快速康復外科在大腸癌患者應用中的焦慮心理及護理研究進展_《華西醫學》

作者：

李智 ^1,2,3 , 徐禹 ^2,3 , 汪曉東 ^1,2 , 李卡 ^1,2 , 黃明君 ^1,2

四川大學（成都，610041）1華西醫院胃腸外科中心，2 華西醫院MCQ團隊，3華西臨床醫學院;

關鍵詞：

快速康復外科大腸癌焦慮護理

DOI：

10.7507/1002-0179.20130413

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探討快速康復外科（FTS）模式在大腸癌患者運用中的焦慮心理現狀。通過查閱國內外相關文獻，了解分析FTS模式導致大腸癌患者產生焦慮心理的原因，并就FTS模式下患者焦慮心理的護理干預措施進行逐一闡述與總結，以期在患者焦慮情緒控制和緩解的基礎上，促進FTS模式在大腸癌患者治療中的有效應用。

引用本文： 李智,徐禹,汪曉東,李卡,黃明君. 快速康復外科在大腸癌患者應用中的焦慮心理及護理研究進展. 華西醫學, 2013, 28(8): 1315-1318. doi: 10.7507/1002-0179.20130413 復制

1.	Wilore DW, Kehlet H. Managem ent of patients in fast track surgery[J]. BMJ, 2001, 322(7284): 473-476.
2.	Kehlet H, Wilore DW. Multimodal strategies to improve surgical outcome[J]. Am J Surg, 2002, 183(6): 630-641.
3.	李立, 汪曉東, 舒曄, 等. 四川大學華西醫院肛腸外科·結直腸外科快速流程臨床指南(二)[J]. 中國普外基礎與臨床雜志, 2009, 16(6): 493-494.
4.	Wang XD, Huang MJ, Yang CH, et al. Minilaparotomy to rectal cancer has higher overall survival rate and earlier short-term recovery[J]. World J Gastroenterol, 2012, 18(37): 5289-5294.
5.	王雅琴, 寧寧, 何凌霄, 等. 快速康復外科理念在胃腸外科中的應用進展[J]. 華西醫學, 2012, 27(1): 155-157.
6.	劉麗珍. 快速康復外科在大腸癌圍手術期護理中的應用[J]. 護理研究, 2010, 24(10): 2679-2680.
7.	Shoshtari KZ, Paddison JS, Booth RJ, et al. A prospective study on the influence of a fast-track program on postoperative fatigue and functional recovery after major colonic surgery[J]. J Surg Res, 2009, 154(2): 330-335.
8.	柳欣欣, 江志偉, 王志明, 等. 加快康復外科在大腸癌手術病人的應用研究[J]. 腸內腸外營養, 2007, 14(4): 205-208.
9.	楊慧敏, 鮑文卿. 癌癥病人的情緒障礙及應對方式調查[J]. 護理研究, 2003, 17(6): 687-688.
10.	黃雪斐. 59例直腸癌患者焦慮狀態的調查分析及護理[J]. 黑龍江護理雜志, 1999, 5(2): 30-31.
11.	Pereira MG, Figueiredo AP, Fincham FD. Anxiety, depression, traumatic stress and quality of life in colorectal cancer after different treatments: a study with portuguese patients and their partners[J]. Eur J Oncol Nurs, 2012, 16(3): 227-232.
12.	張麗娜, 李繼平. 大腸癌術后患者抑郁和焦慮狀況的調查研究[J]. 華西醫學, 2011, 26(4): 590-593.
13.	王中川, 劉永芳, 周詳, 等. 腫瘤復發對腸癌患者心理狀態影響的觀察[J]. 中華腫瘤防治雜志, 2008, 15(13): 985-987.
14.	Blazeby JM, Soulsby M, Winstone K, et al. A qualitative evaluation of patients’ experiences of an enhanced recovery programme for colorectal cancer[J]. Colorectal Dis, 2010, 12(10): 236-242.
15.	Basse L, Thorbl JE, Lssl K, et al.Colonic surgery with accelerated rehabilitation or converntional care[J]. Dis Colon Rectum, 2004, 47(3): 271-277.
16.	Dichter GS, Felder N, Smoski MJ. Affective context interferes with congitive control in unipolar depression: an fMRI investigation[J]. J Aff ect Disord, 2009, 114(1-3): 131-142.
17.	穆蕾, 潘麗茹, 薛香香. 護理干預對直腸癌患者焦慮狀態的影響[J]. 中國醫藥導報, 2011, 8(12): 109-110.
18.	Mols F, Thong MS, van de Poll-Franse LV, et al. Type D (distressed) personality is associated with poor quality of life and mental health among 3080 cancer survivors[J]. J Affect Dis, 2012, 136(1-2): 26-34.
19.	Renter K, Raugust S, Bengel J, et al. Depressive symptom paterns and their consequences for diagnosis of affective disorders in cancer patients[J]. Supp Care Cancer, 2004, 12(12): 864-870.
20.	李卡, 徐禹, 劉聞捷, 等. 快速流程管理模式應用于大腸癌患者術后營養狀況評估[J]. 護士進修雜志, 2011, 29(18): 1675-1678.
21.	印義瓊, 李卡, 陳增蓉, 等. 老年腹部疾病病人的外科護理[J]. 華西醫學, 2006, 21(3): 605-606.
22.	李卡, 黃智, 席望榮, 等. 老年直腸癌患者術前不同營養狀態對術后康復影響的研究[J]. 護士進修雜志, 2010, 25(10): 870-872.
23.	Moon KS, Jung YH, Lee EH, et al. Clinical characteristics and surgical safety in patients with acute appendicitis aged over 80[J]. J Korean Soc Coloproctol, 2012, 28(2): 94-99.
24.	李卡, 汪曉東, 陳增蓉, 等. 快速流程下大腸癌術后近期生存質量的前瞻性研究[J]. 四川大學學報·醫學版, 2010, 41(3): 509-512.
25.	Blazeby JM, Soulsby M, Winstone K, et al. A qualitative evaluation of patients’s experiences of an enhanced recovery programme for colorectal cancer [J]. Colorectal Dis, 2010, 12(10): 236-242.
26.	Wind J, Polle SW, Fun g Kon J, et al. Systematic review of enhanced recovery programmes in colonic surgery [J]. Br J Surg, 2006, 93(7): 800.
27.	劉展, 王曉東, 李立, 等. 多學科協作診治模式下的大腸外科快速康復流程[J]. 中國普外基礎與臨床雜志, 2007, 14(2): 239-242.
28.	Landers M, McCarthy G, Savage E. Bowel symptom experiences and management following sphincter saving surgery for rectal cancer: a qualitative perspective[J]. Eur J Oncol Nurs, 2011, 16(3): 293-300.
29.	Brandstrup B, Tonnesen H, Beier-Holgersen R, et al. Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens[J]. Ann Surg, 2003, 238(5): 641-648．.
30.	Mayor S. New approach to surgical cafe aims to improve recovery and reduce length of hospital stay[J]. BMJ, 2007, 334: 816-817．.
31.	Yuan S, Peng F, Jiang X. Community health nursing in China: status, challenges, and development strategies[J]. Nurs Outlook, 2012, 60(4): 221-227.
32.	Kornblith AB, Dowell JM, Herndon JE, et al. Telephone monitoring of distress in patients aged 65 years or older with advanced stage cancer[J]. Cancer, 2006, 107(11): 2706-2714.
33.	汪曉東, 馮碩, 游小林, 等. 結直腸腫瘤多學科協作診治模式下的隨訪體系建設[J]. 中國普外基礎與臨床雜志, 2007, 14(8): 709-712.
34.	李志鐸. 28例大腸癌手術后快速康復的體會[J]. 北方藥學, 2010, 7(6): 43-44.

1. 　Wilore DW, Kehlet H. Managem ent of patients in fast track surgery[J]. BMJ, 2001, 322(7284): 473-476.
2. 　Kehlet H, Wilore DW. Multimodal strategies to improve surgical outcome[J]. Am J Surg, 2002, 183(6): 630-641.
3. 　李立, 汪曉東, 舒曄, 等. 四川大學華西醫院肛腸外科·結直腸外科快速流程臨床指南(二)[J]. 中國普外基礎與臨床雜志, 2009, 16(6): 493-494.
4. 　Wang XD, Huang MJ, Yang CH, et al. Minilaparotomy to rectal cancer has higher overall survival rate and earlier short-term recovery[J]. World J Gastroenterol, 2012, 18(37): 5289-5294.
5. 　王雅琴, 寧寧, 何凌霄, 等. 快速康復外科理念在胃腸外科中的應用進展[J]. 華西醫學, 2012, 27(1): 155-157.
6. 　劉麗珍. 快速康復外科在大腸癌圍手術期護理中的應用[J]. 護理研究, 2010, 24(10): 2679-2680.
7. 　Shoshtari KZ, Paddison JS, Booth RJ, et al. A prospective study on the influence of a fast-track program on postoperative fatigue and functional recovery after major colonic surgery[J]. J Surg Res, 2009, 154(2): 330-335.
8. 　柳欣欣, 江志偉, 王志明, 等. 加快康復外科在大腸癌手術病人的應用研究[J]. 腸內腸外營養, 2007, 14(4): 205-208.
9. 　楊慧敏, 鮑文卿. 癌癥病人的情緒障礙及應對方式調查[J]. 護理研究, 2003, 17(6): 687-688.
10. 　黃雪斐. 59例直腸癌患者焦慮狀態的調查分析及護理[J]. 黑龍江護理雜志, 1999, 5(2): 30-31.
11. 　Pereira MG, Figueiredo AP, Fincham FD. Anxiety, depression, traumatic stress and quality of life in colorectal cancer after different treatments: a study with portuguese patients and their partners[J]. Eur J Oncol Nurs, 2012, 16(3): 227-232.
12. 　張麗娜, 李繼平. 大腸癌術后患者抑郁和焦慮狀況的調查研究[J]. 華西醫學, 2011, 26(4): 590-593.
13. 　王中川, 劉永芳, 周詳, 等. 腫瘤復發對腸癌患者心理狀態影響的觀察[J]. 中華腫瘤防治雜志, 2008, 15(13): 985-987.
14. 　Blazeby JM, Soulsby M, Winstone K, et al. A qualitative evaluation of patients’ experiences of an enhanced recovery programme for colorectal cancer[J]. Colorectal Dis, 2010, 12(10): 236-242.
15. 　Basse L, Thorbl JE, Lssl K, et al.Colonic surgery with accelerated rehabilitation or converntional care[J]. Dis Colon Rectum, 2004, 47(3): 271-277.
16. 　Dichter GS, Felder N, Smoski MJ. Affective context interferes with congitive control in unipolar depression: an fMRI investigation[J]. J Aff ect Disord, 2009, 114(1-3): 131-142.
17. 　穆蕾, 潘麗茹, 薛香香. 護理干預對直腸癌患者焦慮狀態的影響[J]. 中國醫藥導報, 2011, 8(12): 109-110.
18. 　Mols F, Thong MS, van de Poll-Franse LV, et al. Type D (distressed) personality is associated with poor quality of life and mental health among 3080 cancer survivors[J]. J Affect Dis, 2012, 136(1-2): 26-34.
19. 　Renter K, Raugust S, Bengel J, et al. Depressive symptom paterns and their consequences for diagnosis of affective disorders in cancer patients[J]. Supp Care Cancer, 2004, 12(12): 864-870.
20. 　李卡, 徐禹, 劉聞捷, 等. 快速流程管理模式應用于大腸癌患者術后營養狀況評估[J]. 護士進修雜志, 2011, 29(18): 1675-1678.
21. 　印義瓊, 李卡, 陳增蓉, 等. 老年腹部疾病病人的外科護理[J]. 華西醫學, 2006, 21(3): 605-606.
22. 　李卡, 黃智, 席望榮, 等. 老年直腸癌患者術前不同營養狀態對術后康復影響的研究[J]. 護士進修雜志, 2010, 25(10): 870-872.
23. 　Moon KS, Jung YH, Lee EH, et al. Clinical characteristics and surgical safety in patients with acute appendicitis aged over 80[J]. J Korean Soc Coloproctol, 2012, 28(2): 94-99.
24. 　李卡, 汪曉東, 陳增蓉, 等. 快速流程下大腸癌術后近期生存質量的前瞻性研究[J]. 四川大學學報·醫學版, 2010, 41(3): 509-512.
25. 　Blazeby JM, Soulsby M, Winstone K, et al. A qualitative evaluation of patients’s experiences of an enhanced recovery programme for colorectal cancer [J]. Colorectal Dis, 2010, 12(10): 236-242.
26. 　Wind J, Polle SW, Fun g Kon J, et al. Systematic review of enhanced recovery programmes in colonic surgery [J]. Br J Surg, 2006, 93(7): 800.
27. 　劉展, 王曉東, 李立, 等. 多學科協作診治模式下的大腸外科快速康復流程[J]. 中國普外基礎與臨床雜志, 2007, 14(2): 239-242.
28. 　Landers M, McCarthy G, Savage E. Bowel symptom experiences and management following sphincter saving surgery for rectal cancer: a qualitative perspective[J]. Eur J Oncol Nurs, 2011, 16(3): 293-300.
29. 　Brandstrup B, Tonnesen H, Beier-Holgersen R, et al. Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens[J]. Ann Surg, 2003, 238(5): 641-648．.
30. 　Mayor S. New approach to surgical cafe aims to improve recovery and reduce length of hospital stay[J]. BMJ, 2007, 334: 816-817．.
31. 　Yuan S, Peng F, Jiang X. Community health nursing in China: status, challenges, and development strategies[J]. Nurs Outlook, 2012, 60(4): 221-227.
32. 　Kornblith AB, Dowell JM, Herndon JE, et al. Telephone monitoring of distress in patients aged 65 years or older with advanced stage cancer[J]. Cancer, 2006, 107(11): 2706-2714.
33. 　汪曉東, 馮碩, 游小林, 等. 結直腸腫瘤多學科協作診治模式下的隨訪體系建設[J]. 中國普外基礎與臨床雜志, 2007, 14(8): 709-712.
34. 　李志鐸. 28例大腸癌手術后快速康復的體會[J]. 北方藥學, 2010, 7(6): 43-44.

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《華西醫學》

快速康復外科在大腸癌患者應用中的焦慮心理及護理研究進展

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《華西醫學》

快速康復外科在大腸癌患者應用中的焦慮心理及護理研究進展

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