分级护理+自我管理在直肠癌患者中的应用效果

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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.

Key words： Graded care Rectal cancer Self-care ability Self-management

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	ZHANG Juan
	WEN Jiang

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ZHANG Juan,WEN Jiang. Application effect of graded care+self-management in patients with rectal cancer[J]. 中国当代医药, 2020, 27(12): 241-243.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I12/241

[1]	宋俊梅，付曦.癌性疼痛治疗现状[J].现代医药卫生，2015，31（7）：1010-1013.
[2]	郭梅娟，杜太平，吕银雪.自我管理干预在结直肠癌手术患者中的应用效果[J].中国老年保健医学，2017，15（2）：104-105.
[3]	宋琴芬，刘春娥，尹光啸.结直肠癌造口患者微信平台自我管理项目的构建及应用研究[J].中国实用护理杂志，2017，33（2）：120.
[4]	李晓宇，黄跃南.直肠癌结肠造口患者正念水平对其自我管理行为的影响[J].护理管理杂志，2017，17（9）：617-619.
[5]	林彬群，黄东娜.快速康复外科理念在结肠直肠癌护理中的应用探讨[J].中国实用医药，2017，12（33）：185-187.
[6]	王慧慧.人文关怀护理对直肠癌结肠造瘘口自我护理能力的影响[J].当代医学，2016，22（3）：107-108.
[7]	中国华人民共和国卫生部.中国常见恶性肿瘤诊治规范[M].北京：北京医科大学、中国协和医科大学联合出版社，1991：13.
[8]	叶波，杨龙海，刘向阳.最新国际肺癌TNM分期标准（第7版）修订稿解读[J].中国医刊，2008，43（1）：21-23.
[9]	夏如，陆敏智，苏春燕.应用改良Barthel指数量表实施分级护理对基础护理及满意度的影响[J].现代中西医结合杂志，2014，23（4）：429-430.
[10]	邾萍，刘建红，孟爱凤，等.肿瘤患者PICC留置初期自我管理能力及其影响因素研究[J].中国护理管理，2015，15（12）：1509-1513.
[11]	张晓锐，王绍霞.自我效能干预对老年肿瘤患者心理状况及睡眠质量的影响[J].中华现代护理杂志，2014，20（7）：760-762.
[12]	姬艳博，许翠萍，孙菲菲，等.癌因性疲乏自评量表的编制及信效度检验[J].护士进修杂志，2016，31（11）：963-967.
[13]	韦燕萍，高铭云，吴庆珍.恶性肿瘤患者自我管理的研究现状及进展[J].护理实践与研究，2016，13（2）：31-33.
[14]	黄红敏，吴健松.自我管理模式在肿瘤患者PICC置管中的效果观察[J].现代医院，2017，17（6）：928-930.
[15]	郑丽君，尚卜凤，张静，等.经外周静脉穿刺置入中心静脉导管自我管理在肿瘤患者化疗间歇期的应用及效果观察[J].中国药物与临床，2015，15（10）：1526-1528.