医学新知2024，Vol.34Issue(8)：852-860,9.DOI:10.12173/j.issn.1004-5511.202405003
基于症状管理理论的精准护理模式在经括约肌间切除术后患者中的应用
Application of precision care model based on symptom management theory for patients after intersphincteric resection
摘要
Abstract
Objective To explore the effects of precision care model for patients after intersphincteric resection based on symptom management theory.Methods Patients with intersphincteric resection in the colorectal and anal surgery department of Zhongnan Hospital of Wuhan University from June 2023 to March 2024 were prospectively selected by non-randomized concurrent controlled trail,and they were divided into the control group and the trial group according to the order of admission time.The control group received routine care,and the trial group received precision care model based on symptom management theory on the basis of the intervention in the control group.The anorectal function,anastomotic incidence and quality of life were compared between the two groups after intersphincteric resection.Results A total of 111 patients were enrolled in the study,with 56 in the trial group and 55 in the control group.The excellent rate of anorectal function in the trial group was significantly higher than that in the control group after surgery(69.64％vs.34.55％,P＜0.05).The trial group scored better than the control group in the quality of life function domains of body image,weight,anxiety,and libido,and in the symptom domains of urinary frequency,frequency of defecation,abdominal distension and so on(P＜0.05),but the difference between the two groups in the incidence of postoperative anastomotic complications was not statistically significant(3.57％vs.10.91％,P＞0.05).Conclusion The precise care model based on symptom management theory can effectively restore the anorectal function of patients and improve the quality of life of patients after intersphincteric resection.关键词
直肠癌/经括约肌间切除/吻合口/精准护理/症状管理理论Key words
Rectal cancer/Intersphincteric resection/Anastomosis/Precision care/Symptom management theory引用本文复制引用
殷燕,骆曼,孙文,张洁,何文斌,段静,李思思,江从庆,解萧宇,胡小娜,谢慧瑄..基于症状管理理论的精准护理模式在经括约肌间切除术后患者中的应用[J].医学新知,2024,34(8):852-860,9.基金项目
国家自然科学基金青年科学基金项目(82202915) （82202915）
武汉大学中南医院护理学科培育项目(HLXKPY202101) （HLXKPY202101）
