CAJ | 학술논문

目的：探讨延续护理干预对直肠癌术后永久性肠造口患者生存质量及预后的影响。方法选取接受永久性肠造口的直肠癌患者128例，随机分为干预组和对照组。干预组患者出院后接受延续护理，对照组只接受常规出院护理指导。比较两组患者出院6个月后造口自我护理能力及造口相关知识掌握程度、生存质量及肠造口并发症的差异。结果干预组患者出院6个月后在造口自我护理能力、造口相关知识掌握程度、生存质量均高于对照组(P＜0.05），肠造口并发症的总发生率低于对照组(P＜0.01），术后随访6个月两组患者累积无造口不良事件生存率差异有统计学意义(91.9%vs63.8%，P=0.001）。结论延续护理干预可促进永久性肠造口患者掌握造口护理知识、提升自我护理能力，提高患者的生存质量并减少肠造口并发症的发生，是行之有效的干预方法。
목적：탐토연속호리간예대직장암술후영구성장조구환자생존질량급예후적영향。방법선취접수영구성장조구적직장암환자128례，수궤분위간예조화대조조。간예조환자출원후접수연속호리，대조조지접수상규출원호리지도。비교량조환자출원6개월후조구자아호리능력급조구상관지식장악정도、생존질량급장조구병발증적차이。결과간예조환자출원6개월후재조구자아호리능력、조구상관지식장악정도、생존질량균고우대조조(P＜0.05），장조구병발증적총발생솔저우대조조(P＜0.01），술후수방6개월량조환자루적무조구불량사건생존솔차이유통계학의의(91.9%vs63.8%，P=0.001）。결론연속호리간예가촉진영구성장조구환자장악조구호리지식、제승자아호리능력，제고환자적생존질량병감소장조구병발증적발생，시행지유효적간예방법。
Objective?To?investigate?the?effects?of?transitional?nursing?care?on?quality?of?life?and?prognosis?of?patients?with?rectal?cancer?after?ostomy.?Methods?128?rectal?cancer?patients?treated?with?miles?operations?in?our?hospital?were?enrolled?and?randomly?divide?into?two?groups:?control?group?and?experimental?group?in?which?patients?accept?transitional?nursing?care?after?discharged?from?hospital.?Self-nursing?ability,?proficiency?in?nursing?knowledge?about?ostomy,?quality?of?life?(QOL)?scores?and?ostomy?complications?in?patients?6?months?after?discharged?from?hospital?were?measured?and?compared?between?two?groups.?Results?The?intervention?group?were?discharged?from?hospital?six?months?after?the?stoma?self-care,?ostomy?related?knowledge?level?of?quality?of?life?were?higher?(P<0.05),?the?overall?incidence?of?intestinal?stoma?complications?than?the?control?group?(P<0.01),?and?were?followed?up?for?6?months?cumulative?adverse?no?stoma?patients?were?event-free?survival?difference?was?statistically?significant?(91.9%?vs?63.8%,?P=0.001).?Conclusions?Transitional?nursing?care?can?promote?patients?nursing?knowledge?about?ostomy,?increase?their?self-care?ability?and?QOL,?and?reduce?incidence?rate?of?ostomy?complications.