【摘要】 目的 探讨多元化健康教育联合情绪引导对结直肠癌患者内镜黏膜下剥离术(ESD)术后肠道功能恢复、负性情绪及生活质量的影响,以期为优化ESD术后患者的护理干预策略提供参考。方法 以南京医科大学第一附属医院推行多元化健康教育联合情绪引导的时间(2023年1月)为截点,将2021年7月—2022年12月接受肠道ESD治疗的49例结直肠癌患者纳入对照组,将2023年1月—2024年6月接受肠道ESD治疗的49例结直肠癌患者纳入观察组。对照组患者给予常规护理干预,观察组患者在对照组基础上给予多元化健康教育联合情绪引导干预。比较2组患者的临床恢复指标,干预前后的负性情绪、肠道功能恢复情况、生活质量以及术后并发症发生情况。结果 观察组患者术后首次排便时间、肠道蠕动恢复时间、排气时间及住院时间均短于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者焦虑自评量表(SAS)及抑郁自评量表(SDS)评分比较,差异均无统计学意义(P>0.05);干预12周后,2组患者SAS及SDS评分均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者胃肠道症状分级评分量表(GSRS)及胃肠道生活质量指数(GIQLI)评分比较,差异均无统计学意义(P>0.05);干预12周后,2组患者GSRS评分均低于干预前且观察组低于对照组,GIQLI评分均高于干预前且观察组高于对照组,差异均有统计学意义(P<0.05)。对照组和观察组术后并发症发生率分别为12.24%(6/49)和2.04%(1/49),差异无统计学意义(χ2=2.462,P=0.117)。结论 多元化健康教育联合情绪引导有助于促进ESD术后患者肠道功能的恢复,改善患者焦虑、抑郁情绪及肠道症状,提高生活质量。更多还原

【Abstract】 Objective To investigate the effects of diversified health education combined with emotional guidance on intestinal function recovery,negative emotions,and quality of life in colorectal cancer patients after endoscopic submucosal dissection(ESD),providing references for optimizing post-ESD nursing interventions.Methods Using January 2023(implementation date of the combined intervention) as the cutoff,49 colorectal cancer patients undergoing ESD from July 2021 to December2022 were assigned to the control group(routine nursing),while 49 patients from January 2023 to June 2024 were assigned to the observation group(additional diversified health education in combination with emotional guidance).Clinical recovery indicators,negative emotions before and after the intervention,intestinal function recovery,quality of life,and postoperative complications were compared.Results The observation group showed significantly shorter time to first defecation,bowel sound recovery,time to first flatus,and length of hospital stay than the control group(P<0.05).Pre-intervention Self-Rating Anxiety Scale(SAS) and Self-Rating Depression Scale(SDS) scores showed no intergroup differences(P>0.05);at 12 weeks postintervention,both scores decreased in both groups versus pre-intervention,with significantly lower scores in the observation group(P<0.05).Pre-intervention Gastrointestinal Symptom Rating Scale(GSRS) and Gastrointestinal Quality of Life Index(GIQLI) scores showed no intergroup differences(P>0.05);at 12 weeks post-intervention,GSRS scores decreased and GIQLI scores increased in both groups versus pre-intervention,with significantly superior outcomes in the observation group(P<0.05).Complication rates were 12.24%(6/49) in the control group and 2.04%(1/49) in the observation group,without a significant difference(χ~2=2.462,P=0.117).Conclusion Diversified health education combined with emotional guidance promotes intestinal function recovery,alleviates anxiety/depression,ameliorates bowel symptoms,and increases quality of life in post-ESD patients.更多还原