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目的分析结肠癌术后并发肠瘘致腹腔感染患者的主要致病菌及护理观察。方法 40例结肠癌术后并发肠瘘致腹腔感染患者,随机分为实验组和对照组,每组20例。对照组患者接受常规护理,实验组患者接受优质护理,观察记录两组患者的护理效果并进行比较,调查两组患者对护理的满意情况。结果送检结果显示结肠癌术后并发肠瘘致腹腔感染的主要致病菌为革兰阴性菌,占70.00%,革兰阳性菌占20.00%,真菌占10.00%。实验组护理效果及满意度均优于对照组,差异具有统计学意义(P<0.05),护理干预后,实验组患者QLQ-RC38评分得分中身体形象、对未来的期望优于对照组,差异具有统计学意义(P<0.05)。结论结肠癌术后并发肠瘘致腹腔感染的主要致病菌为革兰阴性菌。优质护理在结肠癌术后并发肠瘘致腹腔感染患者的护理中显著疗效,且能提高患者对护理的满意度和护理的质量,值得临床推广。
Objective To analyze the main pathogens and nursing observation of patients with intraperitoneal infection of colon cancer after operation. Methods Forty patients with intraperitoneal infection of colon cancer complicated with intestinal fistula were randomly divided into experimental group and control group, with 20 cases in each group. Patients in the control group received routine nursing care. Patients in the experimental group received high-quality nursing care. The nursing effects of the two groups of patients were observed and compared to investigate the satisfaction of the two groups of patients. Results The test results showed that the main pathogenic bacteria causing intraperitoneal infection of colon cancer after surgery were Gram-negative bacteria accounting for 70.00%, Gram-positive bacteria accounting for 20.00% and fungi accounting for 10.00%. The nursing effect and satisfaction of the experimental group were better than that of the control group, the difference was statistically significant (P <0.05). After the nursing intervention, the physical image of the QLQ-RC38 score in the experimental group was better than the control group in the expectation of the future Statistically significant (P <0.05). Conclusion The main pathogen of intraperitoneal infection of colon cancer complicated with intestinal fistula is Gram-negative bacteria. Quality care in patients with colon cancer postoperative intestinal fistula caused by abdominal infection in patients with significant efficacy, and can improve patient satisfaction with care and quality of care, is worth clinical promotion.