Effect of personalized intervention on elderly patients with colostomy after Miles operation for rectal carcinoma
10.3969/j.issn.1007-1989.2017.07.012
- VernacularTitle:个性化干预对高龄直肠癌Miles术后结肠造口患者的效果分析
- Author:
Ju ZHANG
;
Chunrong LIU
;
Fang SHUI
;
Qian HE
;
Yanling XIAO
- Keywords:
personalized intervention;
Miles operation for rectal cancer;
colon stoma;
elderly patients;
clinical effect
- From:
China Journal of Endoscopy
2017;23(7):54-59
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical effect of personalized intervention on elderly patients with colostomy after Miles operation for rectal carcinoma. Methods 114 cases elderly patients with colonic stoma after Miles operation for rectal cancer from June 2014 to January 2016 were divided into control group and observation group by random number method, 57 cases in each. The control group were treated with routine intervention, while patients in observation group was treated with personalized intervention. the self-care ability score before intervention, the incidence of complications, intervention satisfaction and life quality score were compared between the two groups at the same time. Results The total complication rate in the observation group was significantly lower than that in control group ( 5.25% vs 22.80%) (χ2 = 8.36, P = 0.000); the intervention satisfaction of the observation group was significantly higher than that in control group (91.23% vs 75.44%) (χ2 = 6.60, P = 0.010). After intervention, the self-care ability score and life quality score of observation group were significantly higher than that in control group (P < 0.01). Conclusion The personalized intervention can reduce the complications, significantly improve the patients' life quality score and self-care ability, and effectively alleviate the negative situation, improve the patients intervention satisfaction, with a higher development value, it is worth of clinical promoting.