CAJ | 학술논문

　　目的探讨延续护理对直肠癌行永久性结肠造口患者依从性的影响。方法选择本院住院直肠癌行永久性结肠造口患者92例随机分为两组，观察组出院后进行延续护理，患者出院前1周进行全面的护理评估并制订出院护理处方，出院后对患者进行随访6个月；对照组出院后进行常规出院宣教；于出院后6个月发放问卷调查，并比较两组患者对直肠癌行永久性结肠造口相关知识的掌握情况，自我管理能力变化情况和抑郁水平。结果观察组患者对直肠癌行永久性结肠造口相关知识的掌握状况及自我管理能力均优于对照组（P ＜0.05，P ＜0.01）；抑郁得分明显低于对照组（P ＜0.05）。结论对直肠癌行永久性结肠造口患者出院后进行延续护理，可以提高患者对疾病的认知度和依从性，降低抑郁水平，从而恢复患者对生活的信心。
　　목적탐토연속호리대직장암행영구성결장조구환자의종성적영향。방법선택본원주원직장암행영구성결장조구환자92례수궤분위량조，관찰조출원후진행연속호리，환자출원전1주진행전면적호리평고병제정출원호리처방，출원후대환자진행수방6개월；대조조출원후진행상규출원선교；우출원후6개월발방문권조사，병비교량조환자대직장암행영구성결장조구상관지식적장악정황，자아관리능력변화정황화억욱수평。결과관찰조환자대직장암행영구성결장조구상관지식적장악상황급자아관리능력균우우대조조（P ＜0.05，P ＜0.01）；억욱득분명현저우대조조（P ＜0.05）。결론대직장암행영구성결장조구환자출원후진행연속호리，가이제고환자대질병적인지도화의종성，강저억욱수평，종이회복환자대생활적신심。
Objective To investigate the influence of continue nursing to the compliance of rectal cancer patients after permanent colostomy. Methods 92 rectal cancer in-patients after permanent colostomy were randomly divided into two groups (observation group and control group). Continue nursing was given to the observation group, which would have comprehensive nursing estimation and make a nursing prescription within one week before discharge. The patients were followed up for six months after discharge. Routine education was given to the control group and questionnaire surveys were made in three and six months after discharge. Finally the mastery of the knowledge of permanent colostomy, self management ability and depression lever were compared between two groups. Results Both the mastery of the knowledge of permanent colostomy and self management ability are better in observation group (P<0.05, P<0.01). Depression score is lower in observation group (P<0.05). Conclusions Continue nursing given to the rectal cancer patients after permanent colostomy can improve the patients’ compliance and the cognition of disease, lower depression lever, and finally recover the confidence of live.