肠功能改善计划对直肠癌手术患者的影响:一项随机对照试验
Young Man Kim1, Eui Geum Oh2, Sang Hui Chu2
1College of Nursing · Reseach Institute of Nursing Science, Jeonbuk National University, Jeonju-si, Republic of Korea; Biomedical Research Institute, Jeonbuk National University Hospital, Jeonju-si, Republic of Korea.
概括
一个肠功能改善计划有效地增强了肠功能,并减少了男性直肠癌患者在低前切除后不计划的药房访问. 这种由护士领导的干预措施支持手术后的早期恢复.
科学领域:
- 在瘤学瘤学.
- 外科胃肠道外科手术
- 患者康复计划 患者康复计划
背景情况:
- 直肠癌手术,特别是低前切除 (LAR),可以显著影响肠道功能.
- 接受LAR的男性患者经常经历肠道功能障碍的挑战,影响他们的生活质量.
- 有效的术后管理对于改善LAR后患者的治疗结果至关重要.
研究的目的:
- 为了评估一个结构化肠功能改善计划的疗效,在直肠癌的低前切除后,男性患者.
- 评估该计划对肠道功能,自我效能,与健康有关的生活质量和医疗保健资源利用的影响.
- 确定护士主导的干预在促进术后康复方面的潜力.
主要方法:
- 这是一项前性,无盲,随机对照试验,涉及42名接受LAR治疗的男性患者.
- 患者被随机分配到实验组 (肠功能计划) 或对照组.
- 该计划包括一个为期4周的密集阶段和一个为期8周的维护阶段,收集了关于肠道功能,自我有效性,生活质量和医疗保健利用的数据.
主要成果:
- 肠功能改善计划在退院3个月后显著有效地改善了肠功能.
- 与对照组相比,实验组中观察到非计划性药房访问的显著减少.
- 两组之间在与健康有关的生活质量或自我有效性方面没有发现统计学上显著的差异.
结论:
- 肠功能改善计划对男性直肠癌患者有效,增强肠功能并减少计划外的医疗保健资源使用.
- 这些发现支持在临床实践中实施这种由护士领导的计划,以促进低前切除后的早期恢复.
- 这种干预提供了一种实际的方法来管理手术后的肠功能障碍,并改善患者的护理途径.
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