目的：探讨用药护理对直肠癌造口患者心理状态的影响效果。方法选取2014年1月至2016年8月在医院行经腹会阴联合直肠癌根治术的直肠癌造口患者86例，随机分为对照组和观察组，各43例。对照组患者按常规护理，观察组患者则采用用药护理，观察两组患者护理干预后术后并发症发生情况，比较干预前后的心理状态变化及自我护理能力。结果出院时，观察组患者焦虑情绪评分为（11．23±4．25）分，抑郁评分为（14．24±5．47）分，显著低于对照组患者的（16．67±5．18）分（、18．61±2．24）分，差异有统计学意义（ P﹤0．05）；出院3个月，观察组患者的焦虑情绪评分为（8．58±3．14）分，抑郁评分为（5．89±1．17）分，显著低于对照组患者的（13．45±4．27）分、（13．47±1．28）分，差异有统计学意义（ P﹤0．05）；出院时和出院3个月，观察组患者自我护理能力评分、自我概念、健康知识水平、自我护理技能、自我责任感评分均显著高于对照组，差异有统计学意义（ P﹤0．05）；观察组直肠癌患者造口术后并发症发生率为9．30％，显著低于对照组的18．60％，差异有统计学意义（ P﹤0．05）。结论直肠癌造口患者采用全程化及用药护理可有效改善患者的心理状态，同时可提升患者的自我护理能力，并能降低术后并发症风险，值得临床推广。%Objective To investigate the effect of medication nursing on the psychological state of patients with rectal cancer. Methods 86 patients with rectal cancer who underwent abdominal perineal resection for rectal cancer in the hospital from January 2014 to Au-gust 2016 were randomly divided into the control group and the observation group,43 cases in each group. The control group received conventional nursing,and the observation group was given medication nursing. The complications,psychological status before and after the intervention in the two groups were observed,and the patients' self-nursing ability were compared between the two groups. Results At discharge,the anxiety score in the observation group was (11. 23 ± 4. 25),and the depression score was (14. 24 ± 5. 47),which were significantly lower than(16. 67 ± 5. 18)and(18. 61 ± 2. 24) in the control group( P ﹤ 0. 05);3 months after discharge,the anxiety score in the observation group was (8. 58 ± 3. 14),and the depression score was (5. 89 ± 1. 17),which were significantly lower than (13. 45 ± 4. 27)and(13. 47 ± 1. 28)in the control group( P ﹤ 0. 05);at the discharge and 3 months after discharge,the self-nursing ability score,self concept,health knowledge,self-nursing skills,self-responsibility scores in the observation group were significantly higher than those in the control group ( P ﹤ 0. 05). The incidence rate of postoperative complications was 9. 30% in the observation group,which was significantly lower than 18. 60% in the control group( P ﹤ 0. 05). Conclusion The whole process of nursing for the rectal cancer patients with stoma can effectively improve the patients' psychological state while improving patient self-nursing ability, and can reduce the risk of postoperative complications,which is worthy of clinical promotion.
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