肠功能恢复和结直肠癌患者的决定因素的纵向评估 后立体术:一项全面的研究
Yinglian Li1, Simeng Song1, Yang Li2
1School of Nursing, Jinan University, Guangzhou, China.
International journal of nursing practice
|June 13, 2025
概括
结直肠癌患者的肠功能在结直肠切除术后2个月内得到改善,受年龄,体力活动和自我效能等因素的影响. 量身定制的康复策略对于最佳康复至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 手术护理 医疗护理
背景情况:
- 结直肠癌 (CRC) 需要结直肠切除术,往往导致显著的肠功能障碍和降低生活质量.
- 现有的研究主要集中在短期的肠功能恢复上,对中国人群的长期结果的数据有限.
研究的目的:
- 为了纵向评估CRC患者的肠功能变化后的ileostomy.
- 确定影响肠功能恢复的人口,临床和生活方式因素.
- 支持个性化康复策略,以改善患者的治疗结果.
主要方法:
- 一项前性纵向研究,涉及102名CRC患者在骨髓切除术后.
- 在手术前入院,手术后5日,1个月和2个月收集数据.
- 使用了经过验证的仪器,包括MSKCC肠功能仪器 (BFI),IPAQ-SF,SAS,SSES和Stoma-QOL.
主要成果:
- 肠功能仪器 (BFI) 评分在两个月内从69.00到47.00显著改善 (p <0.05).
- 身体活动和焦虑水平呈现出动态变化,随着时间的推移逐渐恢复.
- 肠功能恢复受到年龄,性别,辅助疗法,口腔输出,并发症和自我有效性 (p <0.05) 的显著影响.
结论:
- 肠功能恢复后的ileostomy是一个动态的过程,受多个因素的影响.
- 专注于身体活动,心理支持和自我有效性的个性化康复策略至关重要.
- 早期识别和管理门并发症对于优化康复至关重要.
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