中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
25期
3061-3064
,共4页
马军霞%徐凤%薛云%廉德花
馬軍霞%徐鳳%薛雲%廉德花
마군하%서봉%설운%렴덕화
恶性肿瘤%妇科%盆腔根治术%生活质量%延续性护理
噁性腫瘤%婦科%盆腔根治術%生活質量%延續性護理
악성종류%부과%분강근치술%생활질량%연속성호리
Malignancy%Gynecology%Radical pelvic surgery%Quality of life%Continued nursing
目的 探讨延续性护理支持对妇科恶性肿瘤术后患者生活质量的影响.方法 将125例妇科恶性肿瘤患者按随机数字表法分为干预组63例,对照组62例,两组患者均遵医嘱实施围手术期常规护理,干预组在此基础上实施出院后康复期延续性护理支持干预.采用焦虑自评量表(SAS)、特质应对方式问卷(TCSQ)评价两组干预效果.结果 干预前两组患者焦虑、积极应对、消积应对评分比较差异均无统计学意义(P＞0.05)；实施延续性护理支持后,干预组患者焦虑、积极应对、消极应对评分分别为[(23.52±4.15),(47.85±3.52),(18.15±3.18)]分；对照组分别为[(38.92±4.22),(33.59±3.57),(25.70±3.25)]分；两组比较差异均有统计学意义(t值分别为20.570,22.486,13.127；P ＜0.01)；干预组患者术后复发1例,对照组患者术后复发7例,干预组术后复发率低于对照组,差异有统计学意义(x2 =3.425,P＜0.05)；两组患者术后6个月生活质量评分及术后1年治疗依从性比较差异均有统计学意义(P＜0.01).结论 实施延续性护理支持干预,能促进患者躯体功能早日康复,降低疾病复发率,改善其预后生活质量,提高手术治疗效果,值得临床推广应用.
目的 探討延續性護理支持對婦科噁性腫瘤術後患者生活質量的影響.方法 將125例婦科噁性腫瘤患者按隨機數字錶法分為榦預組63例,對照組62例,兩組患者均遵醫囑實施圍手術期常規護理,榦預組在此基礎上實施齣院後康複期延續性護理支持榦預.採用焦慮自評量錶(SAS)、特質應對方式問捲(TCSQ)評價兩組榦預效果.結果 榦預前兩組患者焦慮、積極應對、消積應對評分比較差異均無統計學意義(P＞0.05)；實施延續性護理支持後,榦預組患者焦慮、積極應對、消極應對評分分彆為[(23.52±4.15),(47.85±3.52),(18.15±3.18)]分；對照組分彆為[(38.92±4.22),(33.59±3.57),(25.70±3.25)]分；兩組比較差異均有統計學意義(t值分彆為20.570,22.486,13.127；P ＜0.01)；榦預組患者術後複髮1例,對照組患者術後複髮7例,榦預組術後複髮率低于對照組,差異有統計學意義(x2 =3.425,P＜0.05)；兩組患者術後6箇月生活質量評分及術後1年治療依從性比較差異均有統計學意義(P＜0.01).結論 實施延續性護理支持榦預,能促進患者軀體功能早日康複,降低疾病複髮率,改善其預後生活質量,提高手術治療效果,值得臨床推廣應用.
목적 탐토연속성호리지지대부과악성종류술후환자생활질량적영향.방법 장125례부과악성종류환자안수궤수자표법분위간예조63례,대조조62례,량조환자균준의촉실시위수술기상규호리,간예조재차기출상실시출원후강복기연속성호리지지간예.채용초필자평량표(SAS)、특질응대방식문권(TCSQ)평개량조간예효과.결과 간예전량조환자초필、적겁응대、소적응대평분비교차이균무통계학의의(P＞0.05)；실시연속성호리지지후,간예조환자초필、적겁응대、소겁응대평분분별위[(23.52±4.15),(47.85±3.52),(18.15±3.18)]분；대조조분별위[(38.92±4.22),(33.59±3.57),(25.70±3.25)]분；량조비교차이균유통계학의의(t치분별위20.570,22.486,13.127；P ＜0.01)；간예조환자술후복발1례,대조조환자술후복발7례,간예조술후복발솔저우대조조,차이유통계학의의(x2 =3.425,P＜0.05)；량조환자술후6개월생활질량평분급술후1년치료의종성비교차이균유통계학의의(P＜0.01).결론 실시연속성호리지지간예,능촉진환자구체공능조일강복,강저질병복발솔,개선기예후생활질량,제고수술치료효과,치득림상추엄응용.
Objective To evaluate the effect of continued nursing support on the quality of life of postoperative patients with gynecologic malignancies.Methods A total of 125 patients with gynecologic malignancies were randomly divided into two groups according to random number method:63 patients in the intervention group and 62 patients in the control group.All patients received the same preoperative routine nursing following doctors' orders.At the same time,the patients in intervention group received the continued nursing intervention of rehabilitation after discharge.Intervention effects were observed in two groups by using Self-rating Anxiety Scale (SAS) and Trait Coping Style Questionnaire (TCSQ).Results There were not statistically significant difference between the two groups of patients in the scores of anxiety,positive response and negative response before intervention (P ＞ 0.05).The scores of anxiety,positive response and negative response after intervention in the intervention group were (23.52 ±4.15),(47.85 ± 3.52) and (18.15 ± 3.18),which were (38.92 ± 4.22),(33.59 ± 3.57) and (25.70 ± 3.25) in the control group,respectively,and these difference were statistically significant (t =20.570,22.486,13.127,respectively; P ＜0.01).The postoperative recurrence rate in patients in the intervention group was significantly lower than in the control group,1 patient with recurrence in the intervention group and 7 patients in the control group,and the difference was statistically significant (x2 =3.425,P ＜ 0.05).There were statistically significant difference between the two groups of patients in the life quality score at 6 months after operation and the treatment adherence score at one year after operation (P ＜ 0.01).Conclusions The implementation of continued nursing support can promote early recovery of physical function in patients,reduce the recurrence rate,improve the quality of life of postoperative patients,and increase the effect of surgical treatment,which should be worthy of clinical promotion and application.
