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中文摘要: 目的 研究延续护理对直肠癌Miles术后患者自我护理能力、生活质量、心理和并发症的影响。方法 随机选取2016年1月-2017年12月在武威肿瘤医院胃肠外科和微创外科行直肠癌Miles手术的80例患者，按患者入院先后顺序随机分为对照组（40例）与实验组（40例），对照组患者采用常规护理方法，实验组患者在常规护理基础上采用延续护理方法，比较两组患者出院前和出院后6个月时的并发症发生率、自护能力、生活质量和心理状况。结果 出院后6个月，实验组患者的自护能力量表（ESCA）评分、生活质量评估问卷（QOLI-RCP）评分均明显高于对照组，差异具统计学意义（P<0.05）；出院后6个月，实验组患者的并发症发生率和焦虑评分均明显低于对照组，差异具统计学意义（P<0.05）。结论 应用延续护理能有效地提高直肠癌Miles术后患者的自我护理能力，改善患者的生活质量和心理状态，降低并发症比例，安全性高。
Abstract:OBJECTIVE To study the effects of extended nursing on self-care ability, quality of life, psychology and complications of patients with rectal cancer after Miles. METHODS 80 cases with rectal cancer taken Miles operation at the department of gastrointestinal surgery and minimally invasive surgery in our hospital from January 2016 to January 2017 were randomly selected and divided into the control group (40 cases) and the experimental group (40 cases) according to the order of admission. The control group was adopted the routine nursing method, and experimental group was taken extended nursing on the basis of routine nursing. The incidence of complications, self-care ability, quality of life and mental status between two groups before and 6 months after discharge were compared. RESULTS In 6 months after discharge, ESCA score and QOLI-RCP score in experimental group were significantly higher than those in the control group (P<0.05). The incidence of complications and anxiety scores in experimental group were significantly lower than those in control group in 6 months after discharge(P<0.05). CONCLUSION The extended nursing can effectively improve the self-care ability of patients with rectal cancer after Miles, improve the quality of life and mental state, reduce the proportion of complications and have high safety.
文章编号：3201902032 中图分类号：R1-9 文献标志码：
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| 作者 | 单位 |
| 冯春兰① ，杨晓霞①#，沈海莲① |
| Author Name | Affiliation |
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