同质医疗健康教育模式在直肠癌Miles术患者中的应用效果

摘要

Objective To analyze the effect of homogeneous healthcare nursing education model on colorectal cancer surgery patients undergoing Miles.Methods Eighty-six patients with colorectal cancer treated by Miles were collected and divided into the observation group and the control group according to randomized digital table.The patients of control group were received usual care,and the patients of observation group were received routine care combined with homogeneous healthcare education model.The gastrointestinal function recovery,satisfaction degree and knowledge grasp situation of two groups were compared.Results The postoperative hospital stay,.the first exhaust time and the first def-ecation time of the observation group was(14.43 ±1.42)d,(4.56 ±0.56)d,(5.79 ±0.46)d respectively,were sig-nificantly lower than the control group[(19.53 ±1.26)d,(6.36 ±0.52)d,(8.52 ±0.43)d](P<0.05).Colon fistu-la assessment(90.69%),colon fistula appliances choice(95.35%),ostomy care(93.02%)and complications assess mastery(97.67%)of the observation group were significantly higher than the control group(58.13%,65.12%, 60.46%,69.77%),and the difference was statistically significant(P<0.05).Health education(9.46 ±0.57),atti-tude(9.43 ±0.36),humanistic concern(9.53 ±0.34),operating technical score(9.52 ±0.57)of observation group were significantly higher than the control group[(7.47 ±0.34),(6.45 ±0.53),(7.41 ±0.46),(7.37 ±0.63)],and the difference was statistically significant(P<0.05).Conclusion Homogeneous healthcare education model can im-prove gastrointestinal function and promote the rehabilitation of patients undergoing miles.%目的 对接受Miles术治疗的直肠癌患者开展同质医疗健康教育模式效果分析.方法 选取接受直肠癌Miles术治疗的86例直肠癌患者,按照随机数字表法分组,将其平均分为观察组与对照组,对照组给予常规健康措施,观察组开展同质医疗健康教育模式.对比分析两组患者的胃肠道功能改善状况、满意程度情况以及相关知识掌握情况.结果 观察组患者术后住院时间(14.43 ±1.42)d.第1次造口排气时间(4.56 ± 0.56)d和第1次造口排便时间(5.79 ±0.46)d均明显低于对照组患者术后住院时间(19.53 ±1.26)d.第1次造口排气时间(6.36 ±0.52)d、第1次造口排便时间(8.52 ±0.43)d,差异有统计学的意义(P<0.05).观察组患者的造口评估(90.69%)、造口用具选择(95.35%)、造口护理步骤(93.02%)和并发症评估掌握程度(97.67%)高于对照组患者的造口评估(58.13%)、造口用具选择(65.12%)、造口护理步骤(60.46%)和并发症评估掌握程度(69.77%),差异有统计学意义(P<0.05).观察组患者的健康宣教(9.46 ±0.57)分、服务态度(9.43 ±0.36)分、人文关怀(9.53 ±0.34)分、操作技术评分(9.52 ±0.57)分明显高于对照组患者的健康宣教(7.47 ±0.34)分、服务态度(6.45 ±0.53)分、人文关怀(7.41 ±0.46)分、操作技术评分(7.37 ±0.63)分,差异有统计学意义(P<0.05).结论 接受直肠癌Miles术治疗的患者开展同质医疗健康教育模式可改善患者胃肠道功能,促进患者康复,满意程度较高.