中西医结合护理干预对结肠癌患者围手术期康复效果的影响

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1、天津中医药大学硕士学位论文较差异有统计学意义（P＜0.05），试验组得分均高于对照组；而两组的疲乏量表、恶心呕吐量表、疼痛量表、睡眠障碍量表、食欲丧失量表、便秘量表比较差异有统计学意义（P＜0.05），试验组得分均低于对照组。4.两组患者在住院满意度的“服务与技术”、“关心与爱护”、“环境与指导”“总体评价”及满意度总分方面比较差异有统计学意义（P＜0.05），试验组得分均高于对照组。结论：中西医结合护理干预能够减轻结肠癌患者术后24小时全身症状、体征，促进术后胃肠功能恢复，提高术后早期生活质量，从

2、而加速患者围手术期康复进程，同时也增加了患者住院满意度。中西医结合护理干预作为一套简单易行、疗效明显、无创伤的护理模式，为今后在临床护理工作中为患者提供多元化、整体性的优质护理服务提供一个新的方向。关键词：中西医结合护理；结肠癌；围手术期康复2天津中医药大学硕士学位论文ABSTRACTObjectives：ToinvestgatetheeffectofnursinginterventionofChineseandWesternintegrativemedicineonpostoperativereh

3、abilitationofcoloncancerpatientsinperioperativeperiod,soastoprovidebasisfortheclinicalnursing.Methods：FromOctober2010toDecember2012,60casesofcoloncancer，whowerediagnosedbygastrointestinalsurgeryinTinjinNankaiHospitalwereassignedintotheinterventiongroup

4、(n=30)andthecontrolgrouprandomly(n=30).ThepatientsininterventiongroupreceivednursinginterventionofChineseandWesternintegrativemedicineinperioperativeperiod,includingdailyliferegulating,emotionalnursing,diseaseobservation,pointmassage,pressingbeansatpoi

5、nts,preventionofcomplication,etc.Thecontrolgroupreceivedroutinenursing.Investigatorswhoweretrainedtogethercollectedgeneralinformation,thenmeasuredtheQualityofwiththeQLQ-C30scalebeforetherapy.Theinvestigatorsrecordedonthedayofsurgeryandpostoperativereco

6、very,measuredtheQualityofwithQLQ-C30scaleagaininthenextweek,andmeasuredthesatisfactiondegreeofpatienstbeforetheylefthospital.Twoindependentsamplest-test,pairedttestandchi-squaretestwereperformedthroughouttheresearchResults：1.Thedifferenceswerestaticall

7、ysignificantinsymptomsandsignsof24hours（P＜0.05）.Theinventiongroupwaslowerthanthecontrolone;Therewerenodifferenceinsymptomsandsignsof48hours（P＞0.05），buttheinventiongroupwaslowerthanthecontrolone.2.Therewasobviousdifferencebetweentwogroupintheaspectofthe

8、recoveryofgastrointestinalfunction（P＜0.05）,thefirsttimeofexhaustanddefecationoftheinventiongroupwasshorterthanthatofthecontrolgroup.3.Educationlevel、maincaregivers、personalitytype、familysupport、socialsupportanddiseasecoursewereindepende