CAJ | 학술논문

目的探讨实施集束化护理干预对妇科恶性肿瘤患者术后生活质量的影响.方法将200例妇科恶性肿瘤患者按随机数字表法随机分为观察组和对照组各100例.对照组运用护理程序采用常规护理,观察组在常规护理的基础上,实施集束化护理干预.采用癌症生活质量问卷核心量表(EORTC QLQ-C30),于手术前1d和出院3个月后对两组患者生活质量进行评价.结果手术前1d两组患者EORTC QLQ-C30量表功能领域、主要症状领域、其他症状领域及经济领域的总均分及各维度得分比较差异均无统计学意义(P＞0.05)；出院3个月后观察组患者EORTC QLQ-C30总分为(48.03±7.39)分,功能领域均分为(51.01±7.84)分,主要症状领域均分为(38.69±9.32)分,经济领域均分为(61.21 ±20.99)分,对照组分别为(57.13 ±9.18),(59.41±11.29),(44.79±12.80),(80.52±22.24)分,两组比较差异有统计学意义(t值分别为17.505,4.641,4.674,19.013；P＜0.05).结论实施集束化护理干预,可以促进妇科恶性肿瘤患者术后生活质量改善.
목적 탐토실시집속화호리간예대부과악성종류환자술후생활질량적영향.방법 장200례부과악성종류환자안수궤수자표법수궤분위관찰조화대조조각100례.대조조운용호리정서채용상규호리,관찰조재상규호리적기출상,실시집속화호리간예.채용암증생활질량문권핵심량표(EORTC QLQ-C30),우수술전1d화출원3개월후대량조환자생활질량진행평개.결과 수술전1d량조환자EORTC QLQ-C30량표공능영역、주요증상영역、기타증상영역급경제영역적총균분급각유도득분비교차이균무통계학의의(P＞0.05)；출원3개월후관찰조환자EORTC QLQ-C30총분위(48.03±7.39)분,공능영역균분위(51.01±7.84)분,주요증상영역균분위(38.69±9.32)분,경제영역균분위(61.21 ±20.99)분,대조조분별위(57.13 ±9.18),(59.41±11.29),(44.79±12.80),(80.52±22.24)분,량조비교차이유통계학의의(t치분별위17.505,4.641,4.674,19.013；P＜0.05).결론 실시집속화호리간예,가이촉진부과악성종류환자술후생활질량개선.
Objective To explore the effect of bundle care on the life quality of post-operation patients with gynecological cancer.Methods Totals of 200 patients with gynecological cancer were recruited and randomly divided into observation group (n =100) and control group (n =100).Control group received the routine nursing,while the observation group received the bundle care on the basis of routine nursing.The life quality scale for cancer patients (EORTC QLQ-C30) was used to investigate respectively in the day before the operation and 3 months after they discharged from hospital.Results No significant difference was found in the scores of foundation,important symptoms,and others between the two groups before the intervention (P ＞ 0.05).After 3 months of the intervention,total score of EORTC QLQ-C30 [(48.03 ± 7.39) vs (57.13 ± 9.18)],the mean score in functional domain [(51.01 ± 7.84) vs (59.41 ± 11.29)],the mean score in important symptoms [(38.69 ± 9.32) vs (44.79 ± 12.80)],and the mean score in economy domain [(61.21 ± 20.99) vs (80.52 ±22.24)] in observation group was better than that in control group,and the difference was statistically significant (t =17.505,4.461,4.674,19.013,respectively; P ＜ 0.05).Conclusions Bundle care in the post-operation patients with gynecological cancer can promote their life quality.