者分为对照组和观察组各44例。其中对照组患者术后进行常规护理,观察组患者术后则在常规护理的基础上进行优化护理干预,比较两组患者的恢复情况。计量资料比较采用t检验,计数资料比较采用χ2检验,P<0.05为差异有统计学意义。结果观察组患者术后肛门首次排气、下床活动及住院时间[(2.03±1.04)、(3.07±0.91)、(9.01±2.33)d]均短于对照组[(3.97±1.41)、(4.69±1.39)、(12.22±2.29)d],差异均有统计学意义(均P<0.05)。观察组患者血清免疫球蛋白、T细胞亚群指标等情况[(55.03±6.21)、(39.87±8.09)、(28.31±7.39)、(2.21±0.71)、(10.55±3.29)、(1.77±0.69)g/L]均优于对照组[(51.21±9.44)、(33.41±8.05)、(25.17±7.03)、(1.93±0.35)、(8.37±3.01)、(1.14±0.27)g/L],差异均有统计学意义(均P<0.05)。结论优化护理干预较常规护理对大肠癌手术患者的护理效果更好,缩短了患者首次肛门放气、下床活动及出院时间,加快了患者围术期免疫功能的恢复,有效降低患者术后并发症的发生率,提高了术后的生活质量,值得推荐。
Objective To investigate the effect of optimized nursing intervention on postoperative rehabilitation of patients with colorectal cancer. Methods Eighty-eight patients with colorectal cancer admitted to our hospital from January 2013 to January 2015 were enrolled in this study. All patients underwent surgical treatment. The patients were divided into control group and observation group by digital random method. The patients in the control group were given routine care after operation, and the patients in the observation group were given optimized nursing interventions after routine nursing care. The recovery of the two groups was compared. Measurement data were compared using t test, count data were compared using χ2 test, P <0.05 for the difference was statistically significant. Results The first postoperative anal exhaust, ambulation and length of hospital stay in the observation group were shorter than those in the control group [(2.03 ± 1.04), (3.07 ± 0.91), (9.01 ± 2.33) d [(3.97 ± 1.41, 4.69 ± 1.39, and (12.22 ± 2.29) d, respectively) (all P <0.05). Serum immunoglobulin and T cell subsets in the observation group were significantly higher than those in the control group [(55.03 ± 6.21), (39.87 ± 8.09), (28.31 ± 7.39), (2.21 ± 0.71), (10.55 ± 3.29), (1.77 ± 0.69 ) were significantly higher than those in the control group [(51.21 ± 9.44), (33.41 ± 8.05), (25.17 ± 7.03), (1.93 ± 0.35), (8.37 ± 3.01), (1.14 ± 0.27) g / , The differences were statistically significant (all P <0.05). Conclusion Compared with the routine nursing, the optimized nursing intervention is more effective in nursing patients with colorectal cancer surgery, shortening the time of first anus deflation, getting out of bed and discharging time, speeding up the recovery of perioperative immune function, reducing the postoperative complications The incidence of disease, improve postoperative quality of life, it is recommended.