黄彩英+陈丽明+郭锦缎+林春虾

[摘要] 目的 研究對直肠癌结肠造瘘口患者提供围手术期人文关怀护理干预对患者自我护理能力的影响。方法 方便选取2015年8月—2017年2月间在该院行直肠癌结肠造瘘口手术患者96例，按照便利抽样法将患者划分为对照组48例与干预组48例，护士为对照组患者提供一般手术护理流程，为干预组患者在常规护理基础上加强围手术期人文关怀护理，评价两组患者满意度、自我护理能力评分及生活质量评分。结果 对照组患者满意度为38例（79.17%）、干预组患者满意度为46例（95.83%），干预组患者满意度高于对照组（P<0.05）。干预组患者经护理干预后，患者自我护理责任感、疾病认知能力、自我护理技能、自我概念等指标评分为（20.23±4.13）分、（55.32±5.19）分、（40.26±5.40）分、（27.62±3.10）分，均显著高于对照组的（15.74±3.01）分、（43.22±6.10）分、（30.08±4.82）分、（19.52±4.02）分（P<0.05）。经护理干预后，干预组患者精力、睡眠质量、社会功能、躯体活动各评分均高于对照组（P<0.05）。结论 护士为直肠癌术后结肠造瘘口患者加强围手术期人文关怀护理干预，可有效提高患者自护能力及生活质量评分，提高满意度。

[关键词] 人文关怀护理；围手术期；直肠癌；结肠造瘘口；自我护理能力

[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2017）10（c）-0161-04

Effect of Humanistic Nursing Care on Perioperative Self-care Ability of Colorectal Cancer Patients

HUANG Cai-ying， CHEN Li-ming， GUO Jin-duan， LIN Chun-xia

Department of General Surgery， the First Hospital of Xiamen City， Xiamen， Fujian Province， 361000 China

[Abstract] Objective This paper tries to study the clinical effect of humanistic nursing care in the self-care ability of colorectal cancer patients. Methods After the operation of rectal cancer， 96 patients with colon fistula treated from August 2015 to February 2017 in this hospital were convenient selected. The subjects were randomly divided into two groups， with 48 cases in each group. The control group adopted the general nursing care； on the basis， the intervention group adopted the humanistic nursing care. The clinical satisfaction， self-care ability and life quality for two groups were evaluated. Results There were 38 cases（79.17%） in the control group and 46 cases （95.83%） in the intervention group of the satisfaction rate. The satisfaction degree of the intervention group was higher than that in the control group（P<0.05）. The intervention group after nursing intervention， patients self care responsibility， disease cognitive ability， self-care skill， self concept and other index score were （20.23±4.13）points， （55.32±5.19）points， （40.26±5.40）points， （27.62±3.10）points， significantly higher than that of control group of （15.74±3.01）points， （43.22±6.10）points， （30.08±4.82）points， （19.52±4.02）points（P<0.05）. After nursing intervention， the patients energy， sleep quality， social function and physical activity were all higher than the control group（P<0.05）. Conclusion After the operation of rectal cancer， the humanistic nursing care can improve the patients self-care ability on the colon fistula as well as the evaluation scores of life quality and clinical satisfaction.endprint

[Key words] Humanistic nursing care； Perioperative period； Rectal cancer； Colon fistula； Self-care ability

直肠癌属于恶性肿瘤疾病之一，其发病危险因素较多且复杂，发病部位主要在齿状线至直肠乙状结肠交界处，位置较低；临床主要治疗手段为手术，但手术后患者肛门功能缺失，需建立人造肛门维持正常排便活动，大部分患者无法接受结肠造瘘口，且对造瘘口维护及日常护理要点掌握度较低，患者产生焦虑、自卑等不良情绪，严重影响患者生活质量[1-2]。该文方便选取2015年8月—2017年2月间在该院行直肠癌结肠造瘘口手术患者96例作为研究对象，分析对直肠癌结肠造瘘口患者提供围手术期人文关怀护理干预对患者自我护理能力的影响，现报道如下。

1 资料与方法

1.1 一般资料

方便选取于在该院行直肠癌结肠造瘘口手术患者……