Abstract
AIM: To explore the effect of nursing intervention on mental and physical health in patients with rectal cancer after Miles operation.
METHODS: One hundred and six patients with rectal cancer were randomly divided into two groups. The control group received routine nursing intervention, and the experiment group received comprehensive nursing intervention on the basis of routine nursing intervention. Three and six months after discharge, patients were assessed using the exercise of self-care agency (ESCA) scale and the symptom checklist 90 scale.
RESULTS: The scores of ESCA, self-care skills, self-nursing responsibility, self-concept and the scores of health knowledge in the two groups were significantly higher at 6 mo after discharge than at 3 mo (experiment group: 127.71 ± 14.17 vs 96.01 ± 13.33, 33.99 ± 3.66 vs 26.98 ± 4.11, 21.96 ± 3.68 vs 17.89 ± 3.12, 25.65 ± 3.71 vs 18.63 ± 4.20, 35.09 ± 7.58 vs 30.95 ± 5.39; control group: 121.06 ± 11.27 vs 91.30 ± 10.18, 29.86 ± 2.13 vs 21.09 ± 3.16, 18.96 ± 2.00 vs 14.73 ± 2.09, 21.96 ± 4.15 vs 16.38 ± 3.03, 31.94 ± 4.79 vs 26.33 ± 4.05, P < 0.05 for all); these parameters at 3 and 6 mo were significantly higher in the experiment group than in the control group (P < 0.05 for all). The scores of somatization, obsessive-compulsive symptoms, interpersonal relationship, depression, anxiety, sensitivity, terror, bigotry and psychotic symptom in the two groups were significantly lower at 6 mo after discharge than at 3 mo (experiment group: 1.48 ± 0.45 vs 3.32 ± 0.47, 1.54 ± 0.59 vs 3.05 ± 0.52, 1.38 ± 0.77 vs 2.92 ± 0.75, 1.57 ± 0.46 vs 3.06 ± 0.48, 1.44 ± 0.52 vs 2.95 ± 0.66, 1.29 ± 0.51 vs 2.49 ± 0.50, 1.20 ± 0.53 vs 2.74 ± 0.55, 1.38 ± 0.41 vs 2.66 ± 0.44, 1.28 ± 0.42 vs 2.71 ± 0.47; control group: 1.86 ± 0.28 vs 4.34 ± 0.43, 1.98 ± 0.56 vs 4.05 ± 0.49, 1.68 ± 0.66 vs 3.91 ± 0.68, 2.07 ± 0.62 vs 4.03 ± 0.57, 2.03 ± 0.73 vs 3.94 ± 0.69, 1.67 ± 0.47 vs 3.47 ± 0.48, 1.64 ± 0.45 vs 3.72 ± 0.46, 1.59 ± 0.56 vs 3.67 ± 0.59, 1.68 ± 0.36 vs 3.72 ± 0.38, P < 0.05 for all); these scores at 3 and 6 mo were significantly lower in the experiment group than in the control group (P < 0.05 for all).
CONCLUSION: Comprehensive nursing intervention can improve self-care skills and mental and physical health in patients with rectal cancer after Miles operation.
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