延续护理对直肠癌造口患者康复期抑郁程度的影响分析

Effect of Continuous Nursing on Degree of Depression in Rehabilitation Period of Rectal Cancer Patients with Stoma

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(4)
作者
作者单位

郑州市第三人民医院外科 ;

摘要
目的:探讨延续护理服务应用在直肠癌造口患者康复期对其抑郁程度的改善效果。方法:2016年9月至2018年9月期间,选择本院收治的直肠癌造口患者98例进行研究分析,均经治疗后出院,随机分组各49例,对照组和观察组别分开展出院后常规护理及延续护理服务,评价两组患者康复期抑郁程度改善效果,分析其自我管理能力、生活质量变化及并发症发生情况。结果:出院3个月观察组抑郁程度与对照组比较明显更轻,P<0.05;出院3个月后,观察组自我管理能力各指标均明显改善,且评分均显著高于同阶段对照组,P<0.05;观察组并发症发生率8.16%与对照组32.65%比较明显更低,P<0.05;出院3个月观察组生活质量评分显著高于对照组,P<0.05。结论:在直肠癌造口患者康复期开展延续护理干预利于促使其抑郁程度尽快效果,增强其自我管理能力,继而减少相关并发症发生,有效提高生活质量,护理价值较高,值得推广。
Abstract
Objective: To explore the effect of continuous nursing service on depression in patients with rectal cancer undergoing stoma during convalescence. Methods: From September 2016 to September 2018, 98 patients with rectal cancer who underwent stoma in our hospital were selected and analyzed. They were discharged after treatment and randomly divided into 49 patients in each group. The control group and the observation group separately exhibited routine nursing and continuing nursing services after hospital. The improvement effect of depression degree in convalescent period of the two groups was evaluated, and their self-management ability, quality of life change and complications were analyzed. The occurrence of symptoms. Results: The depression degree of the observation group was significantly lighter than that of the control group at 3 months after discharge (P < 0.05); after 3 months of discharge, the self-management ability of the observation group was significantly improved, and the scores were significantly higher than those of the control group at the same stage (P < 0.05); the incidence of complications of the observation group was significantly lower than that of the control group (8.16% vs 32.65%, P < 0.05); the quality of life score of the observation group was significantly higher at 3 months after discharge (P < 0.05 In the control group, P < 0.05. CONCLUSION: Continuous nursing intervention in the rehabilitation period of rectal cancer patients with stoma is helpful to promote the effect of depression as soon as possible, enhance their self-management ability, and then reduce the occurrence of related complications, effectively improve the quality of life, and the value of nursing is high, which is worthy of promotion.
关键词
延续护理服务;直肠癌造口;康复期;抑郁程度;并发症
KeyWord
Continuous nursing service; Rectal cancer stoma; Rehabilitation period; Depression degree; Complications
基金项目
页码 762-764
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刘雅玲*. 延续护理对直肠癌造口患者康复期抑郁程度的影响分析 [J]. 国际精神病学杂志. 2019; 46; (4). 762 - 764.

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