摘要
目的探讨多学科综合干预在结直肠癌术后切口感染与肠造口皮肤黏膜分离治疗中的应用效果。方法将2017年1月-2021年12月于江西省赣州市南康区第一人民医院干预治疗的40例结直肠癌术后切口感染与肠造口皮肤黏膜分离患者纳入为研究对象,并随机将其分为观察组和对照组各20例。对照组采用常规干预措施,观察组采用多学科综合干预。对比两组患者切口感染与肠造口皮肤黏膜分离念合时间、住院时间及住院费用,并对比两组患者干预前后生活质量、心理状态和治疗依从性变化。结果两种治疗模式干预后,观察组切口感染与造口皮肤黏膜分离念合时间、住院时间及住院费用显著优于对照组(P<0.05)。两种治疗模式分别干预后,两组患者肌体疼痛、躯体状态、生理机能,情绪功能、精神状态、社会功能、精力及一般情况均较干预前明显升高(P<0.05),且观察组各评分显著高于对照组(P<0.05)。两种治疗模式分别干预后,两组患者SAS、SDS量表评分均较干预前显著降低(P<0.05),且观察组各评分显著低于对照组(P<0.05)。观察组治疗依从性各项评价指标均显著优于对照组(P<0.05)。结论在结直肠癌术后切口感染与肠造口皮肤黏膜分离患者中开展多学科综合干预,可明显提高治疗效果、减少住院费用、缩短住院时间、缓解患者焦虑状态,且治疗依从性高,能提高患者生活质量,值得临床推广。
0bjective To explore the effect of multi disciplinary comprehensive intervention in the treatment of postoperative incision infection and enternstomy skin and mucosa separation of colorectal cancer.Methods From January 2017 to December 2021.40 patients with postoperntive incision ifection and enterostomy skin and mucosa separation of coloreclal cancer treated in our hospital were included in the study.and they were randomly divided into observation group and control gmup.with 20 cases in each group.The control group was treated with routine intervention measures,and the observation group was treated with mulidisciplinary comprehensive intervention.The healing time of incision infection and stoma skin and mucosa separation,hospitalization time and hospitalization expenses were compared between the lwo groups,and the changes of quality of life.psychological stale and treatment compliance before and afler intervention were compared between the lwo groups.Results After the inlervention of the Iwo treatment modes,the time of incision infetion and stoma skin and mucosaberpration and healing,hospial slay and hospitalization expenses in the observation group were signifcantly better than those in the control group(P<0.05).Afer the intervention of the It treatment modesthe body pain.physiral state.physiological fiunction,emotional function.menal stale,social function,energy and general conditions of the Iwo groups were significanly increased than those before the intervention (P<0.05).and the scores of the olbservation group were signifieanly higher than those of the control group (P<0.05).After the intervention of the two treatment modes,the scores of SAS and SDS in the two groups were significantly lower than those before the intervention(P<0.05),and the scores in the observation group were signifceantly lower than those in the control group(P<0.05).The evaluation indexes of trealment compliance in the observation group were significantly hetter than those in the control group(P<0.05).Conc lus ion Mulidiseiplinary comprehensive intervention in patients with postoperalive incision infection and enterostomy skin and mucosa separation of colorectal rancer can significantly improve the treatment ffet,reduce hospitalization expenses,shorten hospitalization time,lleviale their anxiely slale,have high lreatment compliance and improve the qualily of lifewhich is worthy of clinical promotion.
出处
《首都食品与医药》
2022年第15期111-115,共5页
Capital Food Medicine
基金
赣州市指导性科技计划课题(项目编号:GZ2021ZSF464)。
关键词
多学科综合治疗
大肠癌
切口与造口感染
生活质量
应用效果
Multidisciplinary comprehensive treatment
Colorectal cancer
Incision and stoma infection
Quality of life
Application effect
