Abstract
Objective To explore the effects of need-based nursing practice in elderly patients with radical resection surgery for rectal cancer. Methods From 1 February 2017 to 3 May 2018, we selected 80 elderly patients with radical resection for rectal cancer in colon-rectum-anus surgery at the First Affiliated Hospital of Zhengzhou University as subjects by convenience sampling. All of the patients were randomly divided into control group (n=40) and observation group (n=40) with the method of random number table. Control group carried out routine nursing care. Apart from the routine nursing, observation group provided need-based nursing care. We compared the post-operative recovery, scores of pain, anxiety, depression and quality of life as well as satisfaction after intervention among patients between the two groups. Results The time for the first exhaust, ambulation and the removal of sutures as well as hospital stay in the observation group were shorter than those in the control group with statistical differences (P<0.05) . There were statistical differences in the scores of pain, anxiety and depression of patients after surgery between the two groups (P<0.01) . After intervention, the scores of pain, vitality, social functioning, emotional function, mental health and general health of quality of life in observation group were higher than those of control group with statistical differences (P<0.05) . After intervention, the patient satisfaction of observation group was higher than that of control group with statistical difference (P<0.05) . Conclusions Need-based nursing approach can improve the postoperative recovery of elderly rectal cancer patients, alleviate pain, anxiety and depression, reduce the incidence of adverse events, improve the quality of life and satisfaction of patients, hence is worthy of being widely used in clinical practice. Key words: Aged; Rectal neoplasms; Need-based nursing; Radical resection for rectal cancer
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