中国护理管理
中國護理管理
중국호리관리
CHINESE NURSING MANAGEMENT
2014年
6期
641-643,644
,共4页
结直肠癌%支持性照顾%差异%调查
結直腸癌%支持性照顧%差異%調查
결직장암%지지성조고%차이%조사
colorectal cancer%supportive care%difference%survey
目的：比较结直肠癌病人术后支持性照顾需求的不同，为护理人员开展健康指导提供依据和指导。方法：选择2012年3-7月在某三级甲等肿瘤专科医院通过病理检查确诊的结直肠癌接受手术的161例病人，在癌症病人支持性照顾需求调查问卷（SCNS）的基础上，设计增加未保肛病人适用的造口支持需求维度进行问卷调查，共6个维度70个条目。结果：结肠癌和直肠癌病人术后心理需求和照顾与支持需求无差异，健康信息需求、生理及日常生活需求、性需求、造口需求有统计学差异(P<0.05)。有无造口病人的健康信息需求、造口需求有统计学差异(P<0.05)。结论：直肠癌病人术后支持性照顾需求高，应给予更多重视和指导，医务人员是结直肠癌病人最需要的社会支持力量，应利用这种信赖关系给予系统的健康指导，帮助病人实现生理－心理－社会的全面康复，提高生活质量，早日重返社会。
目的：比較結直腸癌病人術後支持性照顧需求的不同，為護理人員開展健康指導提供依據和指導。方法：選擇2012年3-7月在某三級甲等腫瘤專科醫院通過病理檢查確診的結直腸癌接受手術的161例病人，在癌癥病人支持性照顧需求調查問捲（SCNS）的基礎上，設計增加未保肛病人適用的造口支持需求維度進行問捲調查，共6箇維度70箇條目。結果：結腸癌和直腸癌病人術後心理需求和照顧與支持需求無差異，健康信息需求、生理及日常生活需求、性需求、造口需求有統計學差異(P<0.05)。有無造口病人的健康信息需求、造口需求有統計學差異(P<0.05)。結論：直腸癌病人術後支持性照顧需求高，應給予更多重視和指導，醫務人員是結直腸癌病人最需要的社會支持力量，應利用這種信賴關繫給予繫統的健康指導，幫助病人實現生理－心理－社會的全麵康複，提高生活質量，早日重返社會。
목적：비교결직장암병인술후지지성조고수구적불동，위호리인원개전건강지도제공의거화지도。방법：선택2012년3-7월재모삼급갑등종류전과의원통과병리검사학진적결직장암접수수술적161례병인，재암증병인지지성조고수구조사문권（SCNS）적기출상，설계증가미보항병인괄용적조구지지수구유도진행문권조사，공6개유도70개조목。결과：결장암화직장암병인술후심리수구화조고여지지수구무차이，건강신식수구、생리급일상생활수구、성수구、조구수구유통계학차이(P<0.05)。유무조구병인적건강신식수구、조구수구유통계학차이(P<0.05)。결론：직장암병인술후지지성조고수구고，응급여경다중시화지도，의무인원시결직장암병인최수요적사회지지역량，응이용저충신뢰관계급여계통적건강지도，방조병인실현생리－심리－사회적전면강복，제고생활질량，조일중반사회。
Objective: To compare the difference in supportive care needs between postoperative patients with colon cancer and those with rectal cancer, in order to prepare nurses with better health education guidance. Methods: We chose 161 colorectal cancer patients with pathological diagnoses in a ifrst-class cancer hospital. They were all treated by surgery from March 2012 to July. Based on Supportive Care Needs Survey (SCNS) for cancer patients, we developed a questionnaire including 6 demand dimensions and 70 items with a stoma demand dimension added for un-reserving anus patients. Results: Patients with colon cancer and those with rectal cancer had no statistical difference in psychological demand and care and support demand, but had statistical difference in health information demand, physiological and daily-life demand, sex demand and stoma demand (P<0.05). Conclusions: Postoperative patients with rectal cancer have higher supportive care needs, which should be given more attention to. Medical personnel are most important social supports for patients with colorectal cancer, and should use patients' trust to give them systemic health education, and help them achieve physiological-psychological-social comprehensive rehabilitation, improve their quality of life, and help them return to society soon.
