摘 要
结肠癌是我国常见的恶性肿瘤之一，术后造口护理对患者康复和生活质量至关重要。本研究旨在探索优化结肠癌术后患者造口护理的方案，以提高护理效果并减轻患者身心负担。研究采用随机对照试验设计，选取120例结肠癌术后造口患者，分为实验组和对照组，实验组接受基于个体化评估的综合护理干预，包括心理支持、造口袋使用指导及并发症预防措施，而对照组接受常规护理。结果显示，实验组患者的造口相关并发症发生率显著低于对照组，且其生活质量评分明显提升。此外，实验组患者对护理服务的满意度也显著高于对照组。关键词：结肠癌术后护理，个体化评估，造口并发症
Abstract
Colorectal cancer is one of the common malignant tumors in China, and postoperative stoma care is crucial for patient recovery and quality of life. This study aims to explore an optimized stoma care protocol for colorectal cancer patients after surgery to improve nursing outcomes and reduce the physical and mental burden on patients. The study adopted a randomized controlled trial design, selecting 120 patients with postoperative stomas from colorectal cancer surgery, dividing them into an experimental group and a control group. The experimental group received comprehensive nursing interventions based on individual assessments, including psychological support, guidance on using ostomy bags, and preventive measures against complications, while the control group received routine care. The results showed that the incidence of stoma-related complications in the experimental group was significantly lower than in the control group, and their quality of life scores were notably improved. Additionally, the satisfaction with nursing services among patients in the experimental group was also significantly higher than in the control group.
Key Words：Colorectal Cancer Postoperative Care, Individualized Assessment, Stoma Complications
目 录
一、绪论 1
（一）结肠癌术后造口护理的研究背景与意义 1
（二）国内外造口护理研究现状分析 2
二、造口护理需求评估与优化方案设计 2
（一）术后患者造口护理需求的特征分析 3
（二）基于需求的造口护理优化方案构建 4
（三）护理方案设计中的关键要素探讨 5
三、造口护理技术改进与实践应用 6
（一）现有造口护理技术的局限性分析 6
（二）新型造口护理技术的开发与实施 7
（三）技术改进对患者生活质量的影响评估 8
四、造口护理效果评价与持续改进策略 8
（一）护理效果的量化评价指标体系构建 9
（二）患者满意度与护理质量的关系分析 10
（三）持续改进策略的设计与实施路径 11
结论 12
参考文献 13
致 谢 15
