Analysis of application effect of standardized colostomy irrigation nursing in rectal cancer patients with Miles surgery / 中国基层医药

ABSTRACT

Objective To analyze the application effect of standardized colostomy irrigation nursing in rectal cancer patients with Miles operation.Methods 126 rectal cancer patients underwent Miles operation were randomly divided into the observation group and the control group,63 cases in each group.The patients of the control group were treated with traditional colostomy natural defecation ostomy care model,and the patients of the observation group were given standardized colostomy irrigation nursing mode.Before and after nursing,the life quality function score,life quality score and individual total care expenses of the two groups were compared.Results Before nursing,the function score and quality of life event scale score between the two groups were compared,and the differences were not statistically significant(all P >0.05).After nursing,physical function[(97.84 ±3.83)points],cognitive function[(96.79 ± 8.77)points],emotional function[(94.57 ±8.76)points],role function[(96.57 ±1.57)points],social function [(92.77 ±6.17)points],nausea and vomiting[(0.56 ±0.23)points],insomnia[(2.64 ±1.78)points],pain [(1.48 ±0.63)points],fatigue[(5.13 ±2.47)points],loss of appetite[(1.76 ±0.83)points]of the observation group were significantly better than those of the control group [(90.22 ±3.79)points,(80.99 ±8.74)points, (83.26 ±13.83)points,(78.85 ±3.26)points,(83.67 ±3.45)points,(1.27 ±0.76)points,(12.25 ±3.61)points, (4.08 ±1.67)points,(6.76 ±2.98)points,(3.47 ±1.62)points],there were statistically significant differences between the two groups(t =11.22,10.13,5.48,38.87,10.22,7.10,18.95,11.56,3.34,7.46,all P <0.05).After nursing,the product cost[(1 488.78 ±102.49)yuan],nursing cost[(158.46 ±10.73)yuan],total cost[(1 638.79 ± 106.73)yuan]of the observation group were significantly lower than those of the control group [(2 070.17 ± 141.78)yuan,(311.17 ±99.32)yuan,(2 380.63 ±212.79)yuan],the differences were statistically significant (t =26.38,12.13,24.73,all P <0.05 ).Conclusion Standardized colostomy irrigation nursing can improve overall quality of life in patients of rectal cancer after Miles operation,reduce the economic and psychological burden,and its application effect is better.