Abstract：Objective To observe the application effect of graded nursing+self-management in patients with rectal cancer.Methods Sixty patients with rectal cancer admitted to our hospital from January 2014 to March 2018 were selected.All patients underwent surgical treatment.They were divided into control group and observation group according to the blind selection method, 30 cases in each group.The control group received routine nursing.Based on this, the observation group adopted graded care+self-management, and self-care, fatigue and sleep quality were evaluated with self-care capacity scale (ESCA), cancer-related fatigue self-rating scale (PFS) and Pittsburgh sleep quality index scale(PSQI).Postoperative infection was counted.Results There were no significant differences in self-care ability score,PFS and PSQI scores between the two groups before treatment (P＞0.05).After nursing, the self-care skills, self-care responsibility, health knowledge level and self-concept scores in the observation group were higher than those of the control group, the differences were statistically significant (P<0.05).The PFS and PSQI scores of the observation group were lower than those of the control group after treatment, the differences were statistically significant (P<0.05); the total postoperative infection rate of the observation group (6.67%) was lower than the control group (30.77%), and the difference was statistically significant (P<0.05).Conclusion The application of graded care+self-management in clinical nursing of patients with rectal cancer can effectively reduce the risk of infection, improve the quality of sleep, reduce the degree of fatigue and improve the self-protection ability of patients.
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