直肠癌保肛术后患者对肠道症状的认知程度及自我护理的调查

摘要

Objective To investigate recognition of bowel symptoms and self-management strategies in postoperative patients with rectal cancer.Methods Investigated 240 patients aged over 30 years old (148 male and 92 female) were underwent sphincter saving surgery before 3 to 38 months.Occurrence of bowel symptoms and corresponding self-management strategies were investigated by phone calls.Results Most of the patients succumbed to symptoms such as abdominal distension,diarrhea,fecal incontinence,defecation urgency,constipation and endless defecate in their daily life.And it is of poor effect though some self-management strategies have been taken.Conclusion Nurses should pay more attention to the bowel symptoms that patients complained and give patients suggestions on self-care techniques and monitor the effects.%目的 调查直肠癌保肛术后患者对肠道症状的认知情况及自我护理现况.方法 电话回访240例直肠癌保肛术3～38个月后患者,其中男148例、女92例,年龄均为30岁以上,了解患者肠道症状及其自我护理措施.结果 多数患者工作生活中有明显的腹胀、腹泻、大便失禁、排便急迫、便秘和排便不尽感等肠道症状,采取相应的自我护理措施后效果不佳.结论 护理人员应高度重视患者术后的肠道症状,指导患者选择合理切实的肠道症状自我护理措施,并积极监控患者所实施自我护理措施的有效性.