作者：肖红，刘小玲，黄倩，张楠，熊伟昕

单位：中山大学附属第一医院 胃肠外科中心，广东 广州 510080

Authors:  XIAO Hong, LIU Xiaoling, HUANG Qian, ZHANG Nan, XIONG Weixin

Unit:  Department of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong, China

摘要：

目的  探讨个体化健康教育对改善直肠癌患者术后生存质量的影响。方法  将我科在2017年1月1日至2018年5月1日期间收治的60例行直肠癌Miles术的患者按1:1随机分为试验组和对照组。对照组采用传统健康教育方式,试验组在传统健康教育的基础上对患者实施全程的健康教育新模式。对别两组患者在出院前和出院后3个月的生活质量进行随访,比较两组患者的生活质量和不良反应发生率。结果  试验组患者的生活质量在自我生活质量评价、家庭社会功能、一般症状、心理健康和躯体健康这五方面得分都比对照组高,差异存在统计学意义(P<0.05)。实验组黏膜缺血坏死、造口狭窄、造口周围皮炎发生率均低于对照组,差异有统计学意义(P<0.05)。结论  实施全程健康教育能使造口患者随时和医护人员进行沟通,能让患者更好融入社会,增加患者的生存质量水平,而且通过沟通提高了患者对护理工作的满意度,建立良好的护患关系,值得临床推广应用。

关键词： 个体化; 健康教育; 直肠癌; 生活质量; 微信

Abstract：

Objective  To explore the effect of individualized health education on improving the quality of life of patients with rectal cancer. Methods  Sixty patients with rectal cancer Miles who were admitted to our department from January 1, 2017 to May 1, 2018 were randomly divided into the experimental group and the control group. The control group used the traditional health education method, and the experimental group used a new model of health education for patients on the basis of traditional health education. The two groups of patients were visited before and three months after discharge and their quality of life of was followed up, and the quality of life and incidence of adverse reactions were also compared between the two groups. Results  The quality of life of the patients in the experimental group was better than the control group in terms of physical health, mental health, general symptoms, family social function and self-quality of life. The difference was statistically significant (P<0.05). The incidence of mucosal ischemic necrosis, stoma stenosis and ostomy around the stoma were lower in the experimental group than in the control group (P<0.05). Conclusion  The implementation of full-course health education can enable patients with stoma to communicate with medical staff at any time, so that patients can better integrate into society, increase the quality of life of patients, and improve patient satisfaction with nursing work through communication, and establish good relationship between nurses and patients. Such education is worthy of clinical promotion and application.

Key Words:  Individualization; Health education; Rectal cancer; The quality of life; WeChat