Abstract:

Objective　To compare the effects of traditional Chinese medicine (TCM) appropriate technology combined with humanistic care and conventional care in the rehabilitation of patients with intestinal cancer after surgery, so as to provide more effective nursing measures, enrich the clinical nursing theory, and promote the application and development of TCM appropriate technology in modern medical treatment. Methods　This study was a randomized controlled trial. A total of 120 patients with intestinal cancer who received surgical treatment in Jiangmen Wuyi Hospital of Traditional Chinese Medicine from 2021 to 2022 were selected and were randomly divided into two groups. In the control group, there were 33 males and 27 females, aged (56.8±9.2) years, and the course of disease was (14.3±3.7) months. In the observation group, there were 32 males and 28 females, aged (57.2±8.8) years, and the course of disease was (14.1±3.5) months. The observation group used TCM appropriate technology combined with humanistic care, and the control group only used conventional nursing care. The intestinal rehabilitation, postoperative complications, and quality of life score were compared between the two groups. t test and χ² test were used. Results　The postoperative bowel sound recovery time, first exhaust time, and first defecation time were (1.46±0.31) d, (1.85±0.32) d, and (2.47±0.33) d in the observation group, and (2.28±0.33) d, (2.59±0.60) d, and (3.60±0.92) d in the control group, respectively, with statistically significant differences (t=13.992, 8.505, and 8.975, all P<0.001). The total incidence of postoperative complications in the observation group was lower than that in the control group [11.67% (7/60) vs. 30.00% (18/60)], with a statistically significant difference (χ²=6.114, P=0.013). After intervention, the scores of physiological function, physiological role, and mental health in the observation group were higher than those in the control group [(69.90±3.83) points vs. (61.75±5.85) points, (75.38±6.74) points vs. (66.19±5.52) points, (86.00±7.38) points vs. (79.83±10.57) points], with statistically significant differences (t=9.031, 8.167, and 3.706, all P<0.001). Conclusions　TCM appropriate technology combined with humanistic care has significant advantages in the postoperative care of intestinal cancer, which can significantly reduce the incidence of postoperative complications, promote the patients' recovery, and improve their quality of life. It is recommended to widely apply this comprehensive nursing method.

Key words:

Intestinal cancer, Appropriate technology of traditional Chinese medicine, Humanistic care, Postoperative recovery, Quality of life

摘要：

目的　旨在比较使用中医适宜技术联合人文关怀和只使用常规护理在肠癌术后患者康复中的效果，以提供更为有效的护理措施，丰富临床护理理论，推动中医适宜技术在现代医疗中的应用与发展。方法　本研究为随机对照试验。选取2021年至2022年在江门市五邑中医院接受手术治疗的120例肠癌患者并随机分为两组。对照组中男33例，女27例，年龄（56.8±9.2）岁，病程（14.3±3.7）个月；观察组中男32例，女28例，年龄（57.2±8.8）岁，病程（14.1±3.5）个月。对照组采用常规护理，观察组在对照组基础上采用中医适宜技术联合人文关怀护理，两组干预时长均为1个月。比较两组患者的肠道康复、术后并发症发生情况及生活质量评分。采用t检验、χ²检验。结果　观察组患者的术后肠鸣音恢复时间、首次排气时间和首次排便时间分别为（1.46±0.31）d、（1.85±0.32）d、（2.47±0.33）d，对照组分别为（2.28±0.33）d、（2.59±0.60）d、（3.60±0.92）d，差异均有统计学意义（t=13.992、8.505、8.975，均P<0.001）。观察组患者术后1周并发症总发生率低于对照组［11.67%（7/60）比30.00%（18/60）］，差异有统计学意义（χ²=6.114，P=0.013）。干预1个月后，观察组患者的生理机能、生理职能、精神健康评分均高于对照组［（69.90±3.83）分比（61.75±5.85）分、（75.38±6.74）分比（66.19±5.52）分、（86.00±7.38）分比（79.83±10.57）分］，差异均有统计学意义（t=9.031、8.167、3.706，均P<0.001）。结论　中医适宜技术联合人文关怀在肠癌术后的护理中具有显著优势，能够显著降低术后并发症的发生率，促进患者恢复，提高患者的生活质量。建议广泛应用这种综合的护理方法。

关键词:

肠癌, 中医适宜技术, 人文关怀, 术后恢复, 生活质量