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目的：总结对直肠癌miles造瘘口一次性成形术围术期患者的心理护理经验。方法对25例应用管状吻合器实施造瘘口一次性成形的直肠癌患者实施围术期的心理护理。结果术后无1例发生人工肛门出血、坏死、内陷及感染等并发症。随访平均1.8（1.1~2.9）年，造瘘口的吻合钉在术后1年后逐渐脱落人工肛门外形及功能良好。结论围术期给予患者积极的心理护理，能够很好的提高患者参与配合治疗的情绪及态度，对于术前缓解患者紧张、抑郁、恐惧、焦虑等心理；术中积极配合手术治疗；术后伤口的恢复及自我护理等问题起到了很好的作用，以利于提高患者生活质量。“,”Objective Summary of rectal cancer miles fistula one-time forming keratoplasty perioperative patients with psychological nursing experience. Methods 25 cases of application of tubular anastomat implementation of colostomy mouth one-time forming of colorectal cancer patients perioperative psychological nursing. Results No postoperative took place the artificial anus, hemorrhage, necrosis, invagination and complications such as infection. Followed up for average 1.8 (1.1 2.9) years, made the fistula gradually fall off artificial anal anastomosis on the postoperative 1 years later good appearance and function.Conclusion Perioperative giving positive psychological nursing, patients can well improve the patients in treatment of emotion and attitude, for patients with preoperative ease tension, depression, fear, anxiety and other psychological; Intraoperative actively cooperate with surgery;The postoperative recovery and self-care played a good role, help improve the patients quality of life.