周紅 何丹玲 邱懷玉

[摘要]目的 探討基于微信平臺護(hù)理干預(yù)用于結(jié)直腸癌造口患者的效果。方法? 選取2018年1月～2019年2月我院收治的98例結(jié)直腸癌造口患者，按照隨機(jī)數(shù)字表法分為對照組和研究組，每組各49例。對照組給予常規(guī)出院指導(dǎo)，研究組給予基于微信平臺護(hù)理干預(yù)。比較兩組自我護(hù)理能力、腹壁人工肛門功能評分、排便功能及并發(fā)癥發(fā)生情況。結(jié)果 研究組自我護(hù)理能力評分、腹壁人工肛門功能評分高于對照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。研究組排便規(guī)律比例高于對照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。研究組并發(fā)癥總發(fā)生率（10.20%）低于對照組（28.57%），差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 基于微信平臺護(hù)理干預(yù)用于結(jié)直腸癌造口患者可提高患者自我護(hù)理能力，改善患者人工肛門功能及排便功能，降低并發(fā)癥發(fā)生率。

[關(guān)鍵詞]結(jié)直腸癌;直腸癌造口術(shù);自我護(hù)理能力;排便功能

[Abstract] Objective To explore the effect of nursing intervention based on Wechat platform in patients with colorectal cancer stoma. Methods From January 2018 to February 2019， 98 patients with colorectal cancer treated in our hospital were selected and divided into control group and research group according to random number table method， 49 cases in each group. The control group was given routine discharge guidance， and the research group was given nursing intervention based on Wechat platform. The self-care ability， abdominal wall anal function score， defecation function and complications were compared between the two groups. Results The scores of self-care ability and artificial anal function in the research group were higher than those in the control group， with statistical differences （P<0.05）. The proportion of defecation regularity in the research group was higher than that in the control group， and the difference was statistically significant （P<0.05）. The incidence of complications in the research group （10.20%） was lower than that in the control group （28.57%）， and the difference was statistically significant （P<0.05）. Conclusion The nursing intervention based on Wechat platform can improve the self-care ability of patients with colorectal cancer stoma， improve the artificial anus function and defecation function， and reduce complications.

[Key words] Colorectal cancer; Rectal cancer stoma; Self-care ability; Defecation function

結(jié)直腸癌是臨床常見的一種消化道腫瘤，臨床常采用手術(shù)治療。而多數(shù)患者要永久性造口，不僅對患者術(shù)后生活質(zhì)量產(chǎn)生影響，患者術(shù)后還要接受長期護(hù)理[1]。而患者自我護(hù)理能力越好，對患者康復(fù)越有利。需要采取有效的護(hù)理干預(yù)提高患者自我護(hù)理能力，改善患者肛門功能及排便功能[2]。但多數(shù)患者由于缺乏針對性、專業(yè)性的指導(dǎo)，患者對疾病認(rèn)知程度不高，導(dǎo)致無法有效預(yù)防和處置各類情況，極大降低了生活質(zhì)量。微信是流行的一種即時(shí)通訊工具，可加強(qiáng)人與人的交流，通過網(wǎng)路即時(shí)傳遞文字訊息、檔案、語音與視頻交流，不受時(shí)間、空間的約束[3]。有研究表明，微信護(hù)理在患者護(hù)理中有良好的應(yīng)用效果[4]。本研究給予結(jié)直腸癌造口患者加以基于微信平臺護(hù)理干預(yù)，現(xiàn)報(bào)道如下。

1資料與方法

1.1一般資料

選取2018年1月～2019年2月我院收治的98例結(jié)直腸癌造口患者，按照隨機(jī)數(shù)字表法分為對照組和研究組，每組各49例。對照組中，男25例，女24例;年齡19～62歲，平均（43.44±4.98）歲;文化程度：本科及以上8例，高中或大專29例，小學(xué)、初中及中專12例。研究組中，男28例，女21例;年齡20～64歲，平均（42.63±4.59）歲;文化程度：本科及以上10例，高中或大專28例，小學(xué)、初中及中專11例。兩組的一般資料比較，差異無統(tǒng)計(jì)學(xué)意義（P>0.05）具有可比性。本研究經(jīng)醫(yī)院醫(yī)學(xué)倫理委員會(huì)批準(zhǔn)。